TMS FAQs
With the oversight of Dr Palmer a treatment plan is created based on your weekly qEEG results and self-report surveys. This plan is personalized to your unique frequency of neuron firing. The treatment is applied through a low amplitude electromagnetic pulse at the matching alpha wave frequency for neuronal firing to stimulate neurons in each of 19 brain regions to fire in sync with the rest of your brain. If you are using the rTMS or TBS protocols, the frequency of the electromagnetic pulse is standardized. The average person’s neurons fire at 10 times per second, so as you repetitively stimulate the neurons to fire at this personalized frequency (five times a week over a period of 6-8 weeks), the neurons are trained to continue to fire at the right frequency without ongoing treatment. This process will give you optimized brain performance which can improve any conditions that are being impacted by your neurons being out of sync.
All treatments are done around the head area. If using rTMS or TBS there is one area where treatment is applied at the Dorsolateral Prefrontal Cortex (above the left ear). If you are using PrTMS,There are four general areas one can receive treatment. The first is at the crown of the head. The second is at the center of the hairline. The third is above the left ear. The fourth is your forehead.
The pulses are light and most are imperceptible but you can hear a clicking sound at the rate which the magnet is pulsing. Sometimes it feels like someone lightly tapping the spot on your head where the treatment is applied.
You can discontinue at any time for any reason. Some people prefer to get an qEEG and consult with Dr. Palmer before determining whether they want to continue with treatment.
Treatment is five days a week for an average of 6-8 weeks (depending on progress). If you are using PrTMS or standard rTMS, plan on appointments lasting up to 45 minutes for each session. If you are using TBS, plan on appointments lasting about 10 minutes. Sessions are five days a week. If you are doing PrTMS you will also need to do results surveys and a new qEEG which can take an additional 45 minutes.
For the majority, there are no side effects. Some people report having a headache immediately after a treatment. This is usually resolved by taking something with sugar to recharge the glucose used by your brain during treatment as the brain is getting a work out.
Each person is unique and with any treatment, there is no guarantee of what results you will obtain. There is no data that indicates a negative outcome but there are some people who don’t respond to treatment. Others see immediate results and some see it several weeks into the process. Dr Palmer will help you interpret the data and determine if more treatment is recommended as the process continues.
Progress is generally maintained at a high level if you continue in the healthy habits practiced including sleep, staying away from brain altering substances and do not sustain a concussion or other trauma to the brain. If you are using PrTMS toward the end of the treatment cycle the number of treatments are reduced followed by a qEEG to see if the gains are being maintained without continued application of treatment.
Any of these events have the potential to disrupt the work you have done and you may need to get re-tuned. Some patients choose to come in occasionally (6 to 12 months) to do a new qEEG and see if a one to two week tune up would be beneficial.
TMS treats the brain as an organ rather than specific diagnoses. However, there are a number of diagnoses that have shown improvement after completing a course of TMS. These include anxiety, depression, sleep problems, low energy, ADHD, brain fog, autism spectrum disorder, PTSD, OCD, and migraine headaches. There are currently studies taking place around the world to investigate the effectiveness of TMS at treating many of these. Currently, the FDA recommends TMS for OCD, migraines, and treatment resistant depression.
Treatment has various price points available depending on the protocol needed. The most expensive is PrTMS followed by rTMS and finally TBS. To determine the best protocol you can take advantage of our FREE qEEG assessment and consultation. This risk-free assessment is analyzed by the doctor and reviewed with you before any treatment is prescribed.
Your health insurance may cover the cost of treatment. Typical diagnoses covered are major depression, migraines, and OCD.
Our clinics are in-network providers for:
- Select Health
- DMBA
- Blue Cross/Blue Shield
- Cigna
- United / Optum
When coming in for a qEEG please ensure that your hair is clean, dry, and free of hair products (spray, gel, etc) allowing the qEEG sensors to accurately read and record brain activity. You will also need to have 25 grams of sugar 20-30 minutes before the qEEG (provided if needed) to ensure that you get this important intake of glucose for better brain function testing.
Yes, to ensure best treatment measures and protocol settings going forward.
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