HOPE - Life without Depression

Once you have decided to start NeuroStar TMS Therapy we will need to do your brain mapping and prepare for the first treatment session. This could be longer session and you should schedule two hours. Sometimes we may not need as much time, but it is better to be prepared.

Proper treatment requires that we determine three parameters:

A comfortable and repeatable position for your head and body
The treatment location
The treatment dosage or intensity

We will need attain the same comfortable position for your head and body each and everyday of your TMS Therapy treatment, so we will need to find that "36-day comfortable" position. To allow us to do this the TMS Therapy Chair has a stereotactic Head Adjustment System that will repeat the same position every day.

The treatment location is found 5 cm. in front of the area of the brain that controls the movement of the thumb. This area is found in the precentral gyrus, also known as the "motor strip".  Since everybody’s brain is different, we need to find the area that controls your thumb which we do by slowly searching the motor strip with low intensity magnetic pulses. You will see  a painless twiching of your fingers as we zero in the thumb motor area.

Left brain showing the motor strip and TMS treatment location
Click on the image for a larger view
Once this is attained, the next step is to find the adequate dosage of magnetic intensity. This is done by the computer in the NeuroStar Therapy System console. This step is known as the Motor Threshold (MT) Level Determination.

Once the MT level and location are determined, we will be ready for your first treatment session. In that session we wil move the magnetic coil to the treatment location determined by the computer.  Depending on your TMS prescription, each treatment will take between 45 minutes to one hour.

Brain mapping session with the patient in the 36-day comfortable position
Brain mapping session with the patient in the "36-day comfortable" position
Click on the image for a larger view

 Next step: On-going treatment