Transcranial Magnetic Stimulation (TMS) is another cure that has been developed for other mental health disorders, especially for those who have failed to benefit from other therapies. Even though TMS is becoming more popular and there is proof that it works, there are many myths about TMS for OCD. This piece lays out and refutes these myths with facts to help distinguish TMS.
Myth 1: TMS is the Same as Electroconvulsive Therapy (ECT)
- Myth
Many people think TMS is the same as Electroconvulsive Therapy (ECT), or closely related.
- Fact
TMS and ECT are distinct. ECT is the administration of electric current to elicit seizures in the brain and is done while the patient is unconscious due to general anesthesia. On the other hand, TMS involves applying a magnetic field that triggers a particular area of the brain, is non-impairing, and does not cause seizures or need anesthesia. TMS is painless; patients do not require any form of anesthesia and do not have to be asleep during the treatment. Side effects of TMS are a lot fewer compared to ECT and that is why it is preferred by many patients.
Myth 2: TMS is Painful
- Myth
Some people think that TMS is a painful process because of the application of magnetic pulses to the head.
- Fact
TMS is not thought to be painful and is generally fairly well tolerated. Basically, a patient will only experience the mild sensation of tapping on the scalp during magnetic pulses and clicks are heard. Some people might have sensations such as discomfort or headache; nonetheless, such sensations reduce with time. It is worth stressing that TMS is characterized by a low level of discomfort among all the existing ones.
Myth 3: TMS Causes Memory Loss
- Myth
The misconception arises from previous beliefs that TMS and other treatments, such as ECT, cause memory loss or cognitive impairment issues.
- Fact
TMS has not been associated with significant cognitive side effects, including memory loss. Some studies suggest that TMS may improve cognitive functions like attention and memory. The magnetic pulses used in TMS target specific brain regions involved in mood regulation without affecting the entire brain, thereby minimizing the risk of cognitive impairment.
Myth 5: TMS Offers Immediate Results
- Myth
Some expect TMS to provide immediate relief from symptoms after the first few sessions.
- Fact
TMS is not a quick fix, and results typically develop throughout treatment. Most patients undergo TMS sessions five times per week for four to six weeks before experiencing significant symptom relief. The benefits of TMS are cumulative, with improvements often becoming more noticeable as the treatment progresses. Patience and consistency are crucial to achieving the best outcomes with TMS.
Myth 6: TMS is Dangerous
Myth
There is a belief that TMS therapy for OCD is a dangerous procedure with significant risks involved.
Fact
TMS is a safe and well-established treatment with a strong safety profile supported by numerous clinical studies and trials. The most common side effects, such as scalp discomfort and headaches, are mild and transient. Serious side effects, such as seizures, are infrequent, occurring in less than 0.1% of patients. TMS is FDA-approved for the treatment of depression and is increasingly being approved for other conditions, reflecting its safety and efficacy.
Myth 7: TMS is Effective for Everyone
Myth
Some people believe that TMS will work for every individual with depression or other mental health conditions.
Fact
While magnetic brain stimulation therapyhas shown great promise, it is not a universal solution for everyone. Response rates vary, with approximately 50-60% of patients experiencing significant symptom relief and about one-third achieving complete remission. Factors such as the specific condition being treated, the severity of symptoms, and individual differences in brain physiology can influence the effectiveness of TMS. It is essential for patients to have realistic expectations and to understand that TMS may be one part of a comprehensive treatment plan.
Myth 8: TMS Requires Extensive Preparation
Myth
The myth suggests that undergoing transcranial magnetic stimulation (TMS) involves significant preparatory steps or requirements before treatment can commence.
Fact
TMS requires minimal preparation. Before starting treatment, patients undergo an initial consultation to determine their suitability for TMS. During the first session, the healthcare provider maps the patient’s brain to identify the specific area to target with the magnetic pulses. Subsequent sessions involve placing the magnetic coil against the scalp and delivering the pulses, with no special preparation required.
Myth 9: TMS Is Expensive and Not Covered by Insurance
Myth
This misconception implies that transcranial magnetic stimulation (TMS) is financially out of reach for many individuals due to its perceived high cost and lack of insurance coverage.
Fact
While TMS can be costly, many insurance plans now cover the treatment for certain conditions, particularly treatment-resistant depression. Coverage varies by insurer and policy, so patients should check with their insurance provider to determine their eligibility. Additionally, many TMS providers offer payment plans or financial assistance to help make the treatment more accessible.
Myth 10: TMS Is a Last Resort Treatment
Myth
This myth suggests that Transcranial Magnetic Stimulation (TMS) is only considered after all other treatment options have failed. This myth implies that TMS is reserved for individuals who have exhausted traditional therapies without success.
Fact
While TMS is often used for treatment-resistant OCD—patients who have not responded to multiple medications or psychotherapy—it is not solely a last-resort option. TMS can be considered at various stages of treatment, especially for those who prefer a non-pharmacological approach or cannot tolerate the side effects of medications.
Conclusion
Transcranial Magnetic Stimulation (TMS) is a groundbreaking treatment that offers hope and relief to many individuals with mental health conditions. TMS is a safe, effective, and non-invasive treatment that is becoming an essential part of modern mental health care. As research advances and accessibility improves, TMS has the potential to transform the lives of countless individuals seeking relief from mental health challenges. Understanding the facts about TMS therapy in Houston empowers patients and healthcare providers to make informed decisions and embrace this innovative therapy to pursue mental wellness.