Overview of Service
Based in the outpatient treatment facility of the Department of Psychiatry at 3535 Market Street, patients are initially seen by a board certified psychiatrist for evaluation of the clinical appropriateness of TMS in each case.
The initial assessment is conducted over a 2 hour period to allow sufficient time to fully assess each case. This includes arriving at the correct diagnosis, evaluating the appropriateness of TMS as the next step in treatment in your case, as well as determining the risk benefit of TMS and the other available treatments for your condition. We will also review with you possible side effects associated with TMS and the “off label” nature of the treatment at this juncture. At this time, there is no insurance coverage for TMS and thus you will be fully responsible for payment for the TMS course of treatment.
Before the first TMS session, patients are carefully screened for the presence of medical conditions (seizure disorder or epilepsy) or underlying risk factors (presence of metal within the head) that might make the administration of TMS unsafe clinically. If TMS is deemed to be safe and appropriate for your case, you will be scheduled to commence a course of TMS treatment.
TMS sessions are administered in Suite 4005, 3535 Market Street. Sessions are usually done offered in 5 day blocks (Monday to Friday), but sometimes may also be conducted 3 days per week depending on the individual case. Patients are reassessed for clinical progress by the treating psychiatrist after each 10 session block of treatment. Additionally, patients are assessed for side effects before and after each TMS session.
Our experience indicates that most patients need 30 to 40 sessions of TMS to derive the most benefit in the treatment of depression. Not all patients, however, will respond to this treatment. In that case, we will discuss with you what are the next best treatment options in your case and make appropriate referrals for further treatment. If you do benefit from TMS, we will discuss with you how best this improvement can be sustained, including the possibility of intermittent TMS sessions as a maintenance treatment for your condition.
TMS Treatment Program is now open and accepting appointments.
Please click here for information about scheduling.