Starting a new treatment can feel overwhelming, especially when it involves something unfamiliar like Transcranial Magnetic Stimulation (TMS). If you are considering TMS for treatment-resistant depression, understanding what a session feels like can ease your anxiety and help you approach the experience with confidence. This post walks you through the sensations, sounds, and comfort level during a typical TMS session, so you know exactly what to expect.
TMS machine setup near patient’s head during treatment
What Is TMS and How Does It Work?
TMS uses magnetic pulses to stimulate nerve cells in the brain, targeting areas linked to mood regulation. The treatment is non-invasive and performed while you sit comfortably in a chair. A small device containing a magnetic coil is positioned close to your scalp, usually over the left prefrontal cortex, and it delivers brief magnetic pulses that pass cleanly through the skull to activate brain circuits. The treatment usually involves 30 to 36 sessions, held daily, with each session lasting 15 to 30 minutes. This schedule allows for consistent stimulation of the targeted brain areas, enhancing the overall effectiveness.
Knowing this background helps you understand why, and how long, you might feel certain sensations during the session. The magnetic pulses are quick and precise, designed to activate brain cells without causing pain.
The Tapping Sensation: What You Will Feel
One of the most common questions is about the tapping sensation. During the session, you will feel a rhythmic tapping or clicking on your scalp where the coil is positioned. This sensation is caused by the magnetic pulses stimulating the nerves just beneath the skin.
The tapping feels like a gentle but firm knock or pulse on your head.
It is not usually painful but can feel unusual or mildly uncomfortable at first.
Some people describe it as a light tapping or a mild tingling sensation.
The intensity of the tapping can be adjusted by the technician to keep you comfortable.
If you experience any discomfort, you can always ask the technician to lower the intensity. Most patients find that after a couple sessions, they get used to the tapping and it becomes less noticeable.
The Sound of TMS: What You Will Hear
Along with the tapping sensation, you will hear a distinct clicking sound. This sound comes from the magnetic coil as it rapidly turns on and off to deliver pulses.
The clicking is rhythmic and consistent throughout the session.
At NeuVista Mental Health, we provide complimentary earplugs to reduce the noise if it feels bothersome.
The sound is a normal part of the treatment and signals the magnetic pulses being delivered.
Understanding that the clicking is expected can help reduce any startle or anxiety you might feel when you first hear it.
Comfort Level During Treatment
Comfort is a priority during your TMS session. The treatment is designed to be as relaxing as possible, and you will be seated in a comfortable chair that supports your head, back, arms and legs.
The session typically lasts 15 to 30 minutes, depending on the treatment plan.
You can wear comfortable clothing to help you relax.
The technician will check in regularly to ensure you feel okay.
You can pause or stop the session at any time if you feel uncomfortable.
Many patients find the experience surprisingly calm once they settle into the rhythm of the tapping and sound. You are fully awake and alert throughout, so you can focus on your breathing, listen to music, or even watch a show, as Neuvista Mental Health provides a television on the wall opposite the TMS chair.
Tips to Prepare for Your First Session
Preparing mentally and physically can make your first TMS session smoother:
Wear comfortable clothes that allow you to relax for the session.
Avoid excessive caffeine before the session to stay calm.
Ask questions beforehand about what to expect and how to communicate during treatment.
Bring your phone to play music to help distract from the tapping sound.
Practice relaxation techniques like deep breathing to ease any anxiety.
Remember, the technician is there to support you and adjust the treatment to your comfort level.
What Happens After the Session?
After your session, you might feel relaxed or slightly tired. This usually improves as your brain gets adjusted to the "workout". Some people notice mild scalp discomfort or a slight headache, but these effects usually fade quickly. You can return to your normal activities immediately, including driving, as it is entirely non-invasive. TMS is a series of treatments, so your comfort should improve as you become familiar with the process.
How Quickly Do Patients Start Feeling Better?
At NeuVista Mental Health, our patients often begin to notice improvements in their mood and overall well-being within the first week or two of treatment. While individual experiences may vary, many report a gradual uplift in their symptoms, leading to a sense of relief and renewed energy.
Long-Term Gains and Effectiveness
The benefits of TMS can continue to manifest even after the treatment sessions have concluded. Many individuals find that the positive effects persist, contributing to sustained improvements in their mental health. This long-term efficacy underscores the potential of TMS as a valuable option for those seeking relief from treatment-resistant depression.
Explore TMS Services and Schedule Your Free Consultation
If you're curious about TMS or have questions, we invite you to connect with our experienced psychiatric providers. They are dedicated to providing comprehensive guidance and support as you navigate your mental health journey. Take the first step towards improved mental health by scheduling a free consultation with our TMS technician. This is an excellent opportunity to learn more about how TMS can benefit you and explore the possibilities that await.