Before and After TMS Therapy

Transcranial Magnetic Stimulation (TMS) therapy offers hope to those struggling with depression, anxiety, and other mental health challenges. Unlike medication, TMS is a non-invasive treatment that uses magnetic pulses to stimulate brain activity. If you or a loved one are considering TMS, understanding what to expect before, during, and after treatment is essential.

At The Forge Recovery Center, we personalize every treatment plan, often integrating TMS with other therapies like CBT vs talk therapy to support lasting recovery. In this article, we will guide you through the entire TMS journey, helping you make an informed decision about your mental health care.

Understanding TMS Therapy

Transcranial Magnetic Stimulation (TMS) is a non-invasive, FDA-approved treatment that uses magnetic pulses to stimulate areas of the brain associated with mood regulation. Unlike medication, which alters brain chemistry throughout the body, 

TMS directly targets the prefrontal cortex—the region often underactive in individuals with depression and anxiety. By stimulating neural activity, TMS can improve mood, reduce symptoms, and help patients regain control over their mental health.

Conditions Commonly Treated with TMS

TMS is primarily used for individuals struggling with treatment-resistant depression (TRD), meaning they haven’t responded well to traditional antidepressant medications. However, its benefits extend beyond depression. TMS is also used to treat:

• Anxiety disorders, including generalized anxiety disorder (GAD) and panic disorder.

• Obsessive-compulsive disorder (OCD) when standard therapies and medications have proven ineffective.

• Post-traumatic stress disorder (PTSD) by helping regulate the brain’s stress response.

• Substance use disorders, as emerging research suggests TMS may help reduce cravings and improve impulse control.

At The Forge Recovery Center, we often incorporate TMS into personalized treatment plans for individuals struggling with mental health challenges and addiction, ensuring a comprehensive approach to recovery.

TMS Vs. Traditional Therapies: How Does It Compare?

While talk therapy and medication remain foundational treatments for mental health conditions, TMS offers an alternative for those who haven’t found relief through conventional methods. Here’s how it compares to other approaches:

• TMS vs. Medication: Antidepressants work by altering neurotransmitter levels throughout the brain, often leading to side effects like weight gain, fatigue, or sexual dysfunction. TMS, on the other hand, directly targets brain activity without systemic side effects.

• TMS vs. CBT vs Talk Therapy: Cognitive Behavioral Therapy (CBT) is a structured approach that helps individuals reframe negative thought patterns and develop healthier coping mechanisms. Traditional talk therapy, such as psychodynamic or person-centered therapy, provides a space for patients to explore emotions and experiences at their own pace. While these therapies address the psychological aspect of mental health, TMS works on the biological level by stimulating brain function.

For many patients, the best results come from a combination of approaches. At The Forge Recovery Center, we integrate CBT vs talk therapy with TMS, ensuring a well-rounded treatment plan that supports long-term healing.

TMS therapy offers a promising path for those who haven’t responded to conventional treatments. By understanding how it works and how it compares to traditional approaches, individuals can make informed decisions about their mental health care.

Preparing for TMS Therapy

Starting Transcranial Magnetic Stimulation (TMS) therapy is a significant step toward improving mental health. To ensure the best possible outcomes, patients must go through an initial consultation and evaluation process. This stage helps determine if TMS is the right fit and prepares individuals for what to expect.

Initial Consultation: Assessing Suitability for TMS

Before beginning TMS therapy, patients undergo a thorough evaluation with a mental health professional. At The Forge Recovery Center, we take a personalized approach, assessing factors such as:

• Diagnosis and treatment history – TMS is often recommended for individuals with treatment-resistant depression, anxiety, or other conditions that haven’t improved with medication or therapy.

• Medical history and safety screening – Certain conditions, such as a history of seizures, implanted metal devices (e.g., pacemakers), or neurological disorders, may affect eligibility for TMS.

• Current medications and lifestyle factors – Some medications and habits (such as substance use) can influence TMS effectiveness, so we ensure treatment is optimized for each patient.

This consultation allows our team to create a customized treatment plan, often integrating TMS with therapies like CBT vs talk therapy for a comprehensive approach to recovery.

Pre-Treatment Evaluations: What to Expect

Once a patient is cleared for TMS, they undergo a motor threshold assessment—a painless procedure where a TMS specialist determines the correct intensity of magnetic stimulation for their brain. This ensures that treatment is both effective and safe.

Patients can also expect:

• A discussion of treatment duration (typically 4-6 weeks with five sessions per week).

• Instructions on what to do before sessions (e.g., avoiding caffeine or alcohol that may affect brain excitability).

• Education on potential side effects, such as mild scalp discomfort or headaches, which typically subside after a few sessions.

At The Forge Recovery Center, we ensure patients feel fully informed and comfortable before beginning TMS therapy.

Addressing Common Concerns and Misconceptions

Despite its growing success, TMS therapy still carries misconceptions. Here’s the truth behind some common concerns:

• “TMS is like electroconvulsive therapy (ECT).” – Unlike ECT, TMS does not involve electrical currents or require anesthesia. It is a non-invasive, outpatient procedure with minimal side effects.

• “TMS is painful.” – Most patients experience only a tapping sensation on the scalp during treatment, with no need for sedation.

• “If therapy or medication didn’t work, neither will TMS.” – TMS targets the brain differently than medication or therapy, making it a viable option for those who haven’t responded to other treatments.

• “TMS works instantly.” – While some patients notice mood improvements early, most experience gradual changes over several weeks.

By addressing these concerns, we help patients feel confident and prepared as they begin their TMS journey.

At The Forge Recovery Center, we are committed to providing a supportive and informed experience for those considering TMS therapy. From initial assessment to treatment, we ensure each patient receives a personalized plan that meets their unique needs.

The TMS Treatment Process

Understanding what happens during a Transcranial Magnetic Stimulation (TMS) therapy session can help ease concerns and prepare patients for treatment. TMS is a structured, non-invasive procedure that stimulates brain activity to improve symptoms of depression, anxiety, and other mental health conditions. Here’s what you can expect during the process.

What Happens During a TMS Session?

A typical TMS session is straightforward and lasts about 20 to 40 minutes. It is performed in an outpatient setting, meaning there’s no need for anesthesia or recovery time.

Here’s what the process looks like:

1. Getting Set Up – Patients sit in a comfortable chair while a trained technician places a magnetic coil against the scalp. This coil is positioned over the prefrontal cortex, the part of the brain associated with mood regulation.

2. Magnetic Stimulation Begins – The device delivers repetitive magnetic pulses to stimulate neural activity. Patients may feel a tapping or clicking sensation on their scalp, but this is generally painless.

3. Session Completion – Once the session is over, patients can immediately return to daily activities, including work or driving.

At The Forge Recovery Center, our team ensures that every session is conducted in a calm, supportive environment where patients feel comfortable and informed.

Frequency and Number of Sessions for Optimal Results

TMS therapy is not a one-time treatment—it works gradually over time. The standard treatment plan consists of:

• 5 sessions per week

• A total of 30 to 36 sessions (lasting 4 to 6 weeks)

Most patients begin noticing improvements within the second or third week of treatment, though some experience relief earlier or later. The full effects of TMS typically continue developing even after the last session, making follow-up care essential.

At The Forge Recovery Center, we often integrate TMS with CBT vs talk therapy and other evidence-based approaches to enhance long-term recovery.

Potential Side Effects and How They Are Managed

TMS is well-tolerated, but like any treatment, some patients may experience mild and temporary side effects, including:

• Scalp discomfort or headaches – This usually occurs in the first few sessions and lessens over time. Over-the-counter pain relievers can help manage any discomfort.

• Tingling or muscle twitches – Some patients experience mild facial twitching during treatment, but this stops once the session ends.

• Fatigue or lightheadedness – While uncommon, some individuals may feel slightly tired after treatment, but this effect is temporary.

Serious side effects are extremely rare, and our specialists continuously monitor patients to ensure safety and comfort throughout their treatment.

Post-Treatment Expectations

Completing Transcranial Magnetic Stimulation (TMS) therapy is a significant milestone in the journey toward better mental health. While TMS is highly effective, it’s essential to understand what happens after treatment, including immediate effects, the timeline for symptom improvement, and the importance of ongoing care.

Immediate After-Effects: What Patients Might Experience

TMS is a non-invasive procedure, so there is no downtime or recovery period after each session. Most patients can resume daily activities immediately, including work, driving, and social interactions. However, some mild, temporary effects may occur, such as:

• Mild headache or scalp discomfort – This typically fades within a few hours and can be managed with over-the-counter pain relievers.

• Slight fatigue or dizziness – Some individuals feel slightly tired after a session, but this is usually temporary.

• Changes in mood or emotions – Some patients may notice small mood shifts early on, which can be a sign that the treatment is starting to take effect.

These effects are usually mild and diminish as treatment progresses. At The Forge Recovery Center, we closely monitor patients to ensure their comfort and adjust treatment if needed.

Timeline for Noticing Improvements in Symptoms

TMS is not an instant cure—it works by gradually rewiring neural pathways over time. Most patients experience noticeable symptom relief within two to four weeks of starting treatment. However, response times can vary:

• Early Responders – Some patients begin feeling better within the first one to two weeks of treatment.

• Gradual Responders – Most individuals experience steady improvement over the full four to six-week course of therapy.

• Delayed Responders – Some may see the most significant benefits weeks after completing their final TMS session.

For those combining TMS with other treatments, such as CBT vs talk therapy, symptom relief may be enhanced and sustained longer.

Importance of Follow-Up Sessions and Ongoing Assessments

TMS provides lasting benefits, but continued care is essential for maintaining improvements. At The Forge Recovery Center, we emphasize:

• Regular follow-up appointments – These allow our specialists to track progress, adjust treatment plans, and provide additional support as needed.

• Booster TMS sessions – Some patients benefit from occasional maintenance sessions, especially if symptoms start returning months or years later.

• Integrating therapy and lifestyle changes – Engaging in CBT vs talk therapy, maintaining a healthy lifestyle, and building strong support systems can help sustain the positive effects of TMS.

Long-Term Success After TMS

TMS therapy is a powerful tool for individuals struggling with depression, anxiety, and other mental health challenges. However, long-term success often comes from a holistic treatment plan. At The Forge Recovery Center, we help patients transition from TMS into ongoing therapy and personalized recovery programs, ensuring they continue to thrive beyond treatment.

Considering TMS Therapy? We’re Here to Help

TMS therapy offers a safe, effective option for those struggling with depression, anxiety, and other mental health challenges—especially when traditional treatments haven’t worked. By stimulating brain activity, TMS can provide lasting relief and improve overall well-being. At The Forge Recovery Center, we personalize treatment plans, combining TMS with therapies like CBT vs talk therapy to support long-term recovery. If you or a loved one need help, our team is here to guide you toward healing. Contact us today to take the next step in reclaiming your mental health and building a brighter future.

Written by

The Forge Recovery Center

Reviewed by

Jeremy Arzt

Chief Clinical Officer

March 13, 2025