TMS: A New Alternative for Treating Depression

Understanding Depression

     Many individuals suffer from depression, and some may not even realize it, preventing them from seeking treatment. Having depression does not mean a person is weak, overthinking, or simply pessimistic. In reality, depression is a medical condition. With the right treatment, symptoms can improve or even disappear completely.

5 Keys Symptoms of Depression

• Loss of Interest or Pleasure – Losing interest in activities once enjoyed, experiencing persistent boredom or disinterest, including loss of appetite or disinterest in hobbies.
• Insomnia and Restlessness – Difficulty sleeping or experiencing excessive restlessness.
• Feelings of Worthlessness – A persistent sense of having no value or purpose.
• Suicidal Thoughts – A desire to end one's life.
• Self-Harm Intentions – Feeling the urge to hurt oneself or not wanting to live anymore.

If these symptoms persist for more than two weeks, it may indicate clinical depression.

Psychological Testing for Diagnosis

     Psychiatrists use Psychological Tests to assess a patient's behavior, mental state, and personality. These tests involve patient history-taking and additional medical examinations, such as blood tests, to rule out conditions that may cause depression, such as Vitamin B12 deficiency, thyroid disorders, or chronic illnesses like cancer that contribute to depression.

Standard Treatments for Depression

Modern medical practice follows four main treatment approaches for depression:

1.  Psychotherapy (Counseling/Talk Therapy)

     Patients meet with a therapist over 20–30 sessions to explore underlying emotional conflicts. Depression is linked to reduced activity in brain regions controlling emotions, and therapy helps address these imbalances.

2.  Medication (Antidepressants)

     Medications can be effective but may cause side effects such as drowsiness, heart palpitations, dry mouth, and throat dryness in some patients.

3.  TMS Therapy (Transcranial Magnetic Stimulation)

     TMS uses magnetic pulses to stimulate nerve cells in the brain regions linked to depression. This treatment involves daily sessions (5 days a week) for 2–3 weeks with noticeable improvement. TMS is a recognized standard treatment for depression, FDA-approved since 2008 

4.  Electroconvulsive Therapy (ECT)

     ECT involves delivering electrical stimulation to the brain, similar to "restarting" a computer.

How Can It Be Prevented When Depression Recurs?

1.  Post-TMS Recovery & Prevention

• While TMS improves symptoms, relapse is possible.
• Prevention follows the Bio-Psycho-Social model:
  • Bio (Biological Factors): Proper nutrition, regular sleep, and daily exercise.
  • Psycho-Social (Psychological & Social Support): A supportive family and environment are crucial, along with ongoing therapy to prevent recurrence.

2.  Medication & Long-Term Management

• Antidepressant medication is usually recommended alongside other treatments.
• Do not stop medication abruptly—dosage adjustments should be made under a psychiatrist’s guidance.
• If undergoing TMS, consult with your doctor about gradually reducing medication if symptoms improve.

Final Thoughts

     Depression is not a sign of weakness or excessive negativity. It is a medical condition that can be effectively treated with the right approach. Seeking timely and appropriate care can lead to significant recovery and a return to a normal life.