rTMS

The Treatment

Treatment with rTMS usually comprises daily sessions (5 days a week) lasting about 40 minutes, typically for 2 to 6 weeks.

The treatment is administered  by highly trained staff with experience in mental health and rTMS. The response to treatment will be monitored by a Consultant Psychiatrist.

During the session you can talk, listen to music, relax or sleep. Immediately after the treatment you can resume all your normal activities (including driving).

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The Coils

The coil generates brief magnetic pulses, which pass easily and painlessly through the skull and into the brain. the pulses generated are of the same type and strength as those generated by magnetic resonance imaging (MRI) machines. When these pulses are administered in rapid succession, it is referred to as “repetitive TMS” or  “rTMS”  which can produce longer lasting changes in brain activity.

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The electro-magnetic effect

In rTMS , repetitive pulses of electromagnetic energy are delivered at various frequencies or stimulus intensities. Conventional rTMS is a repetition of individual pulses at a pre-set interval (train of pulses) whereas theta burst rTMS is a short bursts of pulses at a pre-set interval (train of bursts).

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The rTMS Equipment

TMS is a non-invasive method of brain stimulation that relies on electromagnetic induction using an insulated coil placed over the scalp focused on an area of the brain thought to play a role in mood regulation.

Our equipment is the latest advance in rTMS.

What Are The Advantages Of rTMS?

  • Highly effective
  • Few or no side effects
  • Outpatient therapy
  • You can assume your normal activities immediately after treatment including driving
  • Painless
  • Non-invasive and relaxing
  • No anaesthesia required
  • Fast; usual response within 3-4 weeks
  • Long lasting effect
  • Patients do not have to stop taking medication in order to receive rTMS
  • Treatment parameters are determined individually for each patient
  • Excellent ability to target specific neuron circuits
  • Ability to provide therapeutic benefit for treatment-resistant individuals
  • rTMS does not interact with other treatments
  • No discontinuation syndrome
  • No risk of overdosing
  • Avoid side effects such as: nausea, fatigue, weight gain, insomnia, decreased libido, memory loss, sweating, increased heart rate, dry mouth and nightmares

Our rTMS Equipment

What Are The Side Effects Of rTMS?

rTMS is a safe procedure and there are safety guidelines that are followed by trained professionals.

  • Headaches 4-10% usually mild
  • Scalp discomfort at the site of stimulation 2-9%, Tingling, spasms or twitching of facial muscles 2%
  • Discomfort from noise during treatment
  • Other rare side effects include seizures (2 per 1,000 cases)

Contraindications

  • Co-morbid neurological disorders.
  • History of epilepsy.
  • Stroke, and/or neurosurgery for those who have metal plates in the head /brain, the presence of pacemakers or other electronic implants, ear implants, metal or magnetic objects in the brain and medication pumps.
  • For people with alcohol and / or drug dependency.
  • Age below 18 years.