What are common patient questions and answers about rTMS treatment?

How does rTMS work?

Certain parts of your brain help control your mood. When the connections in these areas aren’t working as well as they should, communication between brain cells slows down, which can lead to depression. rTMS helps reactivate these connections, allowing the brain to communicate more normally again.

What is involved in the initial mapping session of my rTMS treatment?

An rTMS mapping session is an appointment that helps your care team find the exact spot on your head to treat—and the right treatment strength for you.

During the session, you’ll sit comfortably in a chair while a small magnetic coil is placed against your scalp. The provider sends brief magnetic pulses and watches for a small movement in your hand or fingers. This movement allows them to observe how your brain responds and helps determine the minimum stimulation required to work safely and effectively.

Using this information, they carefully measure and mark the treatment location on your head so each session is consistent. The mapping session is not painful, does not involve needles or surgery, and usually takes 30 - 45 minutes, followed by your first treatment session, which takes 20-30 minutes. It’s an important step to personalize your rTMS treatment and make sure it’s both safe and effective.

Do I still take my psychotropic medications during rTMS treatment?

There are some medications that are contraindicated with TMS. However, for any medications that are not contraindicated, you will continue to take them as prescribed.

When will I start to feel better?

Individuals' experiences with NeuroStar® rTMS vary. The timing of when you feel improvement in your depressive symptoms may not be the same as that of other individuals. Some individuals may begin to experience positive effects within the first week, whereas others may not notice them until the end. It is important to trust the process and stay committed to all 36 treatments. Some of the positive changes include increased energy, improved sleep quality, elevated mood, better concentration, improved eating habits, restored interest in hobbies, and improved social disposition.