How Does TMS Work?

Depression is a complex and deeply personal condition that affects millions of people. At Friendswood Psychiatry & TMS Clinic in Friendswood, we believe in a comprehensive approach to treatment, addressing the biological, psychological, and lifestyle factors that contribute to depression. Our goal is to help patients regain a sense of well-being and control over their lives. We offer various treatments , including medical therapies, supportive talk therapy, and lifestyle interventions. Here’s a closer look at our depression treatment options and how they can help. Medical Services Transcranial Magnetic Stimulation (TMS) Transcranial Magnetic Stimulation (TMS) offers a noninvasive alternative for those who haven’t responded to traditional medication or want a drug-free alternative. This treatment uses magnetic pulses to stimulate the brain regions involved in mood regulation, often the dorsolateral prefrontal cortex . The pulses stimulate electrical activity in nerve cells, releasing chemical messengers and strengthening nerve circuits over time. The TMS procedure is straightforward and comfortable. During each session, patients relax in a chair while a specialized device delivers magnetic pulses to the scalp. The treatment lasts about 30 to 40 minutes and typically involves six to twelve sessions spread over three to six weeks. TMS has a lower side effect profile compared with antidepressants, as the treatment is targeted to specific brain areas rather than acting across the whole brain. Some patients may experience temporary mild scalp discomfort or headaches, but these are temporary. Moreover, TMS can provide long-lasting depression relief , even when other treatments have failed. Psychiatric Evaluation & Medication Management Our psychiatric evaluations allow us to gain a complete understanding of your symptoms, medical history, and personal experiences. Accordingly, we can develop a comprehesive treatment plan that is tailored specifically to your needs . During evaluation sessions, you will meet with our medical doctor, who will carefully assess your mental health and discuss any diagnostic findings with you. Once an evaluation is completed, medication management appointments are scheduled to explore your treatment options. These sessions provide a dedicated space to discuss potential medications, their benefits, and possible side effects. Other therapies, such as different forms of psychotherapy, may be integrated into your medication management plan if they are deemed beneficial for your overall treatment goals. Genetic Testing for Medication Response Because every person’s body processes medication differently, genetic testing can provide valuable insights into which medications may be most effective. This test is performed using a simple cheek swab , which is then analyzed to determine how your genes influence medication metabolism. By understanding your genetic profile , we can more accurately predict which medications are likely to work best for you, reducing the frustration of trial-and-error prescribing. This approach not only helps improve treatment outcomes but also minimizes the risk of side effects , making the process of finding the right medication smoother and more effective. Talk Therapy Cognitive Behavioral Therapy (CBT) One of the most effective forms of therapy for depression is Cognitive behavioral therapy (CBT). Depression often leads to negative thought patterns , where individuals feel hopeless, unworthy, or stuck in a cycle of self-criticism. CBT helps patients identify and challenge these thoughts, replacing them with more constructive, realistic perspectives. Beyond addressing thought patterns, CBT also focuses on behavioral changes . Depression often causes people to withdraw from activities, isolate themselves, or avoid responsibilities—behaviors that can make symptoms worse. By working to modify these behaviors, CBT helps individuals regain a sense of control over their lives. Over time, this therapy fosters lasting improvements in mood, energy levels, and overall well-being. Motivational Interviewing For many individuals with depression, lack of motivation is a significant obstacle to recovery. Tasks that once seemed simple—getting out of bed, maintaining relationships, or engaging in self-care—can feel overwhelming. Motivational interviewing is a therapeutic approach designed to help people overcome ambivalence and reconnect with their own reasons for wanting change. Instead of using a structured, directive approach, MI is more collaborative . It involves open-ended conversations that explore personal values, goals, and strengths. Supportive Therapy Sometimes, what individuals need most is a safe space to talk, process emotions, and receive encouragement. Unlike structured therapies like CBT, supportive therapy is more flexible and patient-driven . It allows individuals to discuss their feelings, challenges, and life experiences in a nonjudgmental setting. This form of therapy is particularly helpful for those going through difficult life transitions, grief, or chronic stress, as it provides consistent emotional support throughout. Faith-Based Therapy Faith-based therapy can be a valuable part of the healing process for those who find strength in their spiritual beliefs for those who find strength in their spiritual beliefs. Depression can sometimes make people feel disconnected from their sense of purpose, leading to existential distress . Faith-based therapy integrates religious or spiritual values into the therapeutic process, offering guidance that aligns with a patient’s belief system and personal values . This approach can especially benefit those who wish to explore how their faith can support their emotional healing journey. Lifestyle Management Nutrition & Exercise Review Nutrition and exercise play a significant role in brain health and overall mental functioning. Studies show nutritional deficiency is associated with depression risk . Poor diets can also contribute to physical problems that further impair someone’s quality of life. At our clinic, we review your current habits and offer practical recommendations to support mental well-being through nutrition. Exercise, in particular, has been shown to have powerful antidepressant effects. Even mild physical activity, such as walking or stretching, can boost endorphins , improve energy levels, and reduce stress. By finding an approach that feels manageable, we help patients incorporate movement into their routine in a way that supports both emotional well-being. Sleep Optimization Sleep disturbances are common in depression—some individuals struggle with insomnia , while others experience excessive sleepiness and fatigue . Poor sleep not only worsens mood but also affects concentration, energy, and overall resilience. At our clinic, we work with patients to identify sleep patterns that may be contributing to depression and develop strategies for improvement. This might include adjusting bedtime routines, addressing underlying sleep disorders, or finding ways to manage nighttime anxiety.  Depression Relief at Friendswood Psychiatry Clinic If you’re interested in any of our services and want to find out more, schedule a free consultation today. We’re here to help you understand each service in more detail, including costs, insurance and anything else you might wish to know.