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TMS Therapy

TMS Therapy: A New Treatment For When Nothing Else Has Worked

If you’re looking into transcranial magnetic stimulation (TMS), it probably means you’ve been through a lot already—medications, therapy, maybe even major lifestyle changes. And still, the weight of depression hasn’t lifted.

That doesn’t mean you’ve failed. It may simply mean you need a different kind of treatment.

That’s what TMS therapy offers.

TMS is an FDA-approved, non-invasive therapy for major depressive disorder and depression with anxious distress. It uses gentle magnetic pulses to stimulate underactive areas of the brain that regulate mood, energy, and focus. As these networks become more responsive, many people report gradual improvements that feel steady, natural, and deeply meaningful.

Is TMS Therapy Right For You?

TMS may be worth considering if you recognize yourself in one or more of the situations below. These patterns are common among people who benefit from TMS therapy.

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You’ve Tried Multiple Medications

Many patients come to us after cycling through several antidepressants without lasting improvement. TMS provides a different pathway. It works directly on the brain circuits involved in mood regulation, rather than relying on daily medication.

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You Feel Drained or Physically Heavy

Depression affects more than mood. It influences sleep, energy, and motivation. When fatigue, fog, and low drive make daily life feel heavy, TMS therapy can help by activating the neural networks that support alertness and engagement.

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You Want a Non-Invasive Treatment

TMS is a non-drug depression treatment. It doesn’t involve anesthesia, daily medication, and it doesn’t carry the systemic side effects that often come with antidepressants. For many patients, it’s a well-tolerated alternative.

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You Benefit From Routine & Connection

TMS therapy involves short, daily visits over several weeks. This steady rhythm gives you consistent contact with a trained technician and physician-led team. Many patients find this regular connection grounding, supportive, and essential to their healing process.

How Does TMS Therapy Work?

Depression doesn’t just change how you feel. It actually changes key regions of the brain because they are underactive. These areas affect mood, motivation, emotional regulation, and cognitive clarity.

TMS gently stimulates these regions, helping them function more effectively.

What Happens During a TMS Session?

During each session, you will sit comfortably in a treatment chair while a trained technician positions a cushioned magnetic coil against your scalp. The device delivers focused magnetic pulses to the brain regions responsible for mood regulation and energy.

Most people describe the sensation as light tapping. It may feel unusual at first, but it’s not painful. There is no sedation, no need for a driver, and no recovery period. You can return to your normal routine immediately after treatment.

Why TMS Therapy Often Helps When Other Treatments Haven’t

Many people try multiple antidepressants, years of therapy, and meaningful lifestyle changes, and still feel stuck. Here’s what makes TMS different:

  • It Targets What Medications Can’t

Unlike medication, which affects the whole body, transcranial magnetic stimulation targets specific areas of the brain responsible for mood, decision-making, and motivation—regions that are often underactive in people with depression.

  • It Builds Real Change Over Time

TMS isn’t a quick fix, but it is a cumulative process. Each session helps the brain form healthier, more adaptive pathways. Many people experience progress in phases—first energy, then focus, then emotional steadiness.

  • It Fits Into Daily Life

Sessions are short and do not require recovery time. Most patients continue working, studying, or caregiving throughout the course of treatment.

  • It Can Go Deeper When Needed

Some patients respond best to deeper brain stimulation. Paxina offers both standard and Deep TMS, and we tailor treatment based on your symptoms, history, and response.

What is Deep TMS?

Deep TMS is an FDA-cleared form of transcranial magnetic stimulation that uses a specialized H-coil to reach deeper regions of the brain involved in mood regulation. While TMS targets surface-level neural pathways, Deep TMS can stimulate broader and deeper networks.

At Paxina, we offer both standard and Deep TMS.

During your evaluation, we’ll review your symptoms, treatment history, and clinical needs to determine which approach is most appropriate. Some patients benefit from deeper stimulation, while others respond well to the standard protocol.

The Results: What You Can Expect From Treatment

Everyone responds to transcranial magnetic stimulation a little differently, but many patients describe the experience as gradual yet meaningful. It often begins with subtle shifts and continues to build.

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More Energy & Motivation

Daily tasks feel lighter, and getting out of bed feels possible again. Many people describe feeling "more like themselves."

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More Mental Clarity

Brain fog fades. You may find it easier to concentrate, make decisions, and stay present in conversations or at work.

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Greater Emotional Stability

Mood swings soften, irritability lessens, and emotions feel more balanced overall—without the numbing side effects some medications can cause.

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A Renewed Sense of Hope

As symptoms lift, many patients say they feel more optimistic and confident in their ability to manage life’s ups and downs.

Common Misconceptions About TMS Therapy

Because transcranial magnetic stimulation is newer than traditional treatments, it is often misunderstood. Here are a few common misconceptions we’d like to address:

TMS is the same as electroconvulsive therapy (ECT)

TMS and ECT are completely different treatments. ECT uses electrical currents and requires anesthesia. TMS uses magnetic pulses similar to an MRI and does not induce seizures or require sedation.

TMS won’t help if medication hasn’t worked

Medication and TMS work through completely different mechanisms. Medications affect neurochemistry. TMS is a non-drug depression treatment that stimulates underactive neural circuits directly. Many patients who did not respond to antidepressants still benefit from TMS.

TMS is painful

Most people describe the sensation as tapping on the scalp. While it may feel unusual at first, it’s generally well tolerated.

Results do not last

Many people experience long-lasting relief after completing a full TMS series. Some choose to return for maintenance sessions later on, but many do not need ongoing treatment.

Frequently Asked Questions

How long does a typical TMS therapy session last?

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How soon will I start feeling better?

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Is transcranial magnetic stimulation covered by insurance?

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Can I continue taking medication or going to therapy during TMS?

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What happens if TMS doesn’t work for me?

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Why Patients Trust

Paxina Health

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Your Care Comes First

Too many clinics are built around volume, not people. At Paxina, your care comes first. We never recommend treatments that aren’t right for you, and we never rush the process. Every decision, from the treatment approach to the pace of your care, comes back to one question: what is truly best for you?

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You’ll Be Heard, Never Rushed

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Physician-Led Treatment

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An Environment That Supports Healing

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Who We Are

Paxina Health was founded by psychiatrists Dr. Todd Young and Dr. Nicodemus Watts with a shared mission: to create a practice where patients are truly seen, heard, and cared for.

Here, recovery starts with compassion, grows with understanding, and evolves as your needs change.

Meet the Paxina Team
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Healing Starts Here

Wherever you are on your journey, Paxina Health is ready to help you heal the whole you. All you have to do is take the first step by reaching out.

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Address:

12625 High Bluff Drive, Suite 111, San Diego, CA 92130

Hours

Monday - Friday 9 am - 5 pm


Contact:

619.566.1002 office
619.566.1003 fax

contact@paxinahealth.com

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