What Is TMS?
Transcranial Magnetic Stimulation, TMS for short, is a noninvasive procedure that has shown positive results in treating depression. Typically used as a repetitive treatment, also called rTMS, it can be done as a walk-in procedure where an electromagnet is placed against the patient’s head, near the forehead, and small magnetic bursts are released to stimulate the part of the brain responsible for mood control.
TMS is typically used for patients who suffer from depression but have not seen improvement from traditional treatment in the past. While it has shown positive results, there is still much research to be done. Especially in the case of TMS being used for addiction.
How TMS Works
TMS works by targeting the part of the brain responsible for mood control and depression. It is believed that people who suffer from depression are dealing with a part of their brain that isn’t as active as it should be. The stimulation for the electromagnetic coil activates the part of the brain that is underperforming. While the exact understanding of this isn’t known, there is positive evidence that the stimulation has activated the brain and relieved the symptoms of depression
While there are some modifications in how the treatment is done, it is generally accepted that the strength and frequency of the pulses should be determined based on the patient’s motor control threshold. This is determined by the twitches that can be observed by the doctor performing the therapy. Since the procedure is noninvasive and done without sedation, a person can drive themselves home afterwards and not have to worry about missing additional work. In certain cases, however, TMS should not be performed. It is important to be open about everything with the doctor to know if TMS is right for your situation. Make sure to tell them if:
- You have some kind of implant
- You are pregnant
- You are taking any medications
- You have a history of seizures or epilepsy
- You suffer from a mental health disorder
- You have a pre-existing medical condition
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Using TMS to Treat Addiction
Treatment specialists have started using TMS in treatment for the dangerous symptoms that come with addiction, particularly treating people who may be suffering from depression as a symptom of withdrawal. TMS or rTMS can help stimulate their brain and return control over their mood.
The use of rTMS has also shown positive signs in fighting someone’s cravings, though the exact reasoning is unknown. In a double-blind study, 11 out of 16 people who received rTMS therapy for a cocaine addiction were free of their addiction symptoms after one month of TMS. Out of the group who received the standard treatment, who only received the standard treatment, only 3 were drug free in the same time.
Though these studies are promising, there is still more testing to be done, and one should not treat this therapy as the end-all-be-all of addiction treatment. Like anything, it should only be included into a plan that involves other therapies and treatment medication. As the treatment has yet to be FDA approved, it should be treated with great caution.
Side Effects of TMS
Given that the use of TMS to treat addiction is still fairly recent, there have not been many studies to identify the effects in the long-term. Though some institutions have been founded based on the possibilities of using TMS, it is still difficult to say why the practice is working in the exact way that it does. Part of the draw of the procedure is that it doesn’t require any additional drugs to fight someone’s craving, removing the temptation that some fall victim to while in recovery. Like anything, TMS is not without its side effects. However, the common effects are minimal, and anything more severe is a rare occurrence. Common side effects include:
- Discomfort at the site of stimulation
- Tingling, spasms, or twitching of muscles
More severe effects are possible, but unlikely. It would seem that as long as the proper precautions are taken, there is little risk for more dangerous effects. These potential, more extreme side effects of rTMS include:
- Mania in people suffering from bipolar disorder
- Hearing loss if proper ear protection is not worn
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Seeking Treatment and TMS
Seeking recovery from addiction is often a harder process than people realize. There isn’t a one-stop shop to treat addiction. Every person is different, and what may work for one person won’t necessarily work for someone else. If you or someone you love have suffered a relapse after going through rehabilitation, it may not be on you. Rather, the treatment you received may not have been what you needed. If TMS is something you believe you could benefit from, then reach out to a dedicated treatment provider. They can talk to you about rehab options.