Frequently asked questions about tTMS

Here are some of our most frequently asked questions. If you don't find an answer to your question here, send it to us using the form at the bottom and we will get back to you with the answer.

Where can I have tTMS treatment?

Treatment is available at our clinics in Sheffield, Welton and in Grimsby, UK. If you would like to discuss treatment plans, or if you want to understand more about how we can help you on your journey to feeling emotionally well, contact us for a no-obligation phone consultation.

How can I book treatment?

If you would like to enquire about booking tTMS treatment, please contact us on 0114 360 8383 or complete our enquiry form where you can also request a call back at a time that suits you.

How much does tTMS cost?

A course of treatment has three payment stages; 1. A Mental Health Assessment including a QEEG: £100 2. A Clinical Assessment by one of our clinical team: £300 3. tTMS treatment (up to 5 sessions): £1,500 4. Additional sessions if needed £200 Using targeted TMS, our clinical experience shows that 5 sessions successfully treats the majority of individuals. That means the total cost is £1,900.

Is tTMS safe?

TMS is fully accredited by The National Institute for Health Care and Excellence (NICE). NICE report that ‘the evidence on repetitive transcranial magnetic stimulation for depression shows no major safety concerns.’

What conditions can tTMS be used to treat?

tTMS is primarily treatment for depression and anxiety disorders. Most people suffering with depression also complain of anxiety. Separate anxiety disorders include generalised anxiety disorder, panic disorder, obsessive compulsive disorder and post-traumatic stress disorder. tTMS has not yet been shown to be effective in other mental health conditions.

Are there any side effects with tTMS treatment?

Side effects are both uncommon and mild. Some patients experience tingling of the scalp, or a slight headache or stiff neck after treatment. Any side effects go away on their own in a short time or can be treated with simple analgesia such as paracetamol. It is important to point out that tTMS does not make depression and anxiety disorders any worse.

How long does does a course of treatment take?

Treatment consists of approximately five, one-hour sessions and treatment frequency can be tailored to suit your own schedule.

Are there any limitations to what I can do before and after treatment?

Much like having an eye test, you can continue with your day as normal after treatment.

Can I continue taking my medication?

You should continue taking medication, including medication for mental health, as usual. There is no interaction with tTMS, and medication does not influence your pre-treatment Mental Health Assessment. Post treatment, we will enquire as to your wishes regarding your mental health medication and advise upon how it could be optimised. If tTMS has been less successful than hoped for, we will set out a stepwise series of medication strategies which should be of benefit, for implementation by your GP or mental health treating team.

Will I feel better straight away?

Some patients feel better after one or two sessions, others feel better further along the usual course of 5 sessions. Occasionally patients get better after the end of the course of tTMS and it is not uncommon for patients to experience a continual improvement over several weeks post completion.

If I feel better will it be permanent?

Our experience is that usually patients who respond to TMS maintain their improvement indefinitely. Occasionally, patients have needed to return, usually after many months, for further treatment. All patients who have responded to their first course of TMS treatment have similarly benefitted from their second treatment.

Is there a chance tTMS won't help me get better?

People do not respond to tTMS for two reasons. One is that the treatment has not succeeded in altering the brain's electrical patterns as intended. The other reason is that sometimes after many years of poor mental health, patients are understandably very apprehensive about what getting better means for them. It is important to realise that tTMS delivers the capacity to be well and there is an element of personal choice in how to approach treatment.

What happens if tTMS doesn't work for me?

You will be followed up four weeks after your treatment by a senior mental health clinician under the guidance of Professor Mortimer, Consultant Psychiatrist. We will try to understand why the treatment did not have the benefit hoped for. We will recommend further therapy that might help, such as unused antidepressant options, lifestyle changes or suitable talking therapies.

Can bipolar disorder be treated using tTMS?

Yes, bipolar depression is just the same as non-bipolar depression as far as tTMS is concerned. You will discuss with the clinician the best options for your treatment however, we normally suggest that you to continue on maintenance and mood stabilising medication during your treatment.

Will I be able to stop my antidepressant medication after tTMS treatment?

This will be discussed in the Post-Treatment Review. The standard recommendation is to gradually reduce and stop antidepressant medication over several months, following the achievement of six months of good mental health. We will advise taking into account your case overall, particularly your personal wishes in this regard.

How much treatment will I need?

Results from your Mental Health Assessment are used to map regions of your brain that require focused treatment. Treatment consists of approximately five, one-hour sessions. Treatment frequency can be tailored to suit your own schedule.

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