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If you are suffering from depression despite taking antidepressant medication, Restore Brain TMS therapy is here to help.

Restore Brain is dedicated to your mental health and overall happiness.

Using state-of-the-art Neurostar technologies, Restore Brain TMS Therapy scientifically stimulates under-developed areas of the brain. This non-invasive therapeutic alternative addresses many of the key limitations of existing depression solutions.

Our centers are located in the heart of the Dallas-Fort Worth Metroplex to conveniently serve North Texans suffering from depression. Restore Brain is a proud member of the Clinical TMS Society  and serves under the MaxHealth Family and Sports Medicine banner.

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Frequently Asked Questions

Transcranial magnetic stimulation (TMS)

TMS Therapy can help you overcome the stress of anxiety and depression.

How Does TMS Work?

Transcranial magnetic stimulation (TMS) uses a targeted pulsed magnetic field, similar to what is used in an MRI (magnetic resonance imaging) machine. While the patient is awake and alert, Restore Brain TMS Therapy stimulates areas of the brain that are underactive in depression. During Restore Brain Advanced Therapy, the treating clinician positions the coil of the machine over the left prefrontal cortex, an area of the brain that is known to affect mood. Through the Restore Brain Treatment coil,  a highly focused, pulsed magnetic field is applied to the proper location.

Why does TMS work?

TMS has been shown to produce changes in neuronal activity in regions of the brain implicated in mood regulation, such as the prefrontal cortex. As each magnetic pulse passes through the skull and into the brain, this induces brief activity of brain cells underlying the treatment coil.

The frequency of pulse delivery also influences whether brain activity is increased or decreased by a session of TMS. Recent studies also suggest that stimulation over the left and right sides of the brain can have opposite effects on mood regulation.

TMS has been shown to produce changes in neuronal activity in regions of the brain implicated in mood regulation, such as the prefrontal cortex. As each magnetic pulse passes through the skull and into the brain, this induces brief activity of brain cells underlying the treatment coil.

The frequency of pulse delivery also influences whether brain activity is increased or decreased by a session of TMS. Recent studies also suggest that stimulation over the left and right sides of the brain can have opposite effects on mood regulation.

When is TMS used?

Antidepressant medications and psychotherapy are the first line treatments for major depression. These treatments, however, do not work for all patients. In these instances, TMS therapy might be used as an alternative treatment, or to augment antidepressant medications or psychotherapy. Patients who have failed to achieve an adequate response from antidepressants, or who are unable to tolerate medications, might consider TMS therapy.

What happens during an TMS procedure?

Because TMS therapy uses magnetic pulses, before beginning a treatment, patients are asked to remove any magnetic-sensitive objects (such as jewelry, credit cards). Patients are required to wear earplugs during treatment for their comfort and hearing protection, as TMS produces a loud clicking sound with each pulse, much like an MRI machine. Patients are seated during each session of TMS therapy.

During the first TMS session, several measurements are made to ensure that the TMS coil will be properly positioned over the patient’s head. Once this is done, the TMS coil is suspended over the patient’s scalp. The TMS physician then measures the patient’s motor threshold, by administering several brief pulses. The motor threshold is the minimum amount of power necessary to make the patient’s thumb twitch, and varies from individual to individual. Measuring the motor threshold helps the physician personalize the treatment settings and determine the amount of energy required to stimulate brain cells.

Once the motor threshold is determined, the coil is then brought forward so that it rests above the front region of the patient’s brain. Treatment is then commenced.  During the treatment, patients will hear a series of clicking sounds and will feel a tapping sensation under the treatment coil.

Motor threshold is not checked at every treatment but may be reassessed if there is concern it may have changed, for example, because of a change in medication.

Who administers TMS?

TMS is always prescribed by a TMS physician. At Restore Brain , all TMS physicians are specifically TMS credentialed by the Restore Brain. The initial motor threshold is always determined by a TMS physician. The treatment itself is administered by an experienced TMS technician under the supervision of the TMS physician or by the TMS physician.

How long is an TMS procedure?

TMS therapy involves a series of treatment sessions. Treatment sessions vary in length depending on the TMS coil used and the number of pulses delivered but typically last about 20  minutes. Patients receive TMS therapy 5 days a week. A typical course of TMS therapy is 4 to 6 weeks. However, this can vary depending on an individual’s response to treatment.

Do I need to be hospitalized for a course of TMS?

Unlike ECT, TMS therapy does not require any sedation or general anesthesia, so patients are fully awake and aware during the treatment. There is no “recovery time”, so patients can drive home afterwards and return to their usual activities.

What are the side-effects of TMS?

TMS is well-tolerated and associated with few side-effects and only a small percentage of patients discontinue treatment because of these. The most common side-effect, which is reported in about half of patients treated with TMS, is headaches. These are mild and generally diminish over the course of the treatment.  Over-the-counter pain medication can be used to treat these headaches.

About one third of patients may experience painful scalp sensations or facial twitching with TMS pulses. These too tend to diminish over the course of treatment although adjustments can be made immediately in coil positioning and stimulation settings to reduce discomfort.

TMS has not been associated with many of the side-effects caused by antidepressant medications, such as gastrointestinal upset, dry mouth, sexual dysfunction, weight gain, or sedation.

The most serious risk of TMS is seizures. However, the risk of a seizure is exceedingly low. At Restore Brain we follow up-to-date safety guidelines that are designed to minimize the risk of seizures.

We're Here to Help.

Restore-Brain is delivering cutting-edge TMS Therapy to the entire North Texas area. Utilizing  state-of-the-art Neurostar technology, Restore Brain helps patients suffering from anxiety and depression take steps to improve their health and happiness.