Dr. Jennifer Anderson, MD

Replied to How long do TMS results typically last?

James's experience is actually very common — retreatment typically works faster and patients often need fewer sessions. This suggests the brain retains some of the neuroplastic changes from the first course. I'd also add that ongoing lifestyle factors matter: exercise, sleep hygiene, stress management, and social connection all help maintain TMS benefits.

Replied to TMS for anxiety (not just depression) — my experience

Emma — bilateral TMS (treating both left and right DLPFC) is becoming more common for patients with comorbid conditions. Ask your provider about sequential bilateral treatment. Some newer protocols like intermittent theta burst stimulation (iTBS) can treat both sides in a shorter session time. Bring up your specific symptom profile so they can tailor the approach.

Replied to New Stanford SAINT protocol showing 90% remission rates — what it means for patients

David — that's the key question researchers are working on. The initial follow-up data shows durability comparable to standard TMS at 6 months, but we need more long-term studies. There's no evidence that accelerated delivery leads to faster relapse. In theory, the precise targeting might actually improve durability since you're stimulating exactly the right circuit.

Replied to Can I do TMS if I have a metal dental implant?

Great question, and you'll be glad to know this comes up all the time. Titanium dental implants are NOT a contraindication for TMS. You're correct that titanium is non-ferromagnetic, meaning it won't be affected by the magnetic field. The absolute contraindications are: - Ferromagnetic metal implants in or near the head (certain aneurysm clips, cochlear implants, metal plates from surgery) - Implanted stimulators (deep brain stimulators, vagus nerve stimulators) Dental implants, titanium plates, braces, and dental fillings are all safe. Your TMS provider will do a thorough screening at your consultation, but based on what you've described, you should be fine.

Replied to Headaches after TMS sessions — when do they stop?

Headaches are the most common side effect of TMS, affecting about 40-50% of patients. The good news is they almost always diminish as treatment progresses — your brain adjusts to the stimulation. Some tips: - OTC pain relievers (acetaminophen or ibuprofen) 30 min before treatment - Stay well hydrated on treatment days - Ask your technician about adjusting the coil position slightly - Some clinics can gradually ramp up intensity over the first few sessions If headaches persist past week 3 or become severe, definitely discuss with your provider. In rare cases, the motor threshold calibration may need adjustment.

Replied to Just finished my 36-session TMS course — here is my honest review

Great to hear about your progress. The timeline you describe is very consistent with what we see clinically — most patients begin noticing changes between sessions 12-20. The key is completing the full course. For anyone reading this, the early sessions are building a foundation even when you don't feel different yet. The brain needs time to form new neural pathways.