TMS Pros & Cons

TMS is a novel approach that continues to receive more recognition as a valuable therapy option as we see promising outcomes from both research and clinical findings. It is especially valuable as a mental health treatment for treatment-resistant depression. Its advantages make it a preferred option when first-line treatments (eg. antidepressants) do not help patients achieve their mental health goals. This article will cover some key pros and cons of TMS treatment to help you make an informed decision about the pathway to your mental health treatment.

Find Your Treatment Fit →

TMS Pros & Cons

TMS is a novel approach that continues to receive more recognition as a valuable therapy option as we see promising outcomes from both research and clinical findings. It is especially valuable as a mental health treatment for treatment-resistant depression. Its advantages make it a preferred option when first-line treatments (eg. antidepressants) do not help patients achieve their mental health goals. This article will cover some key pros and cons of TMS treatment to help you make an informed decision about the pathway to your mental health treatment.

Find Your Treatment Fit →

TMS Pros & Cons

TMS is a novel approach that continues to receive more recognition as a valuable therapy option as we see promising outcomes from both research and clinical findings. It is especially valuable as a mental health treatment for treatment-resistant depression. Its advantages make it a preferred option when first-line treatments (eg. antidepressants) do not help patients achieve their mental health goals. This article will cover some key pros and cons of TMS treatment to help you make an informed decision about the pathway to your mental health treatment.

Find Your Treatment Fit →
A man in a white shirt is smiling for the camera
A black and white icon of a stamp with a heart on it.

Medically Reviewed By Dr. Thomas Knightly

Pros of TMS Treatment

TMS treatment is effective


Several trials, including a study examining results over multiple TMS centers, have demonstrated high efficacy rates, with a 70 to 80% response rate. Notably, TMS can be successful in reducing depressive symptoms where antidepressants do not yield desirable results. It can be the solution that many people may be seeking, especially if their depressive symptoms are reducing their quality of life and daily functioning.

TMS is non-invasive


TMS uses a metal coil that generates an electromagnetic field outside of the skull to stimulate nerve cells in the brain. It is a painless method that does not require anesthesia, unlike alternative therapies for treatment-resistant depression (ie. ECT). It does not involve the metabolism of medicine in the body nor electric shocks inside the body. This can create a more comfortable experience for patients.

TMS treatment is well-tolerated


Another aspect of TMS treatment that makes it high in demand is its minimal side effects. The most commonly reported side effect is scalp discomfort or headaches that subside with over-the-counter painkillers. Typically, if side effects occur, they dissipate over the first several sessions. Many patients complete TMS treatment with no complications.


Its unique mechanism of action means it can avoid many of the side effects that can accompany antidepressants. Especially uncomfortable adverse reactions may include changes in weight, appetite, sex drive, and sleep. Fortunately, these are not adverse reactions that are characteristic of TMS.


TMS treatment does not require a long-term shift in lifestyle 


Individual TMS sessions are just 20 minutes and can be worked into your daily schedule without causing major interruptions as you are able to drive immediately after. You can continue to carry out your regular duties and activities.


An isometric illustration of a dental chair on a white background.

Not sure if TMS is right for you? Take the quiz →


Cons of TMS Treatment



A full TMS treatment course requires a time commitment

Although individual sessions are 20 minutes, a full TMS course usually lasts approximately 7 weeks, including a total of 36 sessions with 5 sessions a week. We can appreciate that patients may find it difficult to find multiple free time slots throughout their week. However, results have demonstrated treatment has long-lasting effects and many patients do not need to return after their initial course or if they pursue maintenance sessions, they are much less frequent. Learn more about TMS treatment expectations →

Some patients experience the TMS dip

Our brains are ever-changing and re-wiring. The smallest of events can result in a shift in neural activity or the development of new pathways. When brain activity is disrupted by electromagnetic pulses during TMS, some patients experience a temporary exacerbation of depressive symptoms as a result of shifts in brain activity. After several TMS sessions, the brain adapts to altered pathways which serves to restore healthy brain activity.

Not all insurers cover TMS treatment

We are committed to providing accessible healthcare and are partnered with many insurance providers. However, some insurers may not cover TMS or provide limited coverage with complex eligibility criteria. We will always strive to assist in finding you the best possible solution to finance your treatment and make your TMS therapy a smooth experience. Learn more about TMS therapy cost

Some patients may experience a relapse

As with all other types of treatment, there is a risk associated with experiencing a relapse of depressive symptoms. If this does occur, we offer maintenance sessions with a flexible schedule to provide the appropriate amount of additional treatment. Findings demonstrate that people who respond to initial TMS treatment experience added benefits of maintenance sessions.

TMS can be associated with the risk of seizures

There is a very small risk of seizures, but fortunately, the rate of occurrence is extremely low. Researchers estimate that the frequency for a potential seizure to occur is less than 1 for every 60,000 sessions. It is typically recommended that people with a history of seizures or epilepsy do not pursue TMS treatment. Please speak further with your healthcare professional.

Patient experiences

TMS Treatment at Evolve Brain Health

We are dedicated to creating the best possible experience for your TMS treatment. Our technology is designed to have long-lasting effects that benefit your daily living and broader future goals and plans.


We hope this page has been useful in understanding TMS with greater detail. Taking charge of your mental health journey means making an informed decision about the route you take. Please
contact us to speak further in-depth about your options and how we can accommodate your needs and preferences.

A man in a white shirt is smiling for the camera
A black and white icon of a stamp with a heart on it.

Medically Reviewed By Dr. Thomas Knightly

Pros of TMS Treatment

TMS treatment is effective


Several trials, including a study examining results over multiple TMS centers, have demonstrated high efficacy rates, with a 70 to 80% response rate. Notably, TMS can be successful in reducing depressive symptoms where antidepressants do not yield desirable results. It can be the solution that many people may be seeking, especially if their depressive symptoms are reducing their quality of life and daily functioning.

TMS is non-invasive


TMS uses a metal coil that generates an electromagnetic field outside of the skull to stimulate nerve cells in the brain. It is a painless method that does not require anesthesia, unlike alternative therapies for treatment-resistant depression (ie. ECT). It does not involve the metabolism of medicine in the body nor electric shocks inside the body. This can create a more comfortable experience for patients.

TMS treatment is well-tolerated


Another aspect of TMS treatment that makes it high in demand is its minimal side effects. The most commonly reported side effect is scalp discomfort or headaches that subside with over-the-counter painkillers. Typically, if side effects occur, they dissipate over the first several sessions. Many patients complete TMS treatment with no complications.


Its unique mechanism of action means it can avoid many of the side effects that can accompany antidepressants. Especially uncomfortable adverse reactions may include changes in weight, appetite, sex drive, and sleep. Fortunately, these are not adverse reactions that are characteristic of TMS.


TMS treatment does not require a long-term shift in lifestyle 


Individual TMS sessions are just 20 minutes and can be worked into your daily schedule without causing major interruptions as you are able to drive immediately after. You can continue to carry out your regular duties and activities.


An isometric illustration of a dental chair on a white background.

Not sure if TMS is right for you? Take the quiz →


Cons of TMS Treatment
A full TMS treatment course requires a time commitment

Although individual sessions are 20 minutes, a full TMS course usually lasts approximately 7 weeks, including a total of 36 sessions with 5 sessions a week. We can appreciate that patients may find it difficult to find multiple free time slots throughout their week. However, results have demonstrated treatment has long-lasting effects and many patients do not need to return after their initial course or if they pursue maintenance sessions, they are much less frequent. Learn more about TMS treatment expectations →

Some patients experience the TMS dip

Our brains are ever-changing and re-wiring. The smallest of events can result in a shift in neural activity or the development of new pathways. When brain activity is disrupted by electromagnetic pulses during TMS, some patients experience a temporary exacerbation of depressive symptoms as a result of shifts in brain activity. After several TMS sessions, the brain adapts to altered pathways which serves to restore healthy brain activity.

Not all insurers cover TMS treatment

We are committed to providing accessible healthcare and are partnered with many insurance providers. However, some insurers may not cover TMS or provide limited coverage with complex eligibility criteria. We will always strive to assist in finding you the best possible solution to finance your treatment and make your TMS therapy a smooth experience. Learn more about TMS therapy cost

Some patients may experience a relapse

As with all other types of treatment, there is a risk associated with experiencing a relapse of depressive symptoms. If this does occur, we offer maintenance sessions with a flexible schedule to provide the appropriate amount of additional treatment. Findings demonstrate that people who respond to initial TMS treatment experience added benefits of maintenance sessions.

TMS can be associated with the risk of seizures

There is a very small risk of seizures, but fortunately, the rate of occurrence is extremely low. Researchers estimate that the frequency for a potential seizure to occur is less than 1 for every 60,000 sessions. It is typically recommended that people with a history of seizures or epilepsy do not pursue TMS treatment. Please speak further with your healthcare professional.

Patient experiences

TMS Treatment at Evolve Brain Health

We are dedicated to creating the best possible experience for your TMS treatment. Our technology is designed to have long-lasting effects that benefit your daily living and broader future goals and plans.


We hope this page has been useful in understanding TMS with greater detail. Taking charge of your mental health journey means making an informed decision about the route you take. Please
contact us to speak further in-depth about your options and how we can accommodate your needs and preferences.

A hand is holding a cell phone that says find your treatment fit

Not Sure Which Treatment Is Right?

Take our quick quiz to get personalized recommendations based on your needs.

Take The Quiz →

Not Sure Which Treatment Is Right?



Take our quick quiz to get personalized recommendations based on your needs.

Take The Quiz →
A hand is holding a cell phone that says find your treatment fit

Why Choose Us?

We are committed to providing evidence-based treatments that offer real, lasting results.

A doctor with a stethoscope around his neck.

Expert Care

Board-certified psychiatrist with extensive experience in mental health therapies.

A pen and a piece of paper with a shield on it.

Insurance Accepted

We accept all major insurance providers, including Medicare.

An icon of a clock with arrows around it.

Accelerated Recovery

Our 5-day accelerated TMS program helps you get better, faster.

A pink and blue brain with a gear in the middle.

Individualized

Tailored treatment plans designed just for you.

A blue and white capsule on a white background.

Holistic Approach

We offer TMS and Esketamine to enhance the effectiveness of psychotherapy.

A certificate with a blue ribbon on it.

FDA-Approved

Our treatments meet the highest safety and efficacy standards.

Read Our Patient Reviews

Five blue stars are lined up in a row on a white background.

"I highly recommend Evolve Brain Health if you are considering TMS. My experience was extremely positive. Dr. Knightly is very bright, compassionate and patient. He took time to answer all of my questions without ever making me feel rushed. It’s very easy to schedule appointments and always runs right on time. The treatment is very easy-in and out in less than 15 minutes with no side effects!"

Gerrianne D.

The letter g is in a blue circle on a white background.
Five blue stars are lined up in a row on a white background.

"Dr. Knightly was without a doubt, one of the most professional, knowledgeable and experienced Psychiatrists I have ever seen. Honestly, it was an appointment I would look forward to, rather than just any generic Doctor visit, which we all definitely know is not where we want to be. His follow up and true commitment to his patients is hard to find these days. 5 Stars is not enough. He is better than any rating scale and I know will humbly continue to help as many people as he can."

Michael.

The letter g is in a blue circle on a white background.
Five blue stars are lined up in a row on a white background.

"Dr Knightly is empathetic, professional & informative. He’s walked me through the process & has answered all my questions without hesitation, even the questions I’ve repeatedly asked. During my first session I was overwhelmed with emotion (I’ve tried many things to try to treat my depression) & he validated my experience & made me feel comfortable. I recommend anyone who is interested in TMS to visit his office, you‘re in good hands."

Jade C.

The letter g is in a blue circle on a white background.
A close up of a white and blue object on a white background.

Will My Insurance Cover TMS Therapy?



We can help verify your benefits and provide transparent pricing options so you can plan your treatment confidently.

Pricing Guide →

Featured Resources


Interested in learning about various mental health treatments? Visit our Learning Center for clear, easy-to-understand explanations of procedures, protocols, comparisons, and the conditions they address.

A man and a woman are sitting on a couch looking at a pamphlet.

What to Expect In Each Treatment


Beginning therapy can be a daunting experience. By informing you what one might expect from each treatment, we aim to ease this process and minimize the stress around seeking support for your mental health.


Continue Reading →

A chair is sitting in front of a machine in a room.

Is TMS Therapy Right For Me?


As TMS is a novel approach to mental health treatment, you may not have heard about it. This quiz can help you learn whether you are interested in TMS based on your symptoms, but it is not a comprehensive decision tool.


Continue Reading →

A man in a white shirt is sitting in a chair reading a book.

Our Guide to Help You Choose Your Treatment


Beginning therapy can be difficult enough without being overwhelmed by the variety of treatment options. In this article, we cover the differences between our services to help you decide which treatment you may want to pursue with us.


Continue Reading →

Book Your Consultation


Take the first step towards better mental health and well-being. Call us at (203) 504-9758 or complete the form below.

Contact Us

A man is sitting in front of a computer talking to a doctor.

What Happens In My Consultation?

A blue swirl in the shape of a brain on a white background.

To create a personalized plan, we assess your medical history, symptoms, and treatment goals.

A blue swirl in the shape of a brain on a white background.

You'll have an open conversation with your psychiatrist to discuss options and next steps.

A blue swirl in the shape of a brain on a white background.

A tailored approach is developed based on your unique needs, ensuring the best outcomes for you.

A black silhouette of a telephone on a white background.

(203) 504-9758

A black map pin with a white circle in the middle on a white background.
A hand is holding a cell phone that says find your treatment fit

Not Sure Which Treatment Is Right?

Take our quick quiz to get personalized recommendations based on your needs.

Take The Quiz →

Why Choose Us?

We are committed to providing evidence-based treatments that offer real, lasting results.

A doctor with a stethoscope around his neck.

Expert Care

Board-certified psychiatrist with extensive experience in mental health therapies.

A pen and a piece of paper with a shield on it.

Insurance Accepted

We accept all major insurance providers, including Medicare.

An icon of a clock with arrows around it.

Accelerated Recovery

Our 5-day accelerated TMS program helps you get better, faster.

A pink and blue brain with a gear in the middle.

Individualized

Tailored treatment plans designed just for you.

A blue and white capsule on a white background.

Holistic Approach

We offer TMS and Esketamine to enhance the effectiveness of psychotherapy.

A certificate with a blue ribbon on it.

FDA-Approved

Our treatments meet the highest safety and efficacy standards.

Read Our Patient Reviews

Five blue stars are lined up in a row on a white background.

"I highly recommend Evolve Brain Health if you are considering TMS. My experience was extremely positive. Dr. Knightly is very bright, compassionate and patient. He took time to answer all of my questions without ever making me feel rushed. It’s very easy to schedule appointments and always runs right on time. The treatment is very easy-in and out in less than 15 minutes with no side effects!"

Gerrianne D.

The letter g is in a blue circle on a white background.
Five blue stars are lined up in a row on a white background.

"Dr. Knightly was without a doubt, one of the most professional, knowledgeable and experienced Psychiatrists I have ever seen. Honestly, it was an appointment I would look forward to, rather than just any generic Doctor visit, which we all definitely know is not where we want to be. His follow up and true commitment to his patients is hard to find these days. 5 Stars is not enough. He is better than any rating scale and I know will humbly continue to help as many people as he can."

Michael.

The letter g is in a blue circle on a white background.
Five blue stars are lined up in a row on a white background.

"Dr Knightly is empathetic, professional & informative. He’s walked me through the process & has answered all my questions without hesitation, even the questions I’ve repeatedly asked. During my first session I was overwhelmed with emotion (I’ve tried many things to try to treat my depression) & he validated my experience & made me feel comfortable. I recommend anyone who is interested in TMS to visit his office, you‘re in good hands."

Jade C.

The letter g is in a blue circle on a white background.
A close up of a white and blue object on a white background.

Will My Insurance Cover TMS Therapy?



We can help verify your benefits and provide transparent pricing options so you can plan your treatment confidently.

Pricing Guide →

Featured Resources


Interested in learning about various mental health treatments? Visit our Learning Center for clear, easy-to-understand explanations of procedures, protocols, comparisons, and the conditions they address.

A man and a woman are sitting on a couch looking at a pamphlet.

What to Expect In Each Treatment


Beginning therapy can be a daunting experience. By informing you what one might expect from each treatment, we aim to ease this process and minimize the stress around seeking support for your mental health.


Continue Reading →

A chair is sitting in front of a machine in a room.

Is TMS Therapy Right For Me?


As TMS is a novel approach to mental health treatment, you may not have heard about it. This quiz can help you learn whether you are interested in TMS based on your symptoms, but it is not a comprehensive decision tool.


Continue Reading →

A man in a white shirt is sitting in a chair reading a book.

Our Guide to Help You Choose Your Treatment


Beginning therapy can be difficult enough without being overwhelmed by the variety of treatment options. In this article, we cover the differences between our services to help you decide which treatment you may want to pursue with us.


Continue Reading →

A man and a woman are sitting on a couch looking at a pamphlet.

What to Expect In Each Treatment


Beginning therapy can be a daunting experience. By informing you what one might expect from each treatment, we aim to ease this process and minimize the stress around seeking support for your mental health.


Continue Reading →

A chair is sitting in front of a machine in a room.

Is TMS Therapy Right For Me?


As TMS is a novel approach to mental health treatment, you may not have heard about it. This quiz can help you learn whether you are interested in TMS based on your symptoms, but it is not a comprehensive decision tool.


Continue Reading →

A man in a white shirt is sitting in a chair reading a book.

Our Guide to Help You Choose Your Treatment


Beginning therapy can be difficult enough without being overwhelmed by the variety of treatment options. In this article, we cover the differences between our services to help you decide which treatment you may want to pursue with us.


Continue Reading →

Book Your Consultation


Take the first step towards better mental health and well-being. Call us at (203) 504-9758 or complete the form below.

Contact Us

A man is sitting in front of a computer talking to a doctor.

What Happens In My Consultation?

A blue swirl in the shape of a brain on a white background.

To create a personalized plan, we assess your medical history, symptoms, and treatment goals.

A blue swirl in the shape of a brain on a white background.

You'll have an open conversation with your psychiatrist to discuss options and next steps.

A blue swirl in the shape of a brain on a white background.

A tailored approach is developed based on your unique needs, ensuring the best outcomes for you.

A black silhouette of a telephone on a white background.

(203) 504-9758

A black map pin with a white circle in the middle on a white background.

Why Choose Us?

We are committed to providing evidence-based treatments that offer real, lasting results.

A doctor with a stethoscope around his neck.

Expert Care

Board-certified psychiatrist with extensive experience in mental health therapies.

A pen and a piece of paper with a shield on it.

Insurance Accepted

We accept all major insurance providers, including Medicare.

An icon of a clock with arrows around it.

Accelerated Recovery

Our 5-day accelerated TMS program helps you get better, faster.

A pink and blue brain with a gear in the middle.

Individualized

Tailored treatment plans designed just for you.

A blue and white capsule on a white background.

Holistic Approach

We offer TMS and Esketamine to enhance the effectiveness of psychotherapy.

A certificate with a blue ribbon on it.

FDA-Approved

Our treatments meet the highest safety and efficacy standards.

Read Our Patient Reviews

Five blue stars are lined up in a row on a white background.

"I highly recommend Evolve Brain Health if you are considering TMS. My experience was extremely positive. Dr. Knightly is very bright, compassionate and patient. He took time to answer all of my questions without ever making me feel rushed. It’s very easy to schedule appointments and always runs right on time. The treatment is very easy-in and out in less than 15 minutes with no side effects!"

Gerrianne D.

The letter g is in a blue circle on a white background.
Five blue stars are lined up in a row on a white background.

"Dr. Knightly was without a doubt, one of the most professional, knowledgeable and experienced Psychiatrists I have ever seen. Honestly, it was an appointment I would look forward to, rather than just any generic Doctor visit, which we all definitely know is not where we want to be. His follow up and true commitment to his patients is hard to find these days. 5 Stars is not enough. He is better than any rating scale and I know will humbly continue to help as many people as he can."

Michael.

The letter g is in a blue circle on a white background.
Five blue stars are lined up in a row on a white background.

"Dr Knightly is empathetic, professional & informative. He’s walked me through the process & has answered all my questions without hesitation, even the questions I’ve repeatedly asked. During my first session I was overwhelmed with emotion (I’ve tried many things to try to treat my depression) & he validated my experience & made me feel comfortable. I recommend anyone who is interested in TMS to visit his office, you‘re in good hands."

Jade C.

The letter g is in a blue circle on a white background.
A close up of a white and blue object on a white background.

Will My Insurance Cover TMS Therapy?

We can help verify your benefits and provide transparent pricing options so you can plan your treatment confidently.

Pricing Guide →

Featured Resources


Interested in learning about various mental health treatments? Visit our Learning Center for clear, easy-to-understand explanations of procedures, protocols, comparisons, and the conditions they address.

A man and a woman are sitting on a couch looking at a pamphlet.

What to Expect In Each Treatment


Beginning therapy can be a daunting experience. By informing you what one might expect from each treatment, we aim to ease this process and minimize the stress around seeking support for your mental health.


Continue Reading →

A chair is sitting in front of a machine in a room.

Is TMS Therapy Right For Me?


As TMS is a novel approach to mental health treatment, you may not have heard about it. This quiz can help you learn whether you are interested in TMS based on your symptoms, but it is not a comprehensive decision tool.


Continue Reading →

A man in a white shirt is sitting in a chair reading a book.

Our Guide to Help You Choose Your Treatment


Beginning therapy can be difficult enough without being overwhelmed by the variety of treatment options. In this article, we cover the differences between our services to help you decide which treatment you may want to pursue with us.


Continue Reading →

Book Your Consultation


Take the first step towards better mental health and well-being. Call us at (203) 504-9758 or complete the form below.

Contact Us

A man is sitting in front of a computer talking to a doctor.

What Happens In My Consultation?

A blue swirl in the shape of a brain on a white background.

To create a personalized plan, we assess your medical history, symptoms, and treatment goals.

A blue swirl in the shape of a brain on a white background.

You'll have an open conversation with your psychiatrist to discuss options and next steps.

A blue swirl in the shape of a brain on a white background.

A tailored approach is developed based on your unique needs, ensuring the best outcomes for you.

A black silhouette of a telephone on a white background.

(203) 504-9758

A black map pin with a white circle in the middle on a white background.
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