Transcranial Magnetic Stimulation (TMS) for PPD

The journey into motherhood can be a time of joy, wonder, and fulfillment. But for many mothers, the reality can be quite different. Postpartum depression (PPD) is an illness that affects many people after childbirth. Fortunately, a promising treatment called transcranial magnetic stimulation (TMS) may provide relief to some people affected by PPD.¹

What is transcranial magnetic stimulation (TMS)?

TMS is a noninvasive brain stimulation technique. It has been approved to treat depression by the US Food and Drug Administration (FDA). It is typically used only when other treatments and medicines have not provided enough relief, but it may be used sooner.^1-3

How does TMS work?

TMS uses a special device called an electromagnetic coil that creates magnetic pulses. These pulses stimulate certain parts of the brain that are linked to mood. This stimulation activates serotonin and dopamine – the brain’s feel-good chemicals – to reduce depression symptoms.^2,3

TMS treatment is done in a healthcare provider’s office. During the procedure, a trained professional places the electromagnetic coil against your scalp. It is relatively painless, and you do not need anesthesia or sedation. After treatment, you can go home.³

When used for depression, TMS treatment involves a series of sessions. This repeated treatment is sometimes called repetitive TMS (rTMS). Over the course of rTMS, you should feel some gradual improvements.^2,3

How can TMS help people with PPD?

PPD symptoms include persistent feelings of sadness and hopelessness along with a lack of interest or pleasure in daily activities. PPD makes it challenging for mothers to complete daily tasks as well as bond with their babies. This affects both the mother's and the baby's well-being.²

Because TMS stimulates parts of the brain responsible for mood, it can help reduce symptoms of depression in people with PPD. It can also lead to:^1,2,4

• Increased energy levels
• Greater ability to engage in daily life, including bonding with the new baby

Several studies have explored TMS as a treatment for postpartum depression. The results are promising.^1,2,4,5

A 2022 study found that TMS led to improvements in depressive symptoms among women with PPD. This and other studies found that TMS is a safe treatment option for people with PPD, with very few side effects. It is also a valuable option for people who do not respond to other treatments or prefer not to take antidepressant drugs.^1,2,4,5

Not everyone who receives TMS will respond the same way to it. Results may vary. Experts agree that more research is needed. Even so, the potential benefits of TMS for PPD are encouraging, offering hope for people seeking relief from PPD.^1,2,4,5

Advantages of TMS for PPD

There are several reasons why a person with PPD might opt for TMS over other therapies and treatments:^1,2,4,5

• Noninvasive – TMS is a non-invasive treatment option. This means it does not require surgery or medicines.
• Targeted treatment – TMS targets regions of the brain linked with depression. This targeting may reduce the risk that it will affect other brain functions.
• Minimal side effects – Unlike some medicines, TMS typically has few side effects. The most common side effect is mild discomfort at the treatment site, which usually goes away quickly.
• Potential long-term relief – Some studies show that the benefits of TMS may extend beyond the treatment period, providing lasting relief from PPD symptoms.

Discuss TMS with your doctor

TMS offers a noninvasive and targeted approach to depression. Ask your doctor whether it is a treatment option you should consider, especially if other treatments have not worked. TMS may not be covered by insurance. Your doctor can help you make an informed decision about the best approach for your unique situation.^1-3

Postpartum depression can be an overwhelming and isolating experience for parents. But thanks to advancements in mental health treatments, like TMS, there is new hope for people living with PPD.