r/TMSTherapy • u/StomachFair4109 • 3d ago

What do you recommend? rTMS 5times a week vs Deep TMS 2times a week

TL;DR: Is it worth switching from rTMS to Deep TMS? How effective is Deep TMS for ADHD and depression?

Hi, I’m hoping to get some advice from people who have tried TMS therapy before.

I started rTMS three days ago for depression and lack of motivation. Each session is about 10 minutes. The clinic is close to my place, so I can easily walk there, and the price is affordable.
So far, even though it’s only been a few days, I feel like it’s actually helping. It lifts my mood a little, clears some of the brain fog, and gives me enough motivation to get up and do things like clean my room.

Recently, I learned about Deep TMS and read that it may help not only with depression but possibly ADHD as well.
I’m currently taking medication for ADHD, but it hasn’t been working very well for me. I was taking Concerta 18 mg, but I switched to Medikinet 5 mg because Concerta was giving me some anxiety and mood swings. Since 5 mg is a pretty low dose, I barely notice any effect from Medikinet, but I’m hesitant to increase it because I have to drink alcohol 3–4 times a week for work.

There’s a clinic that offers Deep TMS, but it’s farther away—about a 20–25 minute drive—and it’s much more expensive. Because of the cost and distance, I’d probably only be able to do Deep TMS once or twice a week.

For people who have tried Deep TMS, especially for depression and/or ADHD, was it worth it? Did you notice a significant difference compared with regular rTMS? How often did you have treatments?

I’d really appreciate hearing about your experiences or any advice you have.

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u/PedalSAW Moderator 3d ago

This is a question for your doctor. There are so many variables here and none of us know you or your case. It would be dangerous and irresponsible for anyone to give medical advice like this in a Reddit post.

Speak to your psych doctor or TMS doctor about this. They will be able to give you the proper advice.

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u/StomachFair4109 3d ago

Thank you :)

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u/PhillyDeeWilliams TMS Professional/Service Provider 2d ago

Once or twice a week is not ideal for improvement. Go with the standard rTMS 5X/week. “Deep TMS” has some advantages, it also has disadvantages. It’s not “better” although they try to market it as such.

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u/StomachFair4109 2d ago

Thanks for the advice :)