Author & Editor: Adam Tomlinson
Clinically Reviewed by: Charee Marquez, LMFT
Clinical Contributor: Karynne Witkin, M.A. I/O Psychology
TMS Side Effects: Risks and Precautions | TMS Ruined My Life
For individuals struggling with mental health conditions like major depressive disorder, major depression, bipolar disorder, or generalized anxiety disorder, Transcranial Magnetic Stimulation (TMS) has emerged as a promising alternative when typical treatments like medications or talk therapy fail. This noninvasive treatment, also known as transcranial magnetic stimulation therapy, uses electromagnetic pulses to target brain cells, aiming to reduce depression symptoms, improve mood, and address conditions like obsessive-compulsive disorder and treatment-resistant depression. While TMS therapy is often seen as a breakthrough, not every experience is positive. Some TMS patients report adverse effects, including cognitive impairments or worsening symptoms, coining the phrase “TMS ruined my life.” This blog delves into the potential risks and side effects of TMS therapy, exploring why it might not work for everyone and how anxiety disorders and depression symptoms can sometimes worsen during or after the treatment process.
What is Transcranial Magnetic Stimulation?
Transcranial Magnetic Stimulation (TMS) is a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain, primarily to treat depression. Repetitive transcranial magnetic stimulation (rTMS) is the common form known as standard tms used to treat depression. It targets areas of the brain involved in mood regulation, and is often used when traditional treatments like medication are ineffective. TMS is generally safe, with minimal side effects, and the tms device delivers magnetic stimulation to targeted brain areas. It is also being studied for conditions like anxiety and PTSD. This process promotes neuroplasticity, which is the brain’s ability to adapt and reorganize itself, leading to improved mood and cognitive function through effects on the brain’s chemical messengers.
Why Do People Say TMS Ruined My Life?
Some people claim “TMS ruined my life” due to experiencing unexpected or severe side effects or finding that the treatment worsened their mental health symptoms. While Transcranial Magnetic Stimulation (TMS) is generally considered safe and effective for many individuals, it’s important to recognize that, like any medical treatment, it can have varying effects. Some individuals may experience increased anxiety, anxiety symptoms, mood swings, or physical discomfort like headaches and scalp pain. Some patients report that “TMS made me worse,” attributing their negative experiences to side effects or a lack of symptom improvement. In rare cases, patients have reported cognitive impairments or a deepening of depressive symptoms after undergoing TMS therapy. The emotional toll of unmet expectations, combined with the disappointment of a treatment not working or making things worse, can lead some to feel that TMS negatively impacted their quality of life. However, such cases are the exception rather than the rule, and outcomes can vary greatly depending on personal health history and the specifics of the treatment.
TMS Types, Dosages, and Dosage Guidelines
There are two main types of TMS:
Repetitive TMS (rTMS) – Delivers repeated magnetic pulses to targeted brain areas, commonly used to treat depression.
Deep TMS (dTMS) – Uses specialized coils to penetrate deeper brain regions, often for more resistant cases.
Dosages in TMS are measured by the intensity and frequency of magnetic pulses, typically ranging from 1 to 10 Hz. Treatment sessions last around 20-40 minutes, with 5 sessions per week for 4-6 weeks being standard. Dosage guidelines are tailored to the individual’s needs based on their condition, brain anatomy, and response to therapy.
Bipolar disorder and mood disorders can be treated by mental health experts using TMS therapy.
TMS Onset and Duration
TMS effects typically begin to appear after 2-4 weeks of regular treatment sessions, though some may notice improvements sooner. A full course of TMS treatment usually lasts 4-6 weeks, with daily sessions. The duration of symptom relief can vary, lasting several months to a year, depending on the individual and the condition being treated. Periodic maintenance sessions may be needed to sustain long-term benefits.
TMS therapy is a depression treatment for major depressive disorder and can aid in mental health treatments for other mental health conditions; however, some TMS patients report negative experiences, claiming TMS ruined my life, especially if they have bipolar disorder or complex medical history, though clinical trials show most patients see benefits in overall mental health.
TMS Efficacy and Uses
TMS (Transcranial Magnetic Stimulation) is highly effective for treating depression, especially in patients who don’t respond well to traditional mental health treatments like medication. It’s also being studied for other conditions like anxiety, PTSD, OCD, and chronic pain. TMS works by stimulating specific areas of the brain involved in mood regulation and has shown long-lasting benefits for many individuals. Its non-invasive nature and minimal side effects make it a promising alternative to traditional treatments.
How Does TMS Work in the Brain and Body?
TMS (Transcranial Magnetic Stimulation) works by using magnetic pulses to stimulate targeted areas of the brain, most commonly the prefrontal cortex, which is involved in mood regulation. In individuals with conditions like depression, these areas may be underactive. The magnetic pulses create small electrical currents that activate nerve cells, helping to “reset” or normalize brain activity. This process promotes neuroplasticity, which is the brain’s ability to adapt and reorganize itself, leading to improved mood and cognitive function.
In terms of its effects on the body, TMS is non-invasive and doesn’t directly affect bodily systems like medications do. However, by modulating brain activity, it can indirectly influence physical symptoms related to mental health conditions, such as fatigue, sleep disturbances, and appetite changes. Because it doesn’t require anesthesia or incisions, TMS is a relatively low-risk treatment option for mental health disorders.
Prevalence of TMS Use
TMS has become increasingly prevalent as a treatment for depression, particularly for individuals who do not respond to medications. It has been FDA-approved since 2008, and its use has expanded to treat other conditions like anxiety, PTSD, and OCD. As awareness grows, more clinics and hospitals are offering TMS, and it is becoming a common option for mental health treatment, with thousands of patients receiving it annually worldwide. Its non-invasive nature and minimal side effects contribute to its rising popularity.
Side Effects and Risks
Short-term side effects of TMS may include mild headaches, scalp discomfort at the stimulation site, facial twitching, or lightheadedness during treatment. These effects are typically temporary and resolve quickly after sessions. Treating major depressive disorder may involve managing side effects like mild headaches.
- Patients experiencing post-traumatic stress disorder or panic disorder may undergo TMS, which can cause mild scalp discomfort; some individuals report negative experiences, stating “TMS ruined my life.”
Long-term risks are rare but can include hearing issues if ear protection isn’t used, and in very rare cases, seizures. There is also a risk that TMS may worsen symptoms of depression or anxiety in some individuals. Long-term safety studies suggest TMS is generally well-tolerated, but outcomes can vary depending on the individual’s health condition.
- Transcranial magnetic stimulation side effects and deep transcranial magnetic stimulation using a TMS machine may include frequent or severe headaches, while deep brain stimulation with deep brain stimulators is a surgical approach to alleviate depression symptoms or address traumatic brain injury, differing from electroconvulsive therapy and vagus nerve stimulation.
Can TMS Treatment Cause Permanent Damage?
Permanent damage from TMS is extremely rare. It’s generally safe and non-invasive, with temporary side effects like headaches. Serious risks, like seizures, are very rare and usually reversible. There’s no strong evidence that TMS causes long-term harm.
TMS can help alleviate depressive symptoms, but outcomes and TMS cost vary; individual experiences differ.
TMS and Mental Health Symptoms
Transcranial Magnetic Stimulation (TMS) therapy has shown promise in treating various mental health conditions, including major depression, generalized anxiety disorder, and obsessive-compulsive disorder. By using magnetic pulses to stimulate nerve cells in specific brain regions, TMS aims to alleviate symptoms and improve overall mental health. However, like any treatment, TMS can have varying effects on different individuals. Some patients may experience anxious symptoms during TMS therapy, particularly in the early phases of treatment.
Treating major depression requires a correctly diagnosed condition to ensure treatment progresses effectively. Mental health professionals play a crucial role in accurately diagnosing and managing mental health conditions, which is essential for optimizing TMS therapy outcomes.
Can TMS Therapy Change Your Personality?
TMS therapy does not typically change a person’s core personality. It targets specific brain regions to alleviate symptoms of conditions like depression or anxiety, which may improve mood and emotional regulation. While it can lead to positive changes in behavior and well-being, it does not alter fundamental aspects of personality. Any noticeable shifts are usually related to improved mental health rather than a personality change.
Does TMS Cause Weight Gain?
TMS does not typically cause weight gain. Unlike some antidepressant medications that are known to affect metabolism and appetite, TMS works by stimulating specific areas of the brain and does not have the same systemic side effects. Most patients undergoing TMS treatment for conditions like depression do not report weight changes as a side effect, making it a favorable option for those concerned about weight gain associated with other treatments.
Does TMS Make You Dizzy?
TMS can cause dizziness in some individuals, but it is generally a mild and temporary side effect. Dizziness may occur during or shortly after a session, but it usually subsides quickly. If dizziness persists or becomes uncomfortable, it’s important to inform your healthcare provider, as they can adjust the treatment settings to reduce this side effect. Overall, dizziness is not a common issue for most people undergoing TMS.
Can TMS Cause Suicidal Ideation?
While TMS is generally considered safe and is often used to treat depression, including suicidal ideation, in rare cases, some individuals may experience a worsening of symptoms, including suicidal thoughts, during or after treatment. However, this is uncommon. It’s essential for patients to be closely monitored during TMS therapy, and any new or worsening symptoms should be reported to a healthcare provider immediately for appropriate intervention.
Can TMS Cause Mood Swings?
Yes, TMS can cause mood swings in some individuals, though this is not a common side effect. While TMS is designed to improve mood by stimulating brain regions involved in emotional regulation, some patients may experience fluctuations in mood during treatment. If mood swings occur, it’s important to inform a healthcare provider so they can adjust the treatment as needed to manage the emotional toll.
TMS Interactions with Medications
TMS generally does not have direct interactions with medications, as it is a non-invasive procedure that uses magnetic pulses rather than chemicals. However, some medications, particularly those affecting the brain, like antidepressants, antipsychotics, or seizure medications, may influence the overall effectiveness of TMS. In some cases, patients continue their medications during TMS treatment, while others may need adjustments based on their response. It’s important to discuss all medications with a healthcare provider before starting TMS to ensure safe and effective treatment.
TMS is used to treat various mental health conditions, including major depression, generalized anxiety disorder, obsessive-compulsive disorder, and anxiety symptoms. Some patients report temporary worsening of anxiety symptoms during TMS treatment, particularly as the brain adjusts to changes during therapy.
Can TMS Worsen Depression Symptoms?
Transcranial Magnetic Stimulation (TMS) is generally safe and effective for treating depression, but a small number of individuals may experience what’s known as the “TMS dip”—a temporary worsening of symptoms during treatment. This is not unique to TMS and can occur with other therapies too. In rare cases, some individuals may find their depression worse after TMS, so close monitoring is essential to ensure safety and appropriate care. It’s important to note that relying on just TMS, without considering factors like accurate diagnosis or combining with additional treatments, may limit effectiveness or increase the risk of negative experiences.
The TMS dip is more likely in individuals with severe depression or poor response to past treatments. Fortunately, it’s usually short-lived, and most patients report improvement within weeks. It’s important to stay in close contact with a mental health professional throughout the process to monitor and adjust treatment as needed.
In addition to temporary symptom worsening, mild side effects such as headaches, scalp discomfort, and fatigue may occur. These are typically manageable and resolve on their own. Though TMS isn’t effective for everyone, it remains a promising option, especially for treatment-resistant depression the best course of treatment and to monitor progress throughout the process.
Alternative Treatment Options to TMS
Mental Health Treatment Facilities and Services Including Mental Health Residential Treatment Centers
California Prime Recovery is dedicated to providing support and services to persons seeking treatment, reinforcing our commitment to aiding individuals in their recovery journey.
Inpatient rehabilitation, also known as residential treatment, involves individuals residing within a specialized treatment facility for a specified duration. A residential treatment center is a structured environment provides intensive care and support. An inpatient mental health treatment program at inpatient mental health facilities offers inpatient treatment for mental health disorder, substance use disorder, and borderline personality disorder at a specialized treatment center using cognitive behavioral therapy for mental illness and other mental disorders. Additionally, mental health residential treatment centers provide comprehensive services for those needing long-term care.
Outpatient programs offer flexibility, allowing individuals to receive treatment while continuing their daily lives. They attend therapy sessions, counseling, and other interventions on a scheduled basis.
Detox is the initial phase of treatment, focusing on safely and substances from the body. It is often conducted under medical supervision to manage withdrawal symptoms.
Various therapeutic modalities, including individual counseling, group therapy, and family therapy, are crucial components of addiction and mental health treatment. These sessions help individuals explore and address underlying issues. Family therapy is particularly important as it involves loved ones in the treatment process, providing support, compassionate care and understanding for both the individual and their family members. Adolescents can also benefit from these therapeutic sessions.
Medication-Assisted Treatment (MAT):
MAT involves the use of medications, in conjunction with counseling and behavioral therapies, to address substance use disorders. It is particularly effective for opioid and alcohol addictions. Addiction medicine plays a crucial role in providing comprehensive care for mental health and addiction issues, ensuring that individuals receive professional support from specialists dedicated to these areas.
Dual Diagnosis Treatment addresses co-occurring mental health disorders alongside substance use disorders. Dual Diagnosis treatment centers involve integrated interventions to holistically address both aspects of an individual’s well-being.
Holistic approaches incorporate alternative therapies such as yoga, meditation, art therapy, and mindfulness. These practices aim to promote overall well-being and support recovery.
- Support groups, like those following the 12-step model (e.g., Alcoholics Anonymous, Narcotics Anonymous), provide a community for individuals to share experiences, seek guidance, and foster mutual support.
Sober living homes offer a transitional and supportive environment for individuals in recovery. They provide a structured living arrangement to reinforce sobriety.
Mental health treatment programs specifically address psychiatric conditions. It may involve therapy, medication management, and other interventions to enhance emotional well-being. Mental health rehab includes inpatient mental health rehab that offers holistic therapies specifically designed for individuals with major depressive disorder at an addiction treatment center.
Cognitive-Behavioral Therapy (CBT)
CBT is a goal-oriented therapeutic approach that focuses on identifying and changing negative thought patterns and behaviors. It is effective for both addiction and mental health concerns.
Dialectical Behavior Therapy (DBT):
DBT combines cognitive-behavioral techniques with concepts of acceptance and mindfulness. It is particularly beneficial for individuals with emotional dysregulation. A mental disorder can be effectively treated with dialectical behavioral therapy through a partial hospitalization program or a residential mental health setting, supporting the healing journey in a caring environment. A dedicated care team addresses personality disorders using evidence based modalities.
Motivational Interviewing (MI):
MI is a client-centered counseling style aimed at eliciting behavior change by helping individuals explore and resolve ambivalence. It is effective in the early stages of recovery.
Residential Treatment Centers:
Residential facilities provide immersive and structured treatment experiences for individuals requiring a more extended and intensive intervention. Holistic therapies at residential centers begin with a comprehensive assessment by experienced professionals to address co-occurring substance use disorders. Outpatient care also provides quality care using an evidence based approach to ensure effective, evidence based care throughout the treatment process. The residential treatment program at the treatment center offers comprehensive support for individuals facing mental health issues, including major depressive disorder, generalized anxiety disorder, and post-traumatic stress disorder, with a focus on mental health recovery. Utilizing dialectical behavior therapy and a holistic treatment approach, the program effectively addresses co-occurring disorders through tailored treatment programs in residential treatment centers.
Community-Based Programs:
Programs within the community offer accessible and community-centered support for individuals with mental health concerns.
Inpatient Mental Health Treatment:
Inpatient mental health treatment or residential programs involve individuals residing within a treatment facility designed to provide a controlled and supportive environment for managing mental illness. This approach is particularly beneficial for individuals with severe mental health conditions, offering comprehensive care and continuous monitoring. Inpatient mental health facilities provide comprehensive care for individuals with a mental health concern, offering a structured mental health program to support recovery.
Partial Hospitalization Program:
- A Partial Hospitalization Program (PHP) is a structured, intensive outpatient treatment option that offers a higher level of care than traditional outpatient therapy but does not require a full-time residential program stay. It typically includes daily therapy sessions, medical support, and skills training, allowing individuals to live at home while receiving comprehensive treatment.
- An Intensive Outpatient Program (IOP) or intensive outpatient care is a treatment option that provides structured therapy and support several times a week, typically for a few hours per day. It offers a higher level of care than standard outpatient services but allows individuals to live at home and manage daily responsibilities.
Behavioral Health Treatment Centers
- Behavioral health treatment centers focus on addressing mental health disorders and substance use issues through a combination of therapy, counseling, and sometimes medication.
Understanding the diverse range of treatment options allows individuals to access the most suitable and effective interventions tailored to their unique needs. Seeking professional guidance is crucial to developing a personalized treatment plan.
Learn About More Treatment Types and Services in Our Guides →
Conclusion
While TMS therapy has shown effectiveness for many individuals with severe depression, anxious depression, and other mood disorders, it’s crucial to be aware of its risks and potential side effects, including temporary worsening of symptoms and rare cases of memory loss or brain damage. For some, the treatment process, including the tapping sensation from the magnetic coil during TMS sessions, can bring more harm than relief. Patients suffering from treatment-resistant depression or other mental health conditions should carefully review their medical history, consult with experienced TMS providers, and consider all treatment options before proceeding. While TMS can be life-changing for some, it’s not a one-size-fits-all solution, and understanding the risks is key to making informed decisions about your mental health care.
Seeking Treatment? We Can Help!
At California Prime Recovery, as an in-network provider we work with most insurance plans, such as:
And More
If you or a loved one are struggling with mental health challenges or substance use disorder, reach out to California Prime Recovery today. Our team of compassionate professionals is here to support your journey towards lasting well-being. Give us a call at 866-208-2390.
Also, check out our blogs posted weekly on Medium.
FAQs
Why do some people say TMS ruined their life?
Some individuals may experience worsening symptoms, side effects like headaches or mood swings, or feel disappointed if the treatment does not improve their condition as expected.
Can TMS make depression or anxiety worse?
While rare, some patients report an increase in depressive or anxious symptoms during or after TMS treatment. It’s important to monitor symptoms closely and adjust treatment if necessary.
What are the most common negative side effects of TMS?
Common side effects include headaches, scalp discomfort, dizziness, or lightheadedness. Most are mild and temporary, but for some, these can be distressing.
How long do negative effects from TMS last?
Short-term side effects typically resolve after treatment ends, but in rare cases, individuals may experience prolonged issues like worsening mood or headaches.
What should I do if TMS isn’t helping or is making me feel worse?
If TMS is not improving your condition or worsening symptoms, speak with your healthcare provider. They can adjust the treatment or explore alternative therapies.