TMS Benefits Duration | TMS Doctor Answers TMS Questions

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FLORIDA TMS CLINIC
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At Florida TMS Clinic we treat depression differently. We use TMS or Transcranial Magnetic Stimulation. TMS is an effective, proven treatment for depression that is FDA approved and covered by insurance. TMS is safe and has no systemic side effects. While antidepressant medications and psychotherapy can be helpful for some, many others don't respond to medications and therapy. Some others may not be able to tolerate the side effects of medications. TMS therapy is a drug-free alternative treatment for depression. We love what we do! We enjoy seeing our patients blossom throughout their treatment course with TMS therapy.
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Disclaimer: Although I am a psychiatrist, this is not professional advice as I am not familiar with the specifics of your unique situation; please contact a psychiatrist in your area with more questions. This disclaimer is added to my answers on social media after consulting with the American Psychiatric Association.
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[@iAlwaysSpeakTheTruth]

The truth is , it’s a very large range. Couple months to a couple years.

[@Veronica-lo1tw]

If I have depression AND OCD but I already did TMS for depression (50 hertz, left DLPFC, 36 sessions), will Blue Cross Blue Shield approve me for more TMS without appeal if it's for OCD this time or do I have to wait 2-6 months? Left DLPFC stimulation helped a little with both depression and OCD but we never got to 120% of the motor threshold due to all the anxiety it would induce for 24-72 hours after treatment. It's been 2 weeks since I finished TMS and the short lived positive effects have diminished a lot so it might be that I didn't get sufficient dosage?

[@floridatmsclinic1239]

Interesting question. If I had a patient with a similar dilemma i.e. MDD + Anxiety + OCD, and I did high frequency left DLPFC, which caused more anxiety. First, I would switch to the conventional 10Hz rTMS over 50 Hz iTBS. But then, I would do one of three things: 1. Add low-frequency right-sided TMS after the high frequency left DLPFC treatment. 2. Switch altogether to just low-frequency right DLPFC. 3. Refer out to H7 coil or DB80 coil with OCD protocol. I would pick #1 if the patient was primarily depressed, #2 if the patient was primarily anxious, #3 if the patient was primarily obsessed. BCBS will probably wash their hands off the case as soon as possible because of the “lack of response” reported with the initial treatment. Wait for the video in two weeks to hear more thoughts on why I prefer 10Hz rTMS over 50Hz iTBS for anxious depression.