Which one is right for you comes from your evaluation: what you tell us, and, where it helps, an MRI, a brainwave map and questionnaires. Dr. Liker reviews the plan before it starts.
Every pulse steered to a point planned on your own brain.
Your MRI becomes a 3D model and your target is marked on it. An infrared camera tracks a small reflector you wear, so the coil is guided to that point in real time and returns to it every session.
Repeated pulses that wake up or calm an area of the brain.
The coil delivers trains of magnetic pulses at a set rhythm, then rests. Faster rhythms stimulate underactive areas; slower ones settle overactive ones. We usually deliver it with navigation. If you can’t have an MRI, for example because of braces or certain implants, we don’t turn you away: where it’s safe for you, it can be given as non-navigated TMS, and our clinical team will check that first.
Short, patterned bursts that take minutes, not half an hour.
Instead of a steady train, pulses come in quick bursts of three, repeated at the brain’s own theta rhythm. Intermittent bursts excite an area; continuous ones calm it. A session can take as little as a few minutes.
A concentrated schedule: fifty short sessions over five days.
Ten short sessions a day for five days, about 45 to 50 minutes apart, instead of one session a day over six weeks or more. It can suit people who can’t come in daily for weeks. It isn’t right for everyone, and we’ll talk through whether it fits you.