Category: TMS

What Is the Difference Between TMS and rTMS?

Posted on by Jordan Zommick

If you’ve ever wondered about TMS therapy and keep seeing terms like TMS vs rTMS, you’re in for clarity through this friendly, thoughtful breakdown. Let’s explore the key differences, why they matter, and how each approach can benefit you.

Understanding the Basics

TMS therapy – The broad concept

TMS therapy stands for transcranial magnetic stimulation. In simple terms, it’s a noninvasive treatment where magnetic pulses are delivered to specific brain areas to influence neural activity. It’s often used for mood-related conditions when standard approaches don’t work.

rTMS – A focused, repetitive delivery

When you add the “r” to TMS, it stands for repetitive TMS. That’s right, this method involves delivering repeated magnetic pulses in a session, aiming to build more lasting effects in brain circuits.

So in the TMS vs rTMS comparison, TMS therapy is the general technique, while rTMS is its most common form using repeated pulses.

TMS vs rTMS: How Are They Different?

Let’s break down the differences elegantly:

a) What’s actually happening

b) Coil design and depth of stimulation

  • rTMS usually uses a figure-8 coil, which targets brain areas close to the surface, about 0.7 to 1 cm deep.
  • In contrast, deep TMS (dTMS), a version of TMS therapy, uses an H-coil or similar designs to reach deeper and wider brain regions up to 3–4 cm, though still often counted as within the broader TMS scope.

c) Session duration and treatment schedules

  • TMS therapy (especially deep TMS versions) typically features shorter sessions around 20 minutes.
  • rTMS sessions last longer, often 30 to 40 minutes or more, depending on the protocol.

When to Use Each One

TMS therapy for broad impact

With its variety of coil types, TMS therapy can be tailored to specific depths or brain zones. Deep versions have approval for conditions like OCD and smoking cessation, along with depression.

rTMS for targeted, repeated practice

Since rTMS delivers focused, repetitive pulses, it’s especially effective in rewiring or rebalancing brain activity in mood-related areas. It’s widely accepted and commonly used for major depression, especially when other treatments haven’t worked.

Similarities Worth Highlighting

Even with the TMS vs rTMS contrast, they share core traits:

  • Noninvasive: Both avoid surgery or anesthesia, meaning you can resume normal activity right afterward.
  • Well tolerated: Side effects like mild headaches or scalp discomfort are common, but usually temporary.
  • Structured schedules: Both usually involve daily sessions over several weeks, often 4 to 6.
  • Coverage and access: Many insurance plans now cover treatments under the umbrella of TMS therapy, including rTMS.

The Takeaway: TMS vs rTMS in Real Life

When you’re comparing TMS therapy to rTMS:

  • Use TMS therapy when you want flexibility in targeting deeper or broader brain areas. It’s the umbrella term and includes specialized forms like deep TMS.
  • Look at rTMS if you’re after a well-studied, repetitive pulse protocol, especially for depression treatment.

Why this matters to you

Understanding TMS vs rTMS helps you talk confidently with your provider and compare available options. Knowing how long sessions take, how deep they penetrate, and which conditions each suits empowers better decisions.

Quick Summary – Your Handy Reference

  • TMS therapy is the general term that refers to all types of transcranial magnetic stimulation techniques.
  • rTMS means repetitive TMS, where pulses are delivered repeatedly in each session to build a lasting effect.
  • Deep TMS (a subtype) makes use of an H-coil that allows stimulation to reach deeper and wider brain regions compared to standard coils.
  • Session time varies between the two. rTMS sessions usually take longer, while deep TMS sessions are typically shorter.
  • Common uses overlap, as both approaches are widely used for depression. Deep TMS also has approval for conditions such as OCD and smoking cessation.

Final Thoughts

The next time you hear TMS therapy or wrestle with TMS vs rTMS, you’ll know:

  • TMS therapy is a broad category of magnetic brain treatment.
  • rTMS is the most common, repetitive variant focused on mood circuits.
  • Coil design, depth, and session patterns matter for your comfort, effectiveness, and convenience.

By knowing these distinctions, you’re better equipped to ask the right questions, understand treatment options, and feel confident moving forward. Here’s to smart, human-centered learning and making empowered choices in your wellness journey, and now you have the clear, fresh insight into TMS vs rTMS.

Stay Active During COVID-19 with BrainStim Centers

Posted on by Admin

COVID-19 took us all by surprise and has definitely kept us under the unknown for way too long. For many of us, staying at home means giving up on a daily routine. With fitness centers such as yoga and Pilates studios closed, we have had to adapt to a new normal.

Why should I care and keep my body moving?

Working out is not only about physical appearance or feeling strong. Working out helps to decrease stress hormones like cortisol and epinephrine in our bodies. After a workout, your body’s chemical balance will positively change leaving you feeling relaxed and happy.

Moreover, working out has similar effects as antidepressant medication. The purpose of antidepressants is to increase the amount of serotonin—your happy hormone. Working out can also help manage anxiety and panic attacks. The American Psychological Association (APA) states that physical stress during working out mirrors those attacks. The more you work out, the better your response will be during those overwhelming moments. According to the APA, it has been proven that at least 30 minutes a day of any type of physical activity can make a huge difference and increase the amount of serotonin in your body!

What can I do when my gym is closed?

Gym closures don’t mean we can’t work out anymore. There are numerous physical activities to choose from such as walking, bike riding, dancing, hiking, yoga, Pilates…you name it! You can stay active outside of your house, get some fresh air, and go for a walk or hike. If you prefer to stay indoors, YouTube has a great selection for at-home workouts or you can find workout applications for any smart device. We recommend checking out Pamela Reif for workout videos and Yoga with Adriene on YouTube. These two women can change your life and you don’t even need to leave your living room!

Here at BrainStim Centers, we offer free classes via Zoom. Join us for one of our Zumba, Meditation, Yoga, or Pilates classes. This is a great opportunity to explore new outlets to help manage any stressors you may be facing.

Our upcoming Zoom classes are:

Monday, November 30 -Zumba with Dario at 7 pm

Monday, December 14- Breathwork & Meditation with Wendy Hassenpflug 7 pm

Tuesday, December 29- Pilates with Cristina 11:30 am

Send an email request to info@brainstimcenters.com to receive a link to our zoom classes.

Non-invasive Ways to Treat Depression and Anxiety

Posted on by Jordan Zommick

Medication is not the only answer in treating depression and anxiety. In fact, many antidepressants do not work or leave people with multiple side effects. The best option is to combine medication with non-invasive treatments, or if possible, to eliminate medications altogether.

Fundamentally, depression and anxiety are linked to the human brain. The human brain is built of billions of neurons doing multiple tasks at the same time. These neurons receive and fire signals from different parts of our body to our brain and back. Unfortunately, if some parts of our brain are less active than others, the brain will not send and receive the signals it is meant to. Research has shown that the part of the brain responsible for depression and anxiety is the prefrontal cortex. It is believed that by stimulating the brain, our body will start producing serotonin. Serotonin is the main hormone linked to depression and anxiety. If our body has enough serotonin our mood will be uplifted.

How to increase the serotonin levels by non-invasive methods?

 

  1. Transcranial Magnetic Stimulation (TMS): TMS is one of the best methods to stimulate the exact part of the brain responsible for serotonin production- the Dorsal Lateral Prefrontal Cortex (DLPFC). TMS therapy should be repeated for about 36 sessions which will leave the patient with significant mood improvements. TMS doesn’t hurt, the sessions are short, and have very little to no side effects. The most common side effect is headache during the treatment.
  2. Working out: regular exercise reduces the levels of stress hormones such as cortisol and epinephrine. As a consequence, our body is more relaxed and our minds are more focused. Regular workouts are linked to memory and concentration improvement, as well as being better equipped to deal with depression, anxiety, and panic attacks.
  3. Meditation: just like working out, meditation helps with balancing the stress hormones in our body. Moreover, by learning how to meditate, we learn how to put our body in a relaxation stage, accept everything that is going on in our body and brain, and release those stressors.
  4. Breathing: breath control is a key component in reducing stress. Learning how to take deep breaths from your belly helps to reduce feeling stressed, overwhelmed, and anxious.
  5. Good diet: what you eat has a huge impact on how you feel. Foods such as fruits and vegetables, whole grains, unsweetened dairy products, and spices such as turmeric and cinnamon will improve your overall mood. Moreover, nuts, seeds, and olive oil can improve your brain work.

As you can see there are many ways that your mood can be uplifted without medication. Call us at 310.895.7122 if you would like to learn more about TMS. Our team will walk you through the process and create a plan of action best for your healthcare needs.

Understanding the Symptoms of Tinnitus and Finding Relief

Posted on by Jordan Zommick

It usually starts out small — you “hear” something that doesn’t come from any external stimuli. The sound may last for a minute or two and then dissipate. Some people go on to experience this noise more frequently. In severe cases, the sound turns into a constant and life-altering companion.

The name for this is tinnitus, which is a symptom of an underlying issue involving your auditory system. The team at BrainStim Centers has extensive experience helping patients find relief from tinnitus using an innovative technique called transcranial magnetic stimulation (TMS).

Before we get into how TMS may be able to resolve your tinnitus, let’s take a closer look at this condition to help you better recognize the problem.

The many faces of tinnitus

As we mentioned, tinnitus isn’t a disease but is a symptom of a problem in your auditory system. This symptom is most often described as ringing in your ears, but the sound can also present itself as:

  • Clicking
  • Hissing
  • Humming
  • Buzzing
  • Whistling

Sometimes the noise caused by tinnitus is like a roar or rushing sound.

While you can “hear” these noises, they don’t come from any external source, which means it’s created by a malfunction in your auditory system.

These sounds can come and go or remain constant. As well, the levels of the sounds can vary, depending upon the underlying issue.

Common causes of tinnitus

There are any number of problems that can lead to tinnitus, and here are just a few of the more common ones:

  • Damage due to prolonged exposure to noise (working in a noisy plant or wearing headphones)
  • Damage due to sudden, proximal noise (such as a bomb)
  • Age-related hearing loss
  • Ear infections
  • Certain medications
  • Trauma to your head or neck
  • Blockages in your ear canals
  • Blood vessel disorders
  • Eustachian tube dysfunction
  • Meniere’s disease (abnormal inner ear pressure)
  • Temporomandibular joint disorder (TMJ)

When it comes to treating tinnitus, it’s imperative that you receive a proper diagnosis, which will dictate how you go about treating the problem and finding relief.

Tinnitus and TMS

In a best-case scenario, you’re diagnosed with an ear infection or wax buildup, both of which can be quickly cleared up. Unfortunately, tinnitus isn’t usually that easy to figure out and takes a fair bit of sleuthing. Even after an extensive analysis, you and your doctors may be unable to pinpoint the underlying problem.

In these cases, treating this symptom can be very difficult, which is where our TMS treatment may help you find much-needed relief.

To start, we perform a brain scan (MRI) to determine the exact target on the surface of the brain to treat. Using TMS therapy, we can deliver pulses into these areas to stimulate brain neuron activity.

If we find that you may benefit from TMS, we discuss an appropriate timeline — typically five sessions per week for 2-4 weeks. Each of these sessions (except for the first) usually lasts only 20 minutes. Because the TMS treatments are noninvasive, you’re free to get on with your day after you come to see us.

As you progress through your treatments, you should realize gradual improvement in your tinnitus, and we can always make some adjustments along the way for optimal results.

If you’d like to explore whether TMS therapy may hold the key to resolving your tinnitus, contact one of our offices in Encino or Valencia, California, to set up a consultation.

Transcranial Magnetic Stimulation: A New Approach to Treating Depression

Posted on by Jordan Zommick

Depression is a leading cause of disability worldwide, affecting the lives of hundreds of millions of people. Making matters worse, the COVID-19 pandemic has only exacerbated the problem, with one-third of the population in the United States showing signs of clinical anxiety and/or depression.

Understanding the significant impact that depression can have on your life and on the lives of those around you, the team here at BrainStim Centers offers a non-invasive, drug-free approach to treating depression using transcranial magnetic stimulation (TMS).

Here’s a look at how TMS is helping our patients lead happy and productive lives.

A closer look at depression
Major depression is one of the most common mood disorders, and it can affect people to varying degrees. Some experience only mild symptoms, while others are trapped in seemingly endless cycles of depression, which is called a recurrent depressive disorder.

While everyone experiences sadness from time to time, depression is entirely different as the neural activity and chemical imbalances in certain areas of the brain, namely the amygdala, thalamus, and hippocampus, make it difficult to regulate mood. Many feel the following signs of depression:

  • Hopeless
  • Helpless
  • Disinterested
  • Lethargic
  • Self-loathing
  • Guilty

Depression can also affect your appetite and sleep and is often accompanied by physical symptoms, such as body aches, headaches, and gastrointestinal upset.

Traditionally, depression is treated using pharmapsychology, psychotherapy, and electroconvulsive therapy (ECT), with mixed success. Many find the side effects of medications or ECT to be too cumbersome, not to mention that finding the right combination of therapies can be difficult and time-consuming.

Frustratingly, the more combinations of medications you try, the less likely you’ll respond.

If this sounds familiar, it may be time to explore TMS, which has garnered impressive results among those with major depression and treatment-resistant depression.

How TMS works
Depression starts in the areas of your brain that regulate a person’s mood. While this statement may seem simple enough, depression is incredibly complex. To begin with, you may have an imbalance in brain chemicals that creates a malfunction in your ability to regulate your moods, leaving certain areas of your brain underactive or inactive. Depression is also tied to genetics, trauma, stress, certain medications, and medical issues.

To get to the bottom of your depression, we start with an MRI to get a closer look at the inner workings of your brain, which we upload into our state-of-the-art Nexstim SmartFocus®. The SmartFocus technology then creates a 3D map of your brain, which allows us to identify underactive areas.

From there, we know where to target the magnetic stimulation, which we deliver through a device that we place over your head. This stimulation is designed to reactivate the dormant areas in your brain, which are typically located in your dorsolateral prefrontal cortex, creating new neural connections that better control your moods.

Your TMS timeline depends on the severity of your symptoms and how well you respond to the therapy, but you should count on five sessions a week for several weeks to start. The sessions themselves generally last less than an hour and there’s no downtime afterward.

As far as efficacy, studies show that TMS therapy greatly improves the symptoms of depression so much so that our patients begin to live healthy, happy, and productive lives again.

If you want to explore how you can break free of your depression with TMS therapy, contact one of our two offices in Encino or Valencia, California at 310-895-7122 or email us at info@brainstimcenters.com.

How Transcranial Magnetic Stimulation (TMS) Works to Improve Brain Function

Posted on by Jordan Zommick

How Transcranial Magnetic Stimulation (TMS) Works to Improve Brain Function

Nearly 50 million Americans report issues with anxiety or depression, and these numbers are on the rise thanks to the current health pandemic. In fact, the US Census Bureau has found that nearly one in three Americans reported signs of clinical anxiety or depression last year.

While there are many different types of mental health issues, they all have one thing in common: They all start in your brain.

Our team of neuromodulation specialists here at BrainStim Centers fully understands this point, which is why we offer an innovative therapy that improves brain networking and function. It’s called transcranial magnetic stimulation (TMS) therapy.

Here’s a look at why this noninvasive and drug-free approach to mental health is becoming so popular in treating everything from anxiety and depression to addiction and chronic pain.

The complexity of the human brain
To say that the human brain is complex is putting it mildly. Consider this: The average human brain is made up of 86 billion neurons, and each of these neurons has 10,000 connections.

These neurons and their connectors form a circuit, which allows electrical activity to pass from one brain cell to the next. These circuits control most of the functions in your body, from muscle movement to mood regulation.

For example, when you have a mood disorder, such as depression, the circuits in your brain that regulate your moods, which are mostly found in your prefrontal cortex, are less active. In turn, these low neurotransmission levels can lead to imbalances in serotonin, dopamine, and norepinephrine — the primary neurotransmitters associated with depression.

How TMS helps brain function
The goal behind our TMS therapy is to stimulate specific areas of your brain for better function. Through a device that we place on your head, we deliver magnetic pulses that cause brief activity in your brain cells.

As you progress through your treatments, the ongoing stimulation gradually helps your brain form newer, healthier neural pathways.

To give you an idea of the efficacy of TMS therapy, Harvard Medical School reports that roughly 50-60% of people with depression who have “tried and failed to receive benefit from medications experience a clinically meaningful response with TMS.”

TMS and you
One of the many benefits of our TMS therapy is that our neuromodulation specialists are able to directly target the areas of your brain responsible for your mental health issue. To get started, we first perform an MRI, which allows us to get a better look at what’s happening inside your brain.

After we upload the image into our industry-leading Nexstim SmartFocus® system, we’re able to map the areas of your brain that are underactive to come up with a targeted treatment plan.

The TMS treatments themselves are noninvasive, and are usually done in about an hour, from start to finish. You should count on undergoing a series of treatments for best results, but we’ll be sure you understand the timeline beforehand.

If you’d like to break free from your mental health issue with TMS therapy, contact one of our two locations in Encino or Valencia, California, to set up a consultation.

© 2025.Copyright BrainStim Centers