TMS Therapy

TMS Therapy for Depression & OCD

For Patients Who Have Not Improved with Medication

What is TMS?

Transcranial Magnetic Stimulation (TMS) is an FDA-approved, non-medication treatment for depression and OCD. TMS uses gentle magnetic pulses to stimulate areas of the brain involved in mood regulation that may be underactive in depression. Over time, this stimulation helps restore normal brain activity and improve mood, energy, and motivation.

TMS is commonly used when medications have not helped enough or have caused difficult side effects.

TMS Brain Illustration
TMS Brain Illustration Electric Field

Who is a Candidate for TMS?

TMS may be right for patients who:

  • Have tried 2 or more medications without enough improvement
  • Have medication side effects
  • Have depression that keeps returning
  • Are looking for a non-medication treatment
  • Have OCD

TMS may not be appropriate for patients with:

  • Certain metal implants in the head
  • Some implanted medical devices
  • Uncontrolled seizure disorders

What Treatment is Like

  • Treatments last about 18–20 minutes
  • Treatments are 5 days per week for 6–9 weeks
  • You are awake and can talk during treatment
  • You can drive yourself to and from treatment
  • Most patients return to normal daily activities after each session

Our team monitors your progress throughout treatment and adjusts the treatment if needed.

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Why Choose Our TMS Program

Choosing where to receive TMS treatment matters. Experience, physician involvement, and individualized treatment planning can make a significant difference in outcomes.

Psychiatrist-Led TMS Program

All consultations and brain mappings are performed by Dr. Dueno, a psychiatrist who has been treating patients in this community for over 30 years. Careful patient selection, accurate mapping, and ongoing treatment adjustments are critical to achieving the best outcomes.

Experience Matters

  • Over 10 years providing TMS
  • Thousands of treatments performed
  • Experience treating adolescents and adults
  • Experience treating depression, OCD, and treatment-resistant depression
  • Uses NeuroStar TMS, one of the most widely studied TMS systems
  • We coordinate care with your current providers

Individualized Treatment

TMS is not a one-size-fits-all treatment. Each patient is individually mapped and treatment is adjusted based on response.

Continuity of Care

We are a psychiatric practice, not just a procedure center. We help patients plan what happens after TMS and offer maintenance treatment if needed. Our goal is long-term stability and recovery, not just completion of a treatment course.

Does TMS Work? (Outcomes)

Transcranial Magnetic Stimulation is an evidence-based treatment for depression, particularly for patients who have not improved with medication.

National studies show:

  • Approximately 50–60% of patients experience significant improvement
  • Approximately 30–35% achieve remission
  • Many patients experience relief that lasts months to over a year

Large real-world clinical registries using NeuroStar TMS show:

  • About 69% of patients respond
  • About 36% achieve remission

Outcomes are often higher in programs where a psychiatrist performs the consultation and mapping, treatment is individualized, and care is coordinated with the patient’s existing providers.

  • Approximately 75-79% of our patients experience significant improvement

Approximately 50% achieve remission

TMS vs Antidepressant Medication

Antidepressant Medications

  • Work throughout the entire body
  • May cause side effects such as weight gain, fatigue, or sexual side effects
  • The NIMH-funded, multi-year study, the STAR*D study involved around 4,041 patients. The remission rates with the first antidepressant trial were around 30% with trials two, three, and four; showing remission rates of around 13% by the fourth oral antidepressant trialed in a major depressive episode.

TMS Therapy

  • Non-medication treatment
  • Targets specific brain areas involved in mood regulation
  • Minimal systemic side effects
  • Patients remain awake and can drive themselves
  • Remission rates are similar or better than additional medication trials in patients who have not responded to medications

TMS is often recommended for patients who have not improved with medications or cannot tolerate medication side effects.

Maintenance TMS - What Happens after the First 2 Months?

Depression can be a recurrent condition, which means symptoms may return over time. The goal of TMS is not only to improve symptoms, but also to help patients maintain that improvement.

After the initial course of TMS:

  • Many patients remain well for months to over a year
  • Some patients benefit from maintenance treatments
  • If symptoms begin to return, booster treatments can be scheduled

We work with each patient to develop a long-term plan after TMS to help maintain progress and stability.

For Referring Providers

We value our relationships with psychiatrists, primary care providers, therapists, and other clinicians in the community and view TMS as a collaborative treatment.

When you refer a patient to our TMS program:

  • The patient receives a comprehensive psychiatric evaluation
  • All brain mappings are performed by a psychiatrist
  • We provide updates on patient progress during treatment
  • Medication management can remain with the referring provider, or we can assist if requested
  • After completion of TMS, the patient is returned to the referring provider for ongoing care
  • We remain available for maintenance TMS or future booster treatments if needed

Our goal is to support your patient’s recovery while maintaining your primary treatment relationship.

Am I a TMS Candidate? (Quiz)

Answer the following questions:

Have you been diagnosed with depression or OCD?
Have you tried two or more medications without enough improvement?
Did medications cause difficult side effects?
Are you looking for a non-medication treatment?
Are you able to attend treatment 5 days per week for several weeks?
Do you have any metal implants in your head?

If you answered yes to most of these, you may be a candidate for TMS.

Insurance & Cost

  • Most major insurance plans cover TMS
  • We obtain prior authorization
  • We review your benefits before treatment begins
  • Financing options may be available

Contact Us

You do not have to continue feeling this way.
If you are not sure whether TMS is right for you, the first step is a consultation. We will review your history, prior treatments, and insurance coverage and help you determine if this is the right next step.

Address

2621 Dryden Rd
Ste 100
Moraine, OH 45439

Phone Numbers

Office: (937) 281-0900
Fax: (937) 938-9751

Office Hours

Mon-Fri: 8:00am – 5:00pm
Sat & Sun: Closed

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