The Neuroscience of Change: Understanding TMS
Information
Date & Time
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Description
Transcranial magnetic stimulation (TMS) is an FDA-cleared, non-invasive neuromodulation treatment for major depressive disorder that uses focused magnetic pulses to modulate activity in the dorsolateral prefrontal cortex. Despite more than fifteen years of clinical availability and a substantial evidence base, TMS remains underutilized — in large part because the clinicians and referral partners best positioned to identify appropriate candidates often have limited exposure to how it works, who benefits, and what the treatment course actually involves. This session provides a practical, non-technical introduction to TMS for a mixed behavioral health audience. Dr. Megha Chadha will review the neurobiological rationale for TMS in depression, walk through the patient experience from consultation to the standard treatment course, and summarize current efficacy and safety data, including response and remission rates in treatment-resistant populations. The presentation then turns to co-occurring presentations commonly seen in behavioral health settings: anxiety, PTSD, OCD, and substance use disorders, and examines what the evidence does and does not yet support for these populations. Attendees will leave able to recognize appropriate TMS candidates on their own caseloads, describe the treatment accurately to patients and families, and understand when and how to make a referral.
Learning Objectives
Participants will be able to:
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Describe the mechanism of action of transcranial magnetic stimulation and the neurobiological rationale for targeting the dorsolateral prefrontal cortex in the treatment of major depressive disorder.
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Identify at least three clinical criteria that characterize an appropriate TMS candidate, including treatment-resistance thresholds.
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List the primary contraindications and safety considerations that would exclude a patient from TMS.
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Summarize current efficacy and safety evidence for TMS in treatment-resistant depression, including approximate response and remission rates and the most common adverse effects.
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Explain the evidence base for TMS in patients with depression and co-occurring anxiety, PTSD, or substance use disorders, and differentiate between FDA-cleared indications and off-label or emerging applications.
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Apply knowledge of the TMS treatment course: session length, frequency, duration, and accelerated protocols, to accurately counsel patients and initiate a referral.
Educational Goal
Target Audience
- Addiction Professional
- Counselor
- Dietitian
- Marriage & Family Therapist
- Psychologist
- Social Worker
Presenters
Financially Sponsored By
- Discovery Behavioral Health