Transcranial Magnetic Stimulation (TMS) is a non-invasive, FDA-approved treatment that uses magnetic pulses to stimulate areas of the brain involved in mood regulation. It is particularly effective for individuals with depression who have not responded to medications or therapy.

Unlike most clinics where technicians handle treatments, Dr Heiber personally administers and monitors every TMS session. This ensures the highest level of safety, precision, and individualized care.

TMS is typically administered five days a week for about 4 to 6 weeks, depending on the treatment plan. Sessions can take as little as three minutes (known as "theta burst" stimulation), but commonly about 20 minutes. At this time, the only insurance covering the theta burst protocol is BCBS.

Because a physician personally oversees all TMS sessions, your progress is closely tracked throughout treatment. The physician will assess your response, adjust protocols as needed, and ensure the best possible outcome.

TMS may be an option if you:

• Have been diagnosed with Depression, Anxiety, OCD

• Have not responded well to medications or therapy

• Do not have contraindications (such as metal implants near the treatment area, a history of seizures, retinal detachment).
  
  A consultation prior to treatment will determine if TMS is appropriate for you.

TMS is generally well tolerated. The most common side effect is mild scalp discomfort or a tapping sensation during treatment, which typically lessens over time. Some patients experience mild headaches after sessions, which usually resolve with over-the-counter pain relief. There is a very small risk (less than 0.1%) of seizure activity, which is why our physician carefully monitors every session to ensure patient safety.

No. TMS does not require sedation, and patients can return to work, school, or other daily activities immediately after each session.

Research has shown a benefit to TMS independent of medications. At the same time, medication and TMS in combination appear to work synergistically.

Most commonly, it is recommended that medications are not initiated or changed during the course of treatment. The benefit of frequent, regular contact with the psychiatrist is ongoing monitoring by the provider to assess your progress and make informed decisions about future treatment.

We are in-network with BCBS PPO, Aetna PPO, United/Optum PPO, and Original Medicare. Even with insurance, there may be a patient responsibility portion associated with charges such as copays and coinsurance.

In order to cover TMS, insurance commonly requires:

• Two antidepressant trials from different mechanistic classes (e.g., an SSRI and an SNRI)

• A trial of psychotherapy

• Ongoing moderate to severe depression

• Age 18 or older

• A history of prior successful TMS treatment (if applicable)

At this time, only BCBS covers TMS for OCD and the faster three-minute "theta burst" protocol.

If pursuing care out of pocket, A sliding scale is available for those who qualify.

https://youtu.be/lKQYKDKeCpo?feature=shared

https://www.fox5atlanta.com/news/after-20-years-of-depression-georgia-woman-finds-a-breakthrough-tms

https://www.msn.com/en-us/health/other/i-got-my-life-back-magnetic-stimulation-treatment-approved-for-more-people-with-depression/ar-AA1vygwm

https://alaskapublic.org/2021/03/29/using-transcranial-magnetic-stimulation-to-treat-depression/

https://www.verywellhealth.com/brain-stimulation-severe-depression-study-5100821

If you’re interested in TMS, the first step is scheduling a consultation with our physician. During this visit, we will discuss your symptoms, medical history, and treatment goals to determine if TMS is right for you.

For more information or to book an appointment, please reach out by requesting an appointment!