The Pros and Cons of TMS Therapy: What You Need to Know Before Starting Treatment

When depression symptoms don’t alleviate despite trying medications, therapy, or lifestyle changes, it can start to feel like you’re out of options. But healing isn’t always linear, and sometimes, the most effective treatment is one you haven’t considered yet. One such option is TMS therapy for depression.

Transcranial Magnetic Stimulation (TMS) is a non-invasive treatment that uses magnetic pulses to stimulate areas of the brain involved in mood regulation. It’s most often used for treatment-resistant depression and has offered hope to many who haven’t found relief with other treatments. 

Still, it’s natural to feel hesitant about starting something new. This blog is here to guide you through the pros and cons of TMS and help you explore whether TMS therapy is right for you.

What Is TMS Therapy? 

TMS is an FDA-approved treatment typically recommended for those fifteen and older with treatment-resistant depression. This means that they haven’t experienced relief from medication or therapy in treating depression. It’s also sometimes used to treat conditions like OCD or anxiety.

TMS treatment is done in a doctor’s office or clinic setting. Sessions are brief, usually lasting 20 to 40 minutes, and require no anesthesia or recovery time. Many people return to work or daily activities immediately after.

The Pros of TMS Therapy

If you're considering TMS as part of your mental health treatment plan, it's helpful to understand the key benefits it has to offer. From minimal side effects to strong success rates, there are many reasons why people turn to TMS therapy when other treatments haven’t worked.

1. Non-Invasive and Drug-Free

One of the biggest benefits of TMS therapy is that it’s non-invasive and doesn’t involve any medication. There’s no need for anesthesia or sedation, and you won’t experience the systemic side effects that often come with antidepressants like weight gain, fatigue, or sexual dysfunction. This makes TMS a valuable option for those who can’t tolerate or prefer to avoid medication.

2. High Success Rates for Many

TMS treatment success has been well-documented in clinical studies. According to Harvard Health, research shows that about 50–60% of people with treatment-resistant depression experience significant improvement. For many, TMS provides real relief after months—or even years—of trying multiple medications and therapies without results.

3. Minimal Side Effects

Most people tolerate TMS very well. The most common side effects are mild scalp discomfort or a brief headache at the treatment site, which typically fades over time. Unlike medications, TMS doesn’t affect your whole body. It targets only the specific brain regions involved in mood regulation.

4. No Downtime or Major Lifestyle Disruption

TMS therapy doesn’t require a hospital stay or recovery time. All sessions are done in a clinic setting, and you can return to your normal routine right afterward. 

Each treatment lasts between 20 to 40 minutes, and most people are able to drive themselves to and from appointments. Whether you're working, caregiving, or managing a busy schedule, TMS can usually fit into your day with minimal disruption.

5. Covered by Most Insurance Plans

Another growing benefit with this type of treatment is TMS therapy insurance coverage. Many commercial insurance providers, as well as Medicare, now cover TMS for treatment-resistant depression. Coverage varies, so it’s important to check with your provider about eligibility and pre-authorization requirements.

When combined, these advantages make a strong case for why choosing TMS might be a hopeful next step in your journey toward feeling better.

The Cons of TMS Therapy

While TMS therapy offers hope to many, it’s important to also understand the potential challenges. Being aware of the downsides of TMS therapy can help you make a fully informed decision about whether it’s the right fit for you.

1. Time Commitment

TMS requires a significant time investment. Treatments are typically scheduled five days a week for four to six weeks, with each session lasting about 20 to 40 minutes. For individuals with demanding jobs, caregiving responsibilities, or limited access to transportation, this routine can be difficult to maintain.

However, there are accelerated TMS protocols with promising results that can significantly reduce the time commitment. 

2. Potential Side Effects

Although TMS side effects are generally mild, they can still cause discomfort. Common effects include scalp sensitivity, headaches, or fatigue, especially early in treatment. 

There is also a very small risk of seizure, though this is extremely rare. If you have a history of seizures or neurological conditions, it’s important to talk with your healthcare provider before starting TMS to determine if it’s a safe option for you.

3. Upfront Costs (If Not Covered)

The cost of TMS therapy can be high if you don’t have insurance coverage. While many insurance providers now cover TMS for depression, not all do, and pre-authorization is often required. If coverage isn’t available, ask about financing options or patient assistance programs, which many clinics offer to make treatment more accessible.

Is TMS Therapy Right for You?

Deciding on the right treatment for depression is deeply personal, and it’s a conversation best had with a trusted mental health provider. A TMS therapy consultation can help determine whether this approach fits your unique needs, medical history, and treatment goals.

While TMS can be highly effective, it’s often just one piece of a comprehensive treatment plan that may include therapy, medication, or lifestyle changes.

Choosing depression treatment is never one-size-fits-all, but exploring new options like TMS is a hopeful step toward healing. 

Advanced Psychiatry Is Here to Help You

If you're considering TMS but still have questions, you're not alone. Seeking professional guidance is the first step toward healing. 

At Advanced Psychiatry, we proudly serve the Fort Wayne, Ann Arbor, Lansing, and Troy communities with compassionate, personalized care.

Interested in learning more about TMS therapy? Schedule a consultation and take the first step toward a healthier, more balanced life.