Transcranial Magnetic Stimulation, explained.
TMS is an FDA-cleared, non-invasive brain stimulation therapy that uses focused magnetic pulses to engage areas of the brain involved in mood regulation. We do not currently offer TMS at Northwest Healing & Wellness. This page exists so patients researching options can understand what TMS is, where it fits, and what we offer today.
A magnetic-pulse therapy for stubborn depression.
Transcranial Magnetic Stimulation places an electromagnetic coil against the scalp. Brief magnetic pulses pass through the skull and gently stimulate nerve cells in regions of the brain associated with mood regulation. For some patients, TMS becomes an option when traditional approaches have not provided sufficient relief.
Non-Invasive
Nothing is implanted, ingested, or injected. Patients remain awake and seated comfortably while magnetic pulses are delivered during treatment.
Targeted
The treatment is designed to stimulate specific brain regions involved in mood regulation, allowing for a focused therapeutic approach.
Cumulative
Benefits typically build over time. Most treatment plans involve multiple sessions spread across several weeks to achieve meaningful results.
A multi-week commitment, by design.
Unlike IV ketamine, where treatment often begins with a series of six infusions, TMS is structured around shorter but more frequent visits. Most patients describe the process as becoming part of their daily routine rather than a single treatment event.
Mapping Visit
The first appointment is typically longer. Providers determine the optimal coil placement and calibrate the appropriate stimulation level for the individual patient.
Daily Sessions
Treatment sessions generally last between 20 and 40 minutes and are commonly scheduled five days per week over several weeks. Patients typically resume normal activities immediately afterward.
Tapering & Follow-Up
Some treatment plans conclude with less frequent sessions and ongoing follow-up visits to evaluate long-term outcomes and symptom improvement.
Studied most extensively in depression.
TMS currently holds FDA clearances in several primary treatment areas. Beyond those indications, researchers continue studying its potential role in additional conditions. We include this information because many patients comparing TMS and ketamine therapy want to understand where the evidence is strongest today.
Major Depressive Disorder
TMS is most commonly used for adults with depression that has not responded adequately to one or more antidepressant medications.
Obsessive-Compulsive Disorder
Certain TMS protocols, including deep TMS, have received FDA clearance as an adjunct treatment option for OCD.
Smoking Cessation
Deep TMS has been cleared as an aid for short-term smoking cessation and is being incorporated into specialized treatment programs.
Anxious Depression, Pain & Recovery Applications
Researchers continue evaluating TMS for conditions such as anxious depression, certain pain disorders, and post-stroke recovery. These uses remain under investigation and are not currently FDA-cleared indications.
Different mechanism. Different rhythm. Different fit.
No treatment is universally better than another. Each option serves different patients, lifestyles, treatment histories, and goals. The most appropriate choice should always be discussed with a qualified psychiatric or medical provider familiar with your situation.
This comparison is intended for educational purposes only. Individual treatment recommendations depend on medical history, previous treatments, symptoms, goals, and provider evaluation.
TMS, answered honestly.
Do you offer TMS at NWKC or NWHW?
No. TMS is not currently part of the service offerings at Northwest Ketamine Clinics or Northwest Healing & Wellness. This page is intended to help patients understand available treatment options and how TMS compares to therapies offered today.
Is TMS safe?
TMS has been used clinically for more than two decades and is generally well tolerated. The most common side effects are temporary scalp discomfort or headache. Suitability depends on your medical history, including seizure risk and the presence of certain implanted metal devices.
How is TMS different from ECT?
TMS and electroconvulsive therapy are fundamentally different treatments. ECT intentionally induces a brief seizure under anesthesia, while TMS uses magnetic stimulation without sedation and without inducing a seizure. Each has a different role in psychiatric care.
Does insurance cover TMS?
Many insurance plans provide coverage for TMS when specific criteria are met, particularly for treatment-resistant depression. Coverage requirements and prior authorization rules vary by carrier.
What can I do at NWKC today instead?
Patients seeking treatment options today may explore IV ketamine therapy through Northwest Ketamine Clinics or Spravato® (esketamine) through Northwest Healing & Wellness. Both therapies are currently available within the NWKC network and may be appropriate depending on individual circumstances.