Studies have found that transcranial magnetic stimulation (TMS) is helpful for healing depression. Here’s what you need to know about this treatment option.
300 million people around the world suffer from depression. Despite medical advancements, nearly half of those affected by depression never get treatment.
The effectiveness of antidepressants and psychological treatment are not always to blame. In many parts of the world, mental illnesses are often stigmatized.
Still, there is hope for healing depression as new medical advancements. Transcranial magnetic stimulation, otherwise known as TMS, is a promising form of treatment.
If you’ve suffered from depression to no end, TMS may be able to help. In this article, we’ll explain everything the healing qualities of TMS therapy.
Let’s begin!
Understanding Depression
Healing depression through TMS therapy is promising for many types of depression patients. But, first, we have to understand depression.
Depression may seem like it’s only grown worse in modern times. However, humans have long suffered from it since prehistoric and ancient times.
There are different types of depression. Some people only experience one or two depressive episodes in their lives. Others have major depressive disorder, which they suffer from throughout their lives.
At the same time, some people develop depression earlier in life. For some, healing depression is easier with antidepressants and therapy. Others may require more intensive treatment.
Additionally, many sufferers also struggle with other mental illnesses, such as anxiety. Eating disorders, manic depression, and borderline personality disorders are also common.
Signs of Depression
There is a difference between short-term sadness and depression. It’s normal for people to become sad for a few days or a couple of weeks following a stressful event.
However, persistent sadness that lasts more than two weeks may indicate depression. Persistent sadness accompanied by behavioral changes can especially indicate depression.
For example, someone may have depression if they’ve stopped showing up for school or work. They may stop socializing with their friends and family.
Their eating patterns can change, resulting in weight loss or weight gain. They may also start to sleep more. On the other hand, they may also develop insomnia and restlessness.
In severe cases, healing depression becomes more difficult. A severely depressed person may develop self-harm, drinking, and drug use. In other severe cases, they may talk about suicide or even attempt it.
The Causes of Depression
There are many known causes of depression. These range from biological causes to environmental causes.
Healing depression requires that we understand the causes of it. Each case of depression varies on an individual basis.
Biological Causes
More times than not, a person who develops depression had a biological disposition to it. Depression is very common in people whose immediate relatives suffered from depression.
It’s also common for depression to develop on its own. This can happen just as easily to an adult as it can to a child – regardless of whether they’re male or female.
A person’s biochemical makeup can affect their susceptibility to depression. Those with low serotonin, dopamine, or epinephrine levels are more prone to depression. Physical changes to the brain, often as the result of accidents, can also lead to depression.
At the same time, men and women have their own susceptibilities to depression. This is often due to hormonal changes and imbalances that occur at different times in life.
For example, many women develop postpartum depression after giving birth. Depression is also common during menopause. On the other hand, men with low testosterone levels are more prone to depression.
Environmental Causes
It’s often not until a stressful event occurs that a person’s depression develops. The death of a loved one or a major life event are usually the types of situations that can trigger depression.
Trauma can also affect and damage the brain, resulting in depression. After severely stressful events, a person can develop post-traumatic stress disorder.
Of course, those with genetic abnormalities are more susceptible to depression. These individuals are most at risk of developing depression after stressful events.
To truly understand the root of one’s depression, it’s important that they talk to a therapist. Therapy can help a person better understand their childhoods, relationships, and life events. This, in hand, can help someone better understand their depression.
How Depression Affects the Brain
Healing depression is only possible when we understand how it affects the brain. Depression directly affects the hippocampus and prefrontal cortex.
Because scientists better understand depression today, forms of therapy like TMS are possible. Next, we’ll explore how depression affects the brain so we can later explain how TMS works.
Stressful Events Cause the Brain to Shrink
The hippocampus stores memories at the center of the brain and regulate cortisol. Our bodies respond to stressful events by releasing cortisol.
In extremely stressful events, the adrenal gland is unable to release excess cortisol. When this happens, the cortisol remains in the brain, damaging it.
Cortisol in high amounts can break down brain cells in the hippocampus specifically. It can also interfere with neurotransmitters in the brain. This disrupts memory creation in the process and makes it harder to forget bad memories.
Excess cortisol can also damage the prefrontal cortex and its neurons. The prefrontal cortex regulates emotions, decision making, and memory formation.
The damage inflicted upon the prefrontal cortex can cause it to shrink. This can cause changes in behavior, and this damage can extend to the frontal lobe part of the brain. Long-term depression sufferers often show abnormal electrical activity in their left prefrontal cortexes.
Serotonin’s Effect on the Brain
Using antidepressant medications is a common form of healing depression. Antidepressants are often called SSRIs, which stands for selective serotonin reuptake inhibitors.
Serotonin is a neurotransmitter that sends signals to different areas of the brain. These signals often have to do with mood, sexual desire, appetite, sleep, and memory.
However, serotonin imbalances are often linked to depression. Low brain cell production can lead to low levels of serotonin.
In other cases, receptor sites may be unable to receive serotonin. On the other hand, serotonin may be unable to reach the receptor sites. In additional cases, there may not be enough tryptophan in a person’s body to make enough serotonin.
In any of these cases, serotonin imbalances can cause depression, anxiety, and anger. SSRI medications work to boost serotonin levels and the production of brain cells.
Transcranial Magnetic Stimulation (TMS)
Unfortunately, SSRI medications are not enough. After using SSRIs and going to therapy, some people may still suffer from depression.
This is where alternative forms of healing depression come in. Since the 1980s, transcranial magnetic stimulation (TMS) therapy has helped depression sufferers.
Why is TMS a successful form of treating depression?
TMS therapy treats the prefrontal cortex damage which is directly correlated with depression. Next, we’ll delve more into how TMS works.
How TMS Therapy Works
Transcranial magnetic stimulation is a method of healing depression that involves electromagnetic currents. It’s a non-invasive, targeted treatment that the FDA approved in 2008.
Doctors apply a magnetic field generator which produces small, yet powerful, currents. The electric currents affect the parts of the brain where doctors place the coil. So, where doctors place the coil is crucial to healing depression in a variety of ways.
Can TMS Help With Healing Depression?
For example, doctors place the coil on the left prefrontal cortex of patients who didn’t respond to SSRIs. This is above the left eye on the left side of a person’s forehead. It is here where the electromagnetic currents stimulate the area’s damaged neurons.
Depressed patients usually receive TMS therapy in 20 to 30-minute increments. They typically receive these increments every day over the course of 2-4 weeks.
Healing Depression with TMS Therapy
Not only does transcranial magnetic stimulation repair damaged neurons in the prefrontal cortex. It also increases serotonin production. As this happens, it can simultaneously repair damaged parts of the brain.
Unlike electroconvulsive therapy (ECT), patients are able to stay awake during TMS. ECT has long been a method of healing depression. However, ECT can cause memory loss, which is why many doctors have discontinued ECT.
Because TMS targets the left prefrontal cortex, it’s able to directly stimulate parts of the brain damaged by severe depression. It’s also believed that the electric currents are able to stimulate deeper parts of the brain.
Healing depression through TMS therapy has shown promising success rates. In 2012, studies revealed that 58% of TMS patients showed improvement. Of these patients, 37% reported remission.
Some patients reported that they never needed TMS therapy after going into remission. Other patients have needed routine TMS therapy every few months or years.
Heal Your Depression
Transcranial magnetic stimulation is a promising form of healing depression today. Although it’s not perfect, it may be able to help you find relief from your depression.
If you’re located in or around Billings, Montana, our team of TMS experts can help. We provide TMS therapy for patients in the Billings region.
Not sure if you’re a candidate for TMS therapy?
In addition to TMS therapy, we offer medication treatment. To learn more about how we can help you, contact us today!
TMS
by Deb (age 64)
Category: generalThe hoops I jumped through in order to be evaluated were straightforward and efficient. I met with PA Kaitlin for about an hour to discuss my history and previous medications. Then Dr. Amato joined us to further discuss my history, the TMS treatment, and answer any questions. Myrna gathered all of the information and submitted it to my health insurance company to request coverage for TMS. Fortunately, insurance approved the treatment and I was able to begin the next week. I’m sure most people have anxiety about starting a treatment like TMS. No matter how many times it’s described to you, there are many unknowns. How will I feel during treatment? Is it painful? What if this doesn’t work? What if it works for a while but then stops? In all honesty, I was very uncomfortable during the first couple of weeks of treatment. The alternating two seconds of tapping sensation caused some pain during treatment, and at the end of the first week I thought about quitting. But I had sworn to myself that TMS was a last resort and I HAD TO complete the treatment and give it a chance to work. My technician, Heather, told me that some people don’t feel the tapping at all, they only hear it. Guess I wasn’t one of those people! But as the days went by, it became easier to tolerate the treatments. During this time I also saw Lauren weekly for CBT (cognitive behavioral therapy). This is highly recommended for people undergoing TMS treatment, and it was a positive complement to my total of 100 minutes each week “under the helmet”. The weekend between weeks three and four, I started to notice subtle improvements in my mood, increased belief in my self-worth, and enthusiasm for simple things like going for walks, meeting friends for lunch, and taking on volunteer work in the community. I hesitated at first to believe that TMS was helping me. I was afraid that I was convincing myself it was working because I so desperately wanted it to! But now that I am past the treatment I can say with cert
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by Barbie (age 68)
Category: generalI feel so blessed to participate in the TMS protocol at MT Psychiatry. After struggling so many years with depression and not getting significant results from medication, particularly of late, I noticed positive results in the first two weeks of treatment. TMS can literally give you back the beauty & joy in living as well as the courage to make positive life changes and improvements in your daily living situation. I heartily encourage anyone to put yourself into the hands of the amazing TMS team who so gently and graciously make this journey with you out of the black hole that is depression. It is my honor and privilege to give the TMS treatment the highest recommendation.
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by Shayne (age 66)
Category: generalI am grateful for the support and caring I have received from Dr. Amato (and Heidi, Heather and Myrna) in my quest for mental health and a fuller more productive life. While the TMS results have been subtle, I feel more positive about my future and I would recommend this team absolutely. Thank you!
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by Carrie (age 65)
Category: generalNot realizing how fuzzy my head was, I thought I was only going through severe anxiety and depression. Through the insight of Pat, I was able to go through TMS treatments which brought down the anxiety and depression immensely and has cleared up the fuzzy, far off substantially. All the personnel treated me with kindness and I’m sure their attitudes helped in my recovery.
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by Bridget (age 47)
Category: generalThe first outcome of TMS I noted happened early in my treatment, at about the beginning of week two. I felt as though my “brain fog” had been chipped away. I wish I could report that I feel my mental health issues are in “remission”, but I can’t do so yet. My hope is that I will see improvement in the weeks to come, now that my TMS cycle has ended. I can say that my brain feels – in some way – different; I can’t explain exactly how. I continue to struggle at this point in time but sill have hope for more improvement.
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