First-Line Treatment: Exploring the Role of NeuroStar TMS Therapy

At Complete Healthcare in Richland, WA, we are dedicated to providing advanced, evidence-based treatments for patients suffering from Major Depressive Disorder (MDD). Traditionally, treatment begins with antidepressant medications and psychotherapy. However, this approach may not be sufficient for many patients—especially those who experience side effects or fail to achieve adequate relief. A growing body of research supports Transcranial Magnetic Stimulation (TMS) as an effective, non-invasive option now gaining recognition as a first-line adjunctive treatment.

What Is TMS?

Transcranial Magnetic Stimulation (TMS) is a non-drug, non-invasive brain stimulation technique. It uses targeted magnetic pulses to activate areas of the brain associated with mood regulation. NeuroStar is the most widely studied and FDA-cleared TMS device, known for its proven track record in treating depression.

TMS does not require anesthesia, downtime, or systemic medications. Patients remain awake and alert during the 20-minute sessions and can resume normal activities immediately afterward.

Why Consider TMS Earlier in Treatment?

TMS was initially reserved for patients who had failed multiple antidepressants. However, the treatment landscape is evolving. In 2024, the FDA expanded clearance of NeuroStar TMS to include first-line adjunctive use in adolescents aged 15 and older with MDD. This significant milestone supports the consideration of TMS earlier in the course of treatment—not only after medications have failed.

Who Can Benefit from TMS?

Early use of TMS may be appropriate for patients who:

• Prefer to avoid medications

• Experience side effects from antidepressants

• Have coexisting conditions impacted by pharmacologic therapies

• Require rapid symptom improvement without systemic drug exposure

  
  

Clinical Outcomes and Efficacy

Real-world studies and randomized controlled trials have demonstrated strong clinical outcomes:

• Approximately 60% of patients achieve significant symptom reduction.

• Up to 35% experience complete remission from depression.

• Benefits are often durable, with two-thirds of patients maintaining response at 12 months.

• NeuroStar's patented Contact Sensing and Energy Feedback (CSEF) technology ensures precise and consistent delivery.

  
  

TMS is well tolerated. The most common side effect is mild scalp discomfort or headache during or shortly after treatment. There is no risk of weight gain, sexual dysfunction, or cognitive blunting, which are commonly associated with antidepressants.

Is TMS Covered by Insurance?

Yes. Most major insurance carriers, including Medicare, cover TMS therapy when medical necessity is documented. Coverage criteria may vary, but as of 2024, several commercial plans have adopted policies allowing first-line use when clinically appropriate. Our staff is experienced in navigating preauthorization and insurance verification on behalf of our patients.

A Personalized Approach to Depression Treatment

At Complete Healthcare for Women, we believe in matching treatment to the individual—not the other way around. We offer TMS as a treatment option for adult and adolescent patients who are either early in their depression journey or have tried other therapies without success. By integrating NeuroStar TMS into our mental health offerings, we are expanding access to effective, drug-free solutions.

Understanding the Treatment Process

The TMS treatment process is straightforward. After an initial consultation, patients undergo a series of sessions. Each session lasts about 20 minutes. Patients can relax in a comfortable chair while the device delivers magnetic pulses to the targeted areas of the brain.

What to Expect During Treatment

During the treatment, patients may feel a tapping sensation on their scalp. This is normal and indicates that the device is working. Most patients report minimal discomfort. After each session, they can immediately return to their daily activities.

Long-Term Benefits of TMS

Many patients experience long-term benefits from TMS. Studies show that the effects can last for months after the treatment has concluded. This makes TMS a valuable option for those looking for sustainable relief from depression.

If you or a loved one is struggling with depression, we invite you to explore whether TMS may be right for you. We are here to answer your questions, evaluate your needs, and help you find relief in a compassionate and supportive environment.

Complete Healthcare

509-392-6700

Richard Lorenzo, D.O.

Kortney Jones ARNP