FAQs

Transcranial magnetic stimulation uses magnetic pulses to stimulate brain circuits. TMS of Austin offers BrainsWay Deep TMS consultations for depression and OCD. Treatment choice and eligibility require an individualized clinical assessment.

BrainsWay has FDA-cleared protocols for major depressive disorder and for use alongside other treatment in adults with OCD. Suitability depends on diagnosis, prior treatment, the specific protocol, and safety screening. A consultation is needed before treatment.

Safety screening is required before TMS, including review of implants, metal near the head, seizure history, and medications. Headache and scalp discomfort can occur; seizures are uncommon but serious. Discuss your individual risks with the clinician.

Response varies during a course of repeated visits. Your team should track symptoms and review progress; improvement by a particular week is not guaranteed.

The duration of benefit varies. Your clinician can discuss follow-up care and whether further treatment is appropriate if symptoms return.

TMS does not require anesthesia or a sedation recovery period. Many people return to usual activities afterward, but follow your clinician's advice and do not drive if you feel unwell or impaired.

Most patients experience a tapping sensation on the scalp during treatment. Mild discomfort may occur initially but usually subsides over time.​

If Deep TMS does not provide sufficient relief, other options include:​ Additional TMS sessions (sometimes a second course enhances response)​ Spravato (esketamine) can provide further relief​ Medication adjustments or psychotherapy​ Alternative neuromodulation therapies, such as ECT or neurofeedback​

Patients typically experience a tapping or tingling sensation on the scalp during treatment, which usually fades as they get accustomed to it. Some may feel mild discomfort or pressure, but this typically improves after the first few treatments. Involuntary muscle twitching in the face or jaw due to magnetic stimulation may occur but stops once the session ends. The TMS device produces a repetitive clicking or tapping noise during treatment, and earplugs are provided to protect hearing and reduce any discomfort from the sound.

Traditional TMS commonly uses a figure-eight coil; BrainsWay Deep TMS uses an H-coil design. The devices and protocols differ in the areas stimulated, indications, and treatment schedules. Your clinician can explain the recommended approach without assuming one is best for everyone.

Cost depends on the evaluation, recommended course, coverage criteria, authorization, and your deductible or coinsurance. Ask for an estimate and what is included before starting. Clinical suitability and insurance approval are separate decisions.

TMS involves repeated visits. Session length, frequency, and the full course depend on the prescribed protocol. Ask our office to confirm your schedule and treatment location. Do not assume a shorter or accelerated course is available or appropriate for you.

Headache, scalp discomfort, and facial muscle twitching can occur. Seizures are an uncommon but serious risk. Tell your treatment team about symptoms and any medication changes; hearing protection is important.

Most patients feel completely fine and resume their normal activities right away. A mild headache or scalp tenderness may occur, especially after the first few sessions, but usually resolves quickly. Some patients experience a subtle mood boost after several sessions, though full therapeutic effects may take a few weeks. Overall, Deep TMS is well-tolerated, and any discomfort typically decreases over time as patients adjust to the treatment.

TMS can be part of a care plan that includes medication and psychotherapy. Continue treatment as directed, discuss changes with your prescriber, and tell your TMS team about any medication adjustments.

Improvement with TMS does not establish that medication is no longer needed. A non-drug procedure can be part of a plan that includes medication or psychotherapy. Change prescribed treatment only with your clinician.