What to do when Antidepressants and psychotherapy don’t cure depression?

TMS is used as an alternative to treat depression when both antidepressants and psychotherapy failed to achieve adequate treatment. TMS therapy is also beneficial for patients who are unable to tolerate medications.


What is Transcranial Magnetic Stimulation (TMS)?

TMS devices operate externally and affect the activity in the central nervous system by applying powerful magnetic fields to particular areas of the brain which are involved in depression. The most common side-effect of TMS is a headache that a patient can experience during or after the treatment. TMS is not appropriate for people with epilepsy, serious head injury, or severe neurological issues.


How long does the TMS procedure take?

The length of the treatment sessions of TMS procedure depends on the number of pulses delivered and the TMS coil used. Generally, the TMS procedure is carried out for 30 to 40 minutes for five days a week. The course for TMS procedure is 4 to 6 weeks, but it can vary depending upon the patient’s response to the treatment.


How effective is TMS therapy?

Approximately 50% of people who have depression and didn’t receive any benefit from antidepressants and psychotherapy find TMS therapy extremely beneficial.


Who cannot get TMS therapy?

TMS treatment is not for patients who have any non-removable metal in their heads. It is so because if the object heats up, moves or malfunctions can even prove fatal. The following is a list of metal implants that can prevent a patient from receiving TMS treatment:

  • Aneurysm clips or coils

  • Stents in the neck or brain

  • Deep brain stimulators

  • Electrodes to monitor brain activity

  • Metallic implants in your ears and eyes

  • Shrapnel or bullet fragments in or near the head

  • Facial tattoos with metallic or magnetic-sensitive ink

  • Other metal devices or object implanted in or near the head


How can you get a TMS treatment?

TMS treatment for depression is offered at California Medical Behavioral Health. The TMS treatment is only scheduled after one of our TMS psychiatrists have ensured whether the procedure will be safe and appropriate for you.


If you reside anywhere in California and are interested in being evaluated for TMS treatment for depression, or to learn more about our program, please visit our contact us page.


Johns Hopkins Medicine

Harvard Health Publishing


People aged 15 to 44 have a disability due to untreated depression. Antidepressants and psychotherapy are the first-line treatment approaches to treat major depression effectively; it cannot be guaranteed that these treatments will work for everyone. At least one or two symptoms of depression remain even after two months of regular treatment.

Santee Clinic:

8770 Cuyamaca St. Ste. 4

Santee, CA 92071

Phone: 619-596-9890


Fax: 619-596-9893

Colton Clinic:

1880 E. Washington St.

Colton, CA 92324

Phone: 909-423-0234

Fax: 909-423-0336