We keep up with the latest research on TMS findings, led by a literature-competent, TMS-experienced psychiatrist. This allows us to offer you the most advanced treatment protocols, customized to your needs. Depending on the condition being treated, we may use one or a combination of the following protocols:

FDA Standard 

Standard treatment protocol approved by FDA, requiring sessions 5 times per week, for 6-8 weeks, targeting stimulation over left dorsolateral prefrontal cortex.

Theta Burst

Theta burst stimulation delivers magnetic pulses to the brain in patterned clusters. It is often thought of as an ‘express’ treatment as it takes only 3 minutes to complete.

Tailored

Sometimes enhancement or stabilization is required in treatment. We develop custom protocols to fit unique situations, not easily categorized. 

Accelerated

Accelerated protocols involve multiple sessions per day, ranging from 2-4 sessions with a minimum of 50 minutes rest in between, thus allowing for greater appointment and treatment flexibility.

Click the images below to learn more about the various conditions TMS can help with.

TMS for depression works to stimulate the parts of the brain responsible for thinking and control of mood. Although practice standards have only approved stimulation over the left dorsolateral prefrontal cortex, there are alternate treatment protocols we can add to enhance your results.

For OCD treatment magnetic pulses are directed towards specific areas of the brain which have been associated with OCD symptoms, such as the pre-supplementary motor area, inferior frontal gyrus, and the subthalamic nucleus.

As we age natural brain functioning slows and weakens. Cognitive enhancement and brain optimization support improvements in focus and concentration, working memory, increased alertness and energy, better sleep, and enhanced learning and motor functions.

Anxiety disorders frequently accompany other mental health concerns, like depression and other mood disorders. TMS treats anxiety by targeting the prefrontal cortex. While findings have shown great results, there have also been reports of anxiety worsening.

While there is no cure for Bipolar Disorder there is evidence that symptoms of certain subtypes become more easily managed with TMS treatment. TMS stimulates the prefrontal cortex of the brain to increase neuronal activity and stabilize mood.

Some eating disorders, such as binge eating, can be reduced with TMS. Stimulation is directed toward the region of the brain associated with self-control in regards to thoughts, emotions and behavior.

When used to address smoking cessation, stimulating the left dorso-lateral prefrontal cortex and the superior medial frontal cortex has been found to produce a significant smoking craving reduction aiding in the ability to stop all together.

Parkinson's disease has been found to benefit from TMS treatment with a reduction in motor symptoms, especially when stimulation is delivered at high frequency.

TMS targets the areas of the brain responsible for modulating cortical excitability and inhibiting pain perception. This has been found effective for many suffering from chronic pain.

Studies have found TMS to be beneficial in reducing states of psychosis, particularly those with auditory hallucinations. When targeting the left temporo-parietal cortex, decreases in frequency and severity of auditory hallucinations were reported.

What’s most effective? 

This depends on the person and the condition being treated. For Depression, current guidelines recommend once daily sessions on 36 separate days. However, there is evidence that shows benefit from accelerated protocols that involve multiple sessions per day. Learn more below and on our TMS Research Page.

Efficacy of twice daily vs once-daily sessions: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5775741/

Here is a study from Stanford looking at an accelerated protocol that occurs over only 5 days with multiple sessions per day:  https://www.biorxiv.org/content/10.1101/581280v1.full