A treatment for active duty and retired military service members and their dependents who have not found relief for their depression, anxiety or PTSD
The practice of Bruce Hubbard MD is considered an In-Network provider for many insurance plans, including Tricare and TriWest. This new therapy is included in the Tricare health insurance plans, and we can help you navigate the requirements for coverage. Real hope is just a phone call away, so get the help you need with the insurance coverage you already have.
TMS is an innovative, non-drug therapy that helps people who struggle with Major Depressive Disorder. It helps activate the natural function of the brain’s neurotransmitters using a non-invasive magnetic field.
Administered in our office without sedation, TMS requires daily treatments over several weeks. Each treatment takes approximately 20 minutes and is administered five days per week. Magnetic pulses are used to stimulate specific mood centers of the brain.
TMS is a breakthrough in the treatment of Major Depressive Disorder because it offers real potential for long-term remission of symptoms. With standard drug therapy, long-term remission becomes less likely with each prescription medication treatment attempt. As antidepressant medication increases, so can side effects and the potential for treatment failure.
TMS also provides relief more quickly than typical antidepressant medication, with many patient noticing changes within a few weeks.
Hear Dr. Bruce Hubbard, M.D. explain the benefits of TMS for treating depression and anxiety.
Hear Ann Wycoff, Ph.D. explain the benefits of TMS for treating depression and anxiety.
TMS uses a targeted pulsed magnetic field, similar to what is used in an MRI (magnetic resonance imaging) machine. While the patient is awake and alert, TMS Therapy stimulates areas of the brain that are underactive in Depression.
Precisely targeted to the prefrontal cortex, TMS makes long-term remission possible, without the side-effects of medication.
Consider these questions and contact our office to discuss whether TMS Therapy is right for you:
TMS can be used to treat symptoms other than depression by targeting different areas of the brain. Research has shown that TMS can be helpful in reducing anxiety and PTSD where other treatments have failed. A brain without anxiety can regulate emotions, impulses, and behaviors by controlling the limbic system—the emotional center of the brain. If you suffer from an anxiety condition, like Generalized Anxiety Disorder (GAD) or PTSD, the part of your brain called the amygdala is hyperactive. TMS treatment can reduce activity in the amygdala thus reducing your symptoms and allowing you to a live more calmly.
Contact our office to arrange a courtesy consultation with Dr. Ann Wycoff to determine if TMS is right for you.
“I spent 22 years living with depression and now I have full range of emotions that I’ve never experienced before, and a new outlook on life. Before beginning treatment, I was non-functioning and almost completely non-verbal. My sleep schedule was non-existent, my energy levels were very low, and I had to pause my schooling because I was unable to even talk to people.
By week two of treatment, not only was I sleeping better and waking up refreshed, but those around me noticed a significant change. I began talking so much I joked that my therapist would have to teach me to be quiet. This treatment has changed my life for the better. I would highly recommend TMS to anyone suffering from severe depression.“
“I noticed immediately an improvement and so did the people around me. That heavy weight of depression was lifted and I felt good. I’m happier than I’ve been in years. The medicines weren’t working so I got proactive and tried this. I’m so patient with my husband now. I don’t have that anger anymore. I laugh every day many times and that’s really new. I’ve never been to a place with so much empathy and compassion. I felt I could let down and show it all. The staff here is deeply invested in their patients. What I experience now is positivity. I guess that’s the right word. My husband is so happy with the results. I didn’t smile for so long. I don’t have the moodiness. There are so many depressed people in the world that this will help. If anyone wants to email me or talk with me I’d be happy to talk with them.”
Our services are covered by most commercial health insurance plans in addition to Medicare and Tricare. Please have your health insurance information at hand when you call to schedule an initial evaluation. Our TMS Coordinator will check your benefits and assist you in requesting prior authorization.
Results have persisted for at least one year for most subjects followed by researchers. Many patients report results lasting several years.
Anyone who is currently depressed may be a candidate for TMS. TMS is especially beneficial for those who have not adequately benefited from antidepressant medications, or who cannot tolerate the side effects of these medications.
The research shows that a small number of patients may experience a mild, dull headache either during or right after treatment. It subsides within an hour or two. We rarely see this side effect but recommend that the patient take Tylenol before treatment if they experience this. We have only seen this side effect in the first week of treatment, and we rarely see it at all. There is only one other “side effect” that we have seen in our experience in administering TMS to over 400 patients. About 50% of patients will experience an “emotional dip” at some time during their treatment. This usually occurs at about the third week and consists of a temporary return to the level of depression they felt when they first started treatment. The “dip” usually lasts for 2-5 days. In rare circumstances it can last up to two weeks. It appears to be correlated with the presence of past trauma. Many patients do not experience a dip at all. It is believed by some experts that when we stimulate the prefrontal cortex, repressed feelings that are stored in that area of the brain are also stimulated, causing those old, painful feelings to surface. If a dip occurs, we watch the patient closely and provide extra support during this period. The patient schedules in-person check-ins with Dr. Wycoff as often as needed. Dr. Wycoff stays in close contact with the technician delivering the daily treatment and with Dr. Hubbard, our psychiatrist. Dr Hubbard will meet with the patient in-person if indicated. When the patient is reminded that this is a normal and expected part of treatment, they tend to relax and feel better. The dip will gradually subside and it is at this point that the effects of TMS tend to gain momentum. An emotional dip is a sign that the treatment is working. Although the “dip” is unpleasant it can be an indicator of a significantly positive result by the end of treatment.
Yes. We do not want the patient to make any substantive changes to their regular medication routine while undergoing TMS. After the patient has completed TMS they can discuss with their provider whether it is appropriate to gradually discontinue medication. Patients should never stop their medication without the supervision of a medical provider, as abrupt discontinuation of an antidepressant may have serious adverse effects.
Yes, TMS treatment is noninvasive and the patient is not sedated or medicated for the treatment. After treatment the patient drives home and continues their normal routine.
TMS is FDA approved for the treatment of depression. There are twelve years of solid, high quality, peer reviewed research supporting TMS. We have treated over 500 patients and have not seen any harmful effects to any of our patients. The majority of patients experience a significant reduction in depression which, according to the research and our own experience, lasts for at least one year but much longer for many.
According to the research and our experience, younger patients tend to get an earlier effect. Patients in their 20’s often feel an effect by the 3rd or 4th treatment which gradually gains momentum. Patients in their 40’s and 50’s typically get an effect after 2-3 weeks. Older patients may not feel an effect until the 4th week of treatment. If a patient only begins to get a solid effect much later in the treatment protocol, we will often ask their insurance to give them ten more treatments. If their insurance denies our request, we will often give ten extra treatments at no charge. We have seen patients benefit significantly from ten more treatments if they only begin to feel a significant effect later in the protocol. Our goal is to pay close attention to each patient’s individual experience and adjust treatment when needed to get each patient the very best result possible.
Yes. Depression and anxiety frequently co-exist. The typical TMS protocol delivers a magnetic pulse to the prefrontal cortex on the top left side of the head typically reduces both depression and anxiety symptoms together. However, some patients are experiencing severe anxiety in addition to depression. For those patients we may treat the top right side of the head in addition to the left side treatment.
You are our top priority. As soon as we see your message, we will reach out to you.
If you are an existing patient to our practice, call our office at 619-295-8005 for fastest assistance.
Contact us today to arrange a complementary TMS consultation.