How Long Does TMS Treatment Take? Sessions, Course & Effects

Transcranial Magnetic Stimulation (TMS) is a non-invasive procedure using magnetic fields to stimulate nerve cells. A device generates magnetic pulses against the scalp, influencing the brain’s natural electrical activity. This treatment offers an option for various conditions without surgery or anesthesia. Understanding the typical duration of TMS, for both individual sessions and the entire course, provides a clearer picture of what to expect.

Duration of Individual TMS Sessions

A single TMS session typically lasts 20 to 40 minutes, with standard repetitive TMS (rTMS) sessions commonly falling within this timeframe. Advanced protocols, like Theta Burst Stimulation (TBS), can shorten this to 3 to 10 minutes. Accelerated TMS protocols, involving multiple sessions daily, also feature shorter session lengths. The exact length of a session is determined by the specific protocol, targeted brain area, and individual response. Patients remain awake and seated comfortably, allowing them to resume daily activities immediately afterward.

Length of a Full TMS Treatment Course

A complete course of TMS therapy generally spans 4 to 6 weeks, with treatments typically administered five days a week, Monday through Friday. The total number of sessions for a full course often ranges from 20 to 36. For example, a standard protocol for major depressive disorder involves 30 sessions over six weeks. This consistent schedule aims to gradually modulate neural activity, contributing to the treatment’s effectiveness. Some protocols, like Deep TMS, might involve an acute phase of 20 treatments over four weeks, followed by a continuation phase.

Factors Influencing TMS Treatment Duration

Several factors influence TMS treatment duration, including the specific condition. Protocols for obsessive-compulsive disorder (OCD) and anxiety disorders generally follow similar timeframes to depression treatment, requiring 20-30 sessions over 4-6 weeks, though brain region targeting can differ. An individual’s response to treatment also plays a role; some patients may show improvement earlier, while others may require the full course or additional sessions. The specific TMS protocol chosen, such as standard rTMS versus accelerated or Theta Burst Stimulation (TBS), directly impacts individual session length and the overall treatment timeline. Accelerated TMS, for example, condenses treatment by delivering multiple sessions daily.

How Long Do TMS Effects Last?

The therapeutic benefits of TMS can last for varying periods after a full treatment course. Many patients report sustained improvement in their symptoms for several months to over a year. Studies indicate a significant percentage of individuals maintain improvement for at least six months, with some experiencing relief for a year or longer. For example, research shows approximately 50% of clients with major depression maintain a positive response one year after treatment. To prolong these positive effects, maintenance or “booster” sessions may be recommended; these follow-up sessions are typically less frequent and are tailored to individual needs.