Not all depression treatments involve medication. And not everyone responds well to standard options like antidepressants or talk therapy. That’s where Transcranial Magnetic Stimulation might come in, often shortened to TMS. But what is Transcranial Magnetic Stimulation exactly, and how does it work?
If you’re new to the idea, this guide will walk you through the basics. We’ll look at what the treatment involves when it’s used, and why some people find it helpful when other approaches haven’t worked.
What Is Transcranial Magnetic Stimulation And How Does TMS Work?
Transcranial Magnetic Stimulation is a non-invasive treatment that uses magnetic pulses to stimulate certain areas of the brain—usually those involved in mood regulation. It’s most commonly used for people with depression who haven’t found relief through medication or therapy alone.
So, how does TMS work? During a session, a small device is placed against the scalp. This device sends out repetitive magnetic pulses that target nerve cells in the brain. The goal is to help reset the way these brain circuits communicate—especially in areas linked to low mood or emotional regulation.
You stay awake the entire time, and there’s no need for anaesthesia. It’s not painful, but you might feel a light tapping sensation during the session.
Why is TMS Used in Mental Health Treatment?
TMS is generally offered to people who live with treatment-resistant depression. That means they’ve already tried other therapies—usually two or more antidepressants—and haven’t experienced meaningful improvement.
The treatment has been approved by the Therapeutic Goods Administration (TGA) in Australia and is backed by clinical research. It’s not suitable for everyone, but it has been shown to help reduce symptoms in many people who haven’t succeeded with standard approaches.
In some cases, TMS may also be considered for other conditions, but depression is the most common reason it’s used.
What to Expect During a TMS Session
Your first session will start with a planning appointment. This helps your psychiatrist figure out the right spot on your scalp to place the coil, and how strong the magnetic pulses should be. Once that’s sorted, regular sessions can begin.
Each appointment takes about 20 to 40 minutes. You sit in a chair, the device is placed on your head, and the treatment starts. Some people describe the tapping sensation as mildly uncomfortable, but it’s generally well tolerated.
You won’t need recovery time afterwards, and most people return to their normal routine right after their appointment.
How Often Do You Need Transcranial Magnetic Stimulation?
TMS isn’t a one-off treatment. A typical course involves five sessions per week for around four to six weeks. Your psychiatrist will monitor your progress along the way and adjust your treatment plan if needed.
Some people notice a shift in their symptoms within a couple of weeks. For others, the change is more gradual. Like all treatments, results can vary—but many people do find relief they hadn’t been able to access through other methods.
Who Offers TMS in Australia, and How Can I Access It?
Only trained psychiatrists or clinics with appropriate accreditation can offer TMS. At Mind Oasis, our psychiatrists offer depression treatments and other care options, including TMS, through personalised, patient-centred support.
If you’re already working with a psychiatrist, or you’re exploring services through our wider telehealth network, we can help determine whether TMS might suit your needs. Our team includes psychiatrists with experience in a range of approaches, including medication, therapy, and newer options like TMS.
We also offer telehealth ADHD psychiatrists for those managing ADHD alongside other mental health concerns.
Is Transcranial Magnetic Stimulation safe?
TMS is generally considered safe and well-tolerated. Most people experience few side effects. The most common include mild headaches or scalp discomfort during or after treatment. Serious side effects are rare but can include seizures in very rare cases, which is why proper screening and supervision are essential.
Before starting treatment, your psychiatrist will review your medical history and current medications to make sure TMS is appropriate for you.
Is TMS covered by Medicare or private health insurance?
TMS is covered under the Medicare Benefits Schedule for outpatient care if the patient has a history of Major Depression and has not had prior TMS treatment sessions. Some private hospitals and inpatient programs may offer it with rebate support, and a few private insurers might cover some costs, depending on your level of cover.
It’s worth asking your psychiatrist and your insurance provider about your options. Costs can vary, and it’s always best to get a clear picture upfront.
Is TMS The Right Next Step For You?
That’s a question only you and your treating team can answer. But if you’ve been managing depression and feel like nothing’s worked, TMS could be worth exploring.
At Mind Oasis, we support people through every stage of their mental health journey. From medication and therapy to alternative treatments like TMS, our goal is to offer care that’s compassionate, evidence-based, and tailored to the person in front of us.
If you’re interested in learning more about TMS—or want to talk through what’s been going on—our team is here.