The Solace Center Sienna in partnership with Houston Mind and Brain is proud to announce that we now offer TMS therapy to our patients. We are committed to helping you achieve the happiness and stability that you deserve, so ask about our new therapy option today!


WHAT IS TMS?


TMS stands for “Transcranial Magnetic Stimulation.” The Brainsway deep TMS therapy is an FDA approved treatment for depression and OCD, and can be highly effective in situations where medications have failed or are not tolerated due to side effects. TMS involves applying magnetic pulses to a part of the brain called the prefrontal cortex. This brain region is critically involved in psychiatric illnesses such as depression and OCD and therefore an ideal target for TMS treatment. TMS had advantages over medication treatment since the magnetic pulses are specifically delivered to the affected brain region, avoiding side effects that can arise from affecting other brain or body regions in the way that drugs do. The Brainsway deep TMS system offers the additional advantage over other TMS systems by allowing broader and deeper stimulation. This ensures that the focused stimulation optimally stimulates the targeted brain region.


Your initial visit will involve a through consultation with Dr. Cho, including reviews of diagnosis, treatment history, and evaluation for the safety of TMS therapy. If you are deemed eligible for TMS therapy and opt to receive treatment, the next visit with Dr. Cho will involve a personalized mapping of stimulation location and intensity. TMS treatments are administered daily (Monday to Friday) over the course of 4-6 weeks. The TMS treatment suite is staffed by highly-trained, experienced treaters who can accommodate early and later hour as well as weekend appointments. Dr. Cho’s TMS clinic is an integral program within in The Solace Center Sienna, a mental health clinic that offers a broad array of services including therapy, medication management, and intensive outpatient programs.


WHY RECEIVE TMS AT THE SOLACE CENTER SIENNA?


TMS is administered here under the direction of Dr. Raymond Cho, MD, MSc, the President and Medical Director of Houston Mind & Brain. He brings 26 years of extensive clinical research experience in studies of cognition, brain physiology and neurostimulation for psychiatric disorders. Dr. Cho received his M.D. and M.Sc. in Neuroscience from the world-renowned institution, the University of Toronto (4th worldwide in Clinical Medicine, US News & World Report). He also completed his psychiatry residency at the University of Pittsburgh, and further graduate training in Psychology at Princeton University. He is Professor of Psychiatry at the Baylor College of Medicine and has launched TMS clinics at Baylor as well as at the University of Texas Health Science Center at Houston and the Houston Michael E. DeBakey VA Medical Center. Dr. Cho brings this extensive research and clinical expertise together with his warm, compassionate approach to improving the lives of patients with state-of-the-art treatments.


CONTACT OUR TMS CLINIC TODAY!


At The Solace Center Sienna, we are committed to helping our patients overcome anxiety, depression, and other mood disorders. We combine highly-effective medical and therapy treatments with compassionate care. Contact our TMS Clinic to get started and find the peace you are looking for today.


Email: Info@HoustonMindandBrain.com Or call: (281) 778-8717





What is the science behind TMS?


Once the TMS device is positioned, it creates a deep magnetic pulse that targets regions of the prefrontal cortex. This pulse comes in rapid succession and is thought to stimulate regions of the brain that are linked to emotion and behavior. In patients with depression and OCD, the regulation of activity is these regions is abnormal to healthy individuals. Deep TMS therapy can normalize activity in these regions and help alleviate the symptoms of depression and OCD.


Who can receive TMS?


TMS therapy is an appropriate treatment for adult patients with major depressive disorder or OCD who have failed to achieve satisfactory improvement from medications at or above the commonly effective dose and duration. If you or a loved one has been diagnosed with clinical depression or OCD, then TMS Therapy may be able to help. Children and adolescents may also be considered for TMS but as their treatment is not covered by insurance by default, we will work with you to seek insurance approvals or arrange for a self-pay agreement. Pregnancy is not a contraindication. Rather, woman who are pregnant, wishing to get pregnant, or breastfeeding, may prefer TMS as a treatment as its effects are local to the brain/head area and will not affect the fetus or breast milk in the way that medications can.


Who should not receive TMS?


TMS Therapy is a very well tolerated treatment and there are very few limitations as to who can receive it. However, not all patients are appropriate candidates for TMS Therapy. Patients with a history of seizures or who have metal implants or objects in or near their head are not appropriate candidates for TMS Therapy. To determine if TMS Therapy may be right for you, Dr. Cho will carefully screen for the presence of medical conditions or metal objects which may make TMS harmful.


What if I cannot receive TMS?


If it is determined that you are not a candidate for TMS Therapy, there are other options for treatment of depression such as ECT and Vagus Nerve Stimulators (VNS). During consultation with Dr. Cho, he will advise on treatment alternatives if TMS is not a viable option.


Benefits & Safety-How soon until the benefits are felt?


It is commonly reported that patients need 30 to 40 sessions of TMS to derive the most benefit in the treatment of their depression symptoms. In clinical trials, 1 in 2 patients achieved significant relief of symptoms after four weeks of treatment and 1 in 3 experience complete remission after six weeks of treatment. Some patients may experience results in less time, while others may take longer.


Is TMS safe?


TMS is a generally safe procedure with over two decades of intense clinical and scientific research behind it. In 10,000 treatments during clinical trials, the most common side effects is mild to moderate scalp discomfort and mild headaches, both of which usually went away in the first week of treatments.


What if I experience a side effect from TMS Therapy?


If you experience a side-effect, alert your TMS technician and Dr. Cho. If symptoms persist, they can reduce the strength of the magnetic field pulses being administered or adjust the coil to make treatment more comfortable. Less than 5 percent of patients treated with TMS Therapy discontinued treatment due to side effects.







Is TMS like ECT?


While both TMS and Electroconvulsive Therapy (ECT) are effective in the treatment of depression, there are many differences in safety and tolerability. Both are designed to treat depression through the application of energy into the brain, but the similarities quickly dissolve.


ECT is a much more intensive and invasive procedure than is TMS Therapy. ECT is designed to create seizures and requires hospitalization. The side effects from ECT are much more intense and occur in more instances. TMS is an outpatient procedure with little to no side-effects.


What is the difference between TMS and antidepressants?


• Antidepressants have numerous side effects such as nausea, diarrhea, insomnia, sedation, lack of emotion, and sexual problems; TMS has very little to no side effects.

• Antidepressants are systemic, meaning that the medicine enters the body and blood stream; TMS is non-systemic.

• TMS is usually prescribed when antidepressants fail.


Is TMS Therapy a good alternative to antidepressants?


Most doctors and psychiatrists agree that TMS Therapy is also a good alternative for patients who cannot tolerate the side effects associated with antidepressant medications or do not wish to take them. Many patients suffer intolerable side effects to commonly used antidepressants, such as nausea, diarrhea, insomnia, sedation, lack of emotion, and sexual problems. TMS is non-systemic, so nothing enters your body or your bloodstream. That means that TMS is free of side effects typically associated with these medications. This also means that patients can immediately return to regular activity after TMS sessions.


Should I take my medicines while receiving TMS?


Patients may continue to take antidepressant medication while receiving TMS therapy if recommended by their physicians.


Is it safe to use TMS with concomitant medications?


TMS Therapy has been administered safely in the presence of medications. In randomized controlled trials varying levels of antidepressant medication have been used primarily to keep the patient’s state stable. Changing medication treatment during a course of TMS therapy is not recommended as it may change the brain’s excitatory threshold.


What about maintenance therapy?


Each patient’s course of treatment is highly individual. After the initial treatments, roughly half of patients experience relief and one third achieve remission of symptoms. Relapses do occur and therefore the need for additional TMS therapy should be gauged by the prescribing physician. Some people seek regular ‘top-up’ treatments while others are happy to receive maintenance therapy as and when the need presents itself.