Depression can be relentless. For many people, antidepressant medications—such as selective serotonin reuptake inhibitors (SSRIs) or norepinephrine reuptake inhibitors (SNRIs)—bring relief. But what happens when those options fall short? Enter Transcranial Magnetic Stimulation (TMS therapy), a non-invasive, FDA-approved alternative that offers new hope, especially for those with treatment-resistant depression (TRD). If you’re in or near McKinney, TX, here’s what you should know about TMS treatment—and why it might make a difference.
Why Medication Isn’t Always Enough
Many individuals with major depressive disorder (MDD) respond well initially to SSRIs or SNRIs. These medications help by altering neurotransmitter levels and often reduce symptoms of depression like sadness, loss of interest, sleep disturbances, and decreased energy. But:
· Some patients don’t respond adequately despite trying multiple medications.
· Others find the common side effects—such as weight gain, sexual dysfunction, fatigue, or cognitive “fog”—can be intolerable.
· Even with improved mood, full remission (where symptoms are minimized or gone) can be elusive.
When antidepressant medications aren’t effective—or their side effects outweigh benefits—alternative options are essential.
What Is TMS Therapy?
Transcranial Magnetic Stimulation (TMS) is a brain stimulation procedure. It uses magnetic pulses to target specific areas of the brain; most notably, the left dorsolateral prefrontal cortex, a region often under-active in people with depression.
Here’s how it works:
· An electromagnetic coil is placed near the scalp.
· The device delivers repetitive magnetic pulses (“magnetic pulse”) that stimulate neurons in that target area.
· Sessions are typically outpatient and do not require anesthesia. You remain awake.
Who Might Benefit: Treatment Resistant Depression & Beyond
TMS treatment is especially considered for:
· People whose depression hasn’t improved after trying multiple antidepressants — i.e., treatment resistant depression.
· Those troubled by symptoms of depression such as persistent sadness, lack of energy, trouble sleeping, cognitive difficulties, and poor concentration.
· Patients hoping to avoid or reduce medication side effects like weight gain or sexual dysfunction.
What to Expect During TMS Treatment
Here are typical treatment details:
· Sessions are usually 5 days per week for 4-6 weeks.
· Each session lasts about 20-40 minutes depending on protocol.
· You will feel a tapping on your scalp, hear clicking noises, and remain alert.
Because the treatment is non-drug, you can return to most daily activities after each session.
Efficacy, Response Rate, & Remission
How well does TMS work for people who haven’t responded to medication?
· Clinical trials show decent response rates in those with major depressive disorder (MDD). Many patients see noticeable improvements in mood, function, sleep, and energy.
· The remission rate (where depression symptoms reduce to minimal levels or disappear) is often higher when TMS is combined with proper follow-up and individualized protocols.
· TMS has also been shown to reduce anxiety and help with co-occurring mental health conditions.
Side Effects: Minimal Compared to Medications
One of TMS’s major advantages is a more favorable side effect profile. Typical side effects are mild and short-lived:
· Scalp discomfort or tingling at the site of stimulation
· Mild headaches
· Occasionally light-headedness immediately after sessions
Unlike many antidepressants, TMS is not associated with systemic side effects like weight gain, sexual dysfunction, sedation, or memory impairment.
Accelerated TMS & Deep TMS
Exult Healthcare offers advanced TMS modalities:
· Deep TMS, which can reach deeper or broader areas of the brain, sometimes enhancing effects for patients who need stronger stimulation.
· Some clinics are using accelerated TMS protocols to deliver more sessions in a shorter span or adjusted scheduling to speed up improvements. While not always for everyone, these options may increase response or remission rates in certain cases. (Note: accelerated protocols depend on individual suitability and medical history.)
Integrating TMS Into a Broader Treatment Plan
TMS often works best when combined with other treatment options:
· Continue or adjust antidepressant medications (SSRIs/SNRIs) when applicable. TMS may enable dose reduction in some cases.
· Psychotherapy (e.g. cognitive-behavioral therapy) can help address negative thinking and reinforce positive behavior changes.
· Lifestyle interventions like sleep optimization, stress management, balanced nutrition, and physical activity can support brain health and bolster TMS outcomes.
When to Consider TMS at Exult Healthcare
If you are located in or around McKinney, TX, and you’ve experienced:
· Persistent symptoms of depression despite trying antidepressant medications (SSRIs, SNRIs)
· Uncomfortable side effects (such as sexual dysfunction or weight gain) that interfere with life
· A wish for alternative treatment options with minimal side effects and non-invasive methods
Then TMS therapy at Exult Healthcare might be an excellent path forward. Their approach involves personalized treatment plans, using TMS in conjunction with other modalities when needed, and focused on helping individuals achieve sustained relief.
Final Thoughts
Major depressive disorder doesn’t have to define your life. When antidepressant medications or traditional therapies aren’t enough, TMS therapy offers a powerful, scientifically supported treatment option. With the potential for high response and remission rates, fewer side effects, and quality of life improvement, TMS represents a hopeful path, especially for those with treatment-resistant depression.
If you think you might be a candidate, reach out to a mental health professional at Exult Healthcare to evaluate your history, symptoms, and prior treatments. Together, you can explore whether TMS therapy might finally provide the relief you deserve.
