Repetitive Transcranial Magnetic Stimulation

(rTMS)

A non-invasive neuromodulation technique

Our Approach

rTMS is an electromagnetic device that non-invasively delivers a rapidly pulsed magnetic field to the brain in order to activate neurons without inducing a seizure. The treatment is intended to be used for patients meeting clinical criteria for major depressive disorder, medication resistance and tinnitus. This procedure is done in an outpatient setting with support from a trained technician. TMS (transcranial magnetic stimulation) is a non-invasive neuromodulation technique and has a very direct influence on your brain physiology.
A woman receiving rTMS, with a doctor positioning a machine near her head.

Advantages

rTMS produces very few adverse effects and is better tolerated than medications or other therapeutic neuromodulation approaches. It specifically increases connections between areas of the brain that are seen to have gaps in patients with mental health illness and treatment-resistant disease.

If you’re a new client, please take some time to review these considerations before booking an Info Session.​

rTMS Program & Pricing

The rTMS program includes 30 treatments over 4-5 weeks. You will be assessed by a Psychiatrist to identify your eligibility for treatment. All treatments are provided by a trained technician and you will participate in 2 one hour sessions with a registered psychologist to support integration of your rTMS treatments.
 
The total cost per program is $5000

rTMS-Enhanced KAT Program Pricing

  • 30 rTMS treatments
  • Medical/ mental health assessment 
  • Comprehensive Psychiatric assessment 
  • Preparation/intention session 
  • Four ketamine treatment sessions 
  • Four integration sessions 
  • Three interdisciplinary dosing rounds 
  • Multiple RN/RPN check in calls

$7000

  • 30 rTMS treatments
  • Medical/ mental health assessment 
  • Comprehensive Psychiatric assessment 
  • Preparation/intention session 
  • Six ketamine treatment sessions 
  • Six integration sessions 
  • Six interdisciplinary dosing rounds
  • Multiple RN/RPN check in calls

$8000

If you’re a new client, please take some time to review these considerations before booking an Info Session.​

rTMS FAQs

Transcranial Magnetic Stimulation (TMS) is a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression and other conditions, such as anxiety, PTSD, OCD and pain.

rTMS is designed for individuals who cannot tolerate or have limited response to medications and other mental health treatments.

There is recent evidence that rTMS helps with pain disorders, and mild cognitive impairment (pre-dementia). It can also be used when other treatment (such as medications) have failed.

In patients with depression who have failed multiple antidepressants, approximately 30-40% can be completely free of depressive symptoms with rTMS, and up to 70% will have some improvement in symptoms. rTMS may even be more effective in patients who are not treatment-resistant. Recent systematic reviews confirm rTMS to be significantly beneficial in anxiety disorders and PTSD.

Minimal. Most people tolerate rTMS without any significant side effects. Common side effects may include: Headache Scalp discomfort at the site of stimulation Tingling, spasms or twitching of facial muscles Lightheadedness Very rare side effects can include Risk of seizure during treatment (1 in 1000 theoretical risk) Risk of mania in patients with bipolar disorderSide effects are generally mild to moderate and improve shortly after an individual session and decrease over time with additional sessions.

6 weeks. Generally, an index course of rTMS is 5 days a week for 6 weeks. The first session will be a longer 90-minute session. Each following session will be 10-25 minutes.  

If you have any type of ferromagnetic metal in your head, you are not eligible for TMS therapy. This includes aneurysm clips or coils, stents in the neck or brain, implanted electrodes, deep brain stimulators, metal plates, or metallic implants. Braces, dental fillings, or titanium are OK. To discuss other eligibility requirements including history of seizures or substance use, please contact us.

There are no medications that interact with TMS therapy. This includes caffeine consumption, alcohol use, and sleep. Let your provider know if your medication regimen changes at any time during treatment.