The last decade has seen a rapid increase in the applications of non-invasive brain stimulation technique such as transcranial magnetic stimulation (TMS). TMS technique has been found to be a treatment for a variety of neuropsychiatric disorders such as:
- acute mania
- bipolar disorders
- post-traumatic stress disorder
- drug craving and migraines
The number of clinics using TMS for therapeutic or neuroscientific purposes, and consequently the number of healthy individuals and patients with various neurological or psychiatric diseases studied worldwide, has been increasing yearly for the past 20 years. TMS has developed a world-wide reputation and is often used for clinical purposes in combination with other techniques: for example fMRI or EEG measurement to investigate the brain activity during stimulation.
What is TMS?
The principle of therapeutic magnetic stimulation is based on the following. The magnetic stimulator uses the magnetic pulses of short duration. The emerging high-intensity electromagnetic field easily penetrates through clothes, cranium bones and soft tissues. They exert influence upon deep nerve centers, peripheral nerves, cerebral and spinal cord, which are inaccessible for other kinds of stimulation.
The effect of the magnetic stimulation is dependent on location, intensity and frequency of the magnetic pulses. These pulses can be delivered at either high (10–20 Hz) or low frequency (less than or equal to 1 Hz). Most clinical TMS treatments delivered for treating depression are typically given at 10 Hz to 18 Hz. The peak magnetic ﬁeld strength achieved with each pulse is approximately 1.5 Tesla, right underneath the coil, similar in strength to the magnetic ﬁeld produced by a typical magnetic resonance imaging device. This method helps to relieve symptoms that are not responsive to other treatment methods.
TMS was initially used to investigate nerve conduction. It can be used as a tool for brain mapping, as a probe for neuronal networks, and as a modulator of brain function.
TMS in Minutko Mental Health Clinic
MMHC provides the highest standard of care for mental health disorders. Our primary treatment modality is a transcranial magnetic stimulation (TMS). This non-invasive, outpatient therapy is FDA cleared and has helped thousands of patients who have not received adequate results from antidepressants.
A new version of magnetic stimulator TMS device was developed and manufactured by a leading Russian company NeuroSoft.
We recommend that you review the list of features and benefits of Neurosoft TMS device:
- high power monophasic pulse
- extremely low electromagnetic interference
- two configurations for single pulse and paired pulse
- stimulation with up to 20 Hz frequency (up to 25 Hz with maximum intensity)
- peak magnetic field that reaches 4T
- number of pulses generated during one session – up to 10 000
Treatment sessions will cost $46 per session.
As we expect you to have between 20-30 treatment sessions, the total cost of treatment will be approximately $920-1380.
The types of payment we accept include: MasterCard, Visa etc. Payment is required directly on arrival.
If you think TMS might be something that would benefit but you are not sure if you can afford the treatment, feel free to contact us directly for more information about how we might be able to assist you.
We are here to help you, so please do not hesitate to contact us if you would like us to explain the TMS treatment costs to you in specific reference to your individual case.
Please contact our clinic to make an appointment to discuss your individualized TMS treatment or payment options. Call +7 (495) 966-41-22, or live:clinicminutko (Skype)
MMHC provides free long-distance preliminary consultations via Trueconf. To receive a distance consultation, please observe the following requirements on our website.
In addition, our experts will assist you in organizational aspects regarding information on visa requirements, hotel reservations, flight arrangements and airport pick-up services.
How does TMS work?
TMS works best with patients who have failed to benefit from two or more antidepressant treatments. It is administered on an outpatient basis and does not require sedation. Patients are fully awake during the treatment and can resume daily activities immediately after the treatment.
Side effects are generally mild and typically improve after the first week or two of treatment. The most common side effect is headache.
Benefits of TMS
TMS targets only the region of the brain that needs treatment and, unlike pharmaceutical treatments, TMS has no systemic side effects.
TMS is FDA-approved for the treatment of major depressive disorder in patients who have failed to achieve satisfactory improvement from initial treatment with an antidepressant (at or above the minimal effective dose and duration for the current depressive episode).
TMS is non-invasive and relatively painless. Patients are seated in a dentist’s-like chair for the treatment.
TMS sessions last about 40 minutes and patients can resume their normal activities immediately after each session.
After a full course of treatment, a high percentage of patients notice a significant reduction in symptoms and experience improvement in their quality of life.
TMS for the treatment of depression
TMS is considered to be an effective noninvasive treatment for people who have depression that has not improved with medications. Overwhelming majority of research suggests that rTMS targeting the left dorsolateral prefrontal cortex at a high-frequency is an effective way to eliminate depression.
Many patients find TMS for depression appealing due to the fact that it has no significant side effects such as dry mouth, weight gain, and sexual dysfunction. Those receiving TMS usually are treated four or five times every week for four to six weeks. Each session usually lasts 30 to 60 minutes and does not require sedation or anesthesia.
TMS for the treatment of bipolar disorders
Transcranial magnetic stimulation therapy can help patients with Bipolar disorder, a brain disorder causing irregular shifts in a person's mood, energy, and functioning. TMS treatment performs magnetic stimulation of brain structures and networks related to bipolar disorder and according to many scientific studies bring significant improvement to patients. The effects of rTMS on mood are related to stimulus frequency, intensity and coil placement.
According to Journal of Affective Disorders survey, nine bipolar patients diagnosed with mania were treated with right prefrontal rapid TMS in an open study; During the 4 weeks of TMS treatment a sustained reduction of manic symptoms as measured by the Bech-Rafaelsen mania scale was observed in all patients.
TMS for OCD treatment
In recent years TMS has become a new therapeutic OCD treatment. TMS indirectly improves the psychological well-being of people by means of inhibition of the prefrontal activity of the brain. Scientific studies proved beneficial effects of rTMS on obsessive-compulsive symptoms already during the first hours after stimulation; Remaining symptoms disappear during follow-up sessions.
TMS for PTSD treatment
TMS serves as an effective, safe, non-invasive treatment for PTSD. TMS therapy performs magnetic stimulation of brain structures and networks related to PTSD and bring significant improvement to patients. TMS can be considered as a first-line therapy in PTSD treatment, but it also can be an alternative treatment in specific cases (i.e. patients who are treatment resistant, or have a severe and chronic condition).
See Article: Clinical Effectiveness of TMS for Adults with PTSD
TMS for GAD treatment
Conventional pharmacological and non-pharmacological treatments for GAD may not be sufficient for some patients. TMS is an alternative therapy that could be used in these patients, often classified as “treatment resistant”. TMS procedure normalizes brain activity of patients with abnormal neurological function. Many scientific trials determined that TMS alleviated anxiety, better than other treatment methods.
As of today, TMS as a treatment for most psychiatric disorders remains an exciting and important topic for future medical researches.
See Article: Clinical Effectiveness of TMS for Adults with GAD
- Minutko Mental Health Clinic main campus (Schekutino, Moscow region)
- Psychoneuropsychological Rehab Center “Izumrud” (Dedenevo, Moscow region)
- Minutko Outpatient Center (Strogino) (Darya TTs, Stroginskiy b-r, Moscow)
- Minutko Outpatient Center (Belyaevo) (3b, Ul. Akademika Artsimovicha, Moscow)
+7 (495) 966-41-22