Transcranial magnetic stimulation (TMS) is a noninvasive brain stimulation treatment, and many clinics offer TMS for people with ongoing anxiety symptoms. It uses magnetic fields to stimulate nerve cells, and it does not require anesthesia or surgery. Since TMS therapy works from outside the body, patients stay awake and alert during each session. Here is more information on the role of this treatment for anxiety symptoms:
Using Magnetic Pulses
After you settle into a reclined chair, a technician positions a magnetic coil against your head, and it delivers magnetic pulses. The pulses create small electrical currents, and these currents stimulate nerve cells beneath the coil. Some people get mild headaches, but these fade after the first week. If scalp discomfort occurs, the technician may adjust the coil or settings. This is what a typical TMS therapy treatment plan looks like:
- Sessions are typically quick, depending on the protocol.
- The device makes clicking sounds, so clinics provide earplugs.
- Patients feel a tapping sensation on their scalp.
- You can drive yourself home afterward.
Targeting Specific Brain Regions
Anxiety disorders involve several brain areas, and these areas may show unusual activity patterns. The prefrontal cortex helps regulate emotions and stress responses. When this region is underactive, the amygdala may send stronger fear signals. TMS aims to adjust this imbalance.
TMS providers aim the magnetic coil at the prefrontal cortex because it sits close to the skull. This location typically makes the region easy to reach. Anxiety protocols typically target the right side, and depression protocols often target the left side.
Each person’s brain is slightly different. Before treatment begins, your provider maps the correct spot on your head. This step takes some time, but it helps the provider place the coil accurately. The provider records the location for future sessions.
Reducing Anxiety Symptoms
Repeated stimulation may change activity in brain networks linked to anxiety. These changes may help the brain regulate fear responses. Some people have reduced worry and tension, but results vary from person to person. While changes may appear gradually over several weeks, your provider will explain current guidelines for your diagnosis.
Finding Relief After Traditional Methods
Many people try therapy and medication before they explore TMS. These methods help a large number of patients. Some people still have symptoms, and others struggle with medication side effects.
TMS does not involve daily pills, so it avoids drug side effects like weight gain. Since it targets one brain region, it does not affect your whole body. Many patients continue talk therapy during TMS treatment. Ask your provider these questions before you start:
- Has my anxiety responded to past medications or therapy?
- Do I have metal implants near my head?
- Do I have a history of seizures?
- Does my insurance cover TMS for my diagnosis?
Schedule TMS Therapy Sessions
The first step is a consultation with a licensed provider. The provider reviews your medical history, and you discuss your treatment goals. If TMS fits your needs, the clinic will create a treatment schedule. Before you visit, gather a list of your current medications and past treatments. Bring your insurance card and write down any questions about the process.
