Not all TMS (Transcranial Magnetic Stimulation) Machines Are Created Equal


Not all TMS (transcranial magnetic stimulation) machines are created equal. It is different at The Mind Store. The efficacy of TMS is contingent on the machine itself. BrainsWay offers a special figure 8-coil in their TMS machines that we feel reassured by. Don’t lose hope if you have tried “other” TMS treatments but haven’t used this special machine from BrainsWay.


Repetitive transcranial magnetic stimulation (rTMS) is an FDA-approved, evidence-based treatment for major depressive disorder (MDD). However, comparisons of the efficacy of two different rTMS modalities are lacking. This industry-independent, randomized-controlled, single-blind trial evaluates the clinical outcome of two FDA-approved rTMS protocols delivered by the H1-coil or the 8-coil in MDD patients. A total of 288 MDD patients were randomized to 20 sessions of H1-coil or 8-coil as an adjunct to standard-of-care pharmacotherapy or standard-of-care pharmacotherapy alone. The baseline of MDD symptoms was severe in all three groups. The results of the study produced a remission rate of 60% in the H1-coil and standard pharmacotherapy group and 43% in the 8-coil and standard pharmacotherapy group. The control group achieved a 11% remission rate using only pharmacotherapy.[1]


Read the article here: https://doi.org/10.24869/psyd.2018.41

Fig. 1 Coil Designs of the figure-8 coil (a,b) and H1 coil (c,d). Schematic of the figure-8 coil (a) and its placement on the head
targeting the left dlPFC (b). Schematic of the H1 coil (c) and its placement
on the head targeting the left dlPFC.

The flexible base of the H1 coil (Fig. 1c and d) enables the coil to adapt to the unique patient’s curvature of the scalp for maximum position and orientation. As a result, electric field components are reduced over the targeted area. The surface depth of brain treatment is reduced. Compared to the figure-8 coil, for dense, optimal, and efficient field summation in depth. The numerous components result in sufficient intensity in the target region compared to the maximal field at the surface of the brain with the H1 coil. 


"Their entire team is FABULOUS. They have always treated me with dignity and respect. I have watched them with other clients as well and I see their genuine compassion for everyone that walks thru the door. I initially went to them because I moved to CO in late 2017 and they were the first place that had an opening. I needed a psychiatrist to keep me on my Rx. I was surprised when Dr Park spent more than 15 mins going over my past Rx history with me, as has been my experience for many years. Not only did we discuss Rx, he then spent another 45 mins talking to me as a counselor. I had never had a psychiatrist/counselor combo before and was amazed at how effective it is when your Dr hears more about what's going in your life than just the effects of your current Rx. This treatment model is not practiced by someone that doesn't care about his patients. He could offer the basics that most psychiatrists offer and still bill insurance the same amount but he wants his patients to succeed and is invested in their progress. He also doesn't believe in keeping someone in therapy forever. Even if it means less income for him, when you stabilize to the point that you have better things to do than spend 30 mins with him, it's a sign that you may be ready to engage in therapy less often and he will tell you that. Dr Park has been a life and marriage saver for me and he is amazingly efficient. He gets done in 1-2 sessions what would take 6 months for another counselor because he doesn't dance around the issues. To do this, he may be more blunt with you than you might have experienced before and that may be off putting to some. If you are ready to do the hard work to make your life enjoyable again, Dr Park is your man! He also got me hooked up with TMS. If you are someone that has struggled with depression for a long time and taken Rx that hasn't been effective, talk to someone about TMS. It's a game changer. It may sound like hokey fake science. It's not. It works and works fast. THANK YOU!"

– E.M.