Personalized TMS (Transcranial Magnetic Stimulation) is a non-invasive neuromodulation method aimed at supporting specific regions of the brain with magnetic stimulation.
No surgical procedure is performed during the application, no anesthesia is needed, and he is awake throughout the procedure. Sessions are generally short, and it is possible to return to daily life after the application.
Personalized TMS is not considered as a standalone treatment method; if deemed appropriate by the psychiatry specialist, it is handled as a supportive part of the holistic treatment plan.
How Does Personalized TMS Differ from Standard TMS?
In standard TMS applications, stimulation is generally performed through specific and fixed regions. However, every individual's brain structure, symptoms, and response to treatment may vary.
In Personalized TMS, on the other hand;
- A detailed psychiatric evaluation is performed before treatment.
- Data regarding the functioning of the brain are taken into consideration.
- Targeted brain regions are determined according to the individual.
- Clinical response is regularly monitored throughout the treatment process.
The aim of this approach is to create a treatment plan tailored to the individual's needs, rather than applying the same procedure to everyone.
For What Purpose Is Personalized TMS Used in Psychiatry?
In psychiatry, Personalized TMS is evaluated especially in cases where an adequate response to existing treatments cannot be obtained or where supportive methods are deemed appropriate.
Following the evaluation by the specialist physician, Personalized TMS may be considered in the following situations:
- Depression It can be evaluated as a supportive measure in cases where symptoms do not regress sufficiently despite medication and psychotherapy.
- Anxiety Disorders It can be used in patients deemed appropriate in cases where continuous tension, restlessness, and a feeling of mental burden are at the forefront.
- Obsessive-Compulsive Symptoms (OCD) It can be handled as a supportive method within the treatment plan in cases accompanied by obsessive thoughts and behaviors.
- Trauma and Stress-Related Symptoms It can be evaluated in emotional and mental difficulties arising after intense stress and traumatic experiences.
- Attention, Focus, and Cognitive Difficulties It can be used supportively in case of clinical suitability in individuals experiencing mental slowing, distraction, and difficulties in cognitive functions.
The goal in this method is not to eliminate symptoms on their own; rather, it is to support the individual's daily life functionality and psychiatric treatment process.
How is Personalized TMS Planned?
Personalized TMS application proceeds with an individualized planning process, rather than a standard protocol.
The treatment process generally consists of the following stages:
- Psychiatric evaluation and review of treatment history
- Determination of target regions based on clinical symptoms
- Planning the sessions in a way that suits the individual
- Regular monitoring during treatment and reviewing the plan when necessary
During the sessions, he is awake, the procedure is painless, and it does not require anesthesia. Returning to daily life after the application is possible.
Is Personalized TMS Safe?
Personalized TMS is a method that does not require surgical intervention and is considered safe in clinical applications.
The most frequently reported conditions are:
- Mild headache
- Temporary discomfort at the application site
As with any medical practice, Personalized TMS may not be suitable for everyone. Therefore, the decision for application must definitely be made by a specialist physician.
Personalized TMS at NPİSTANBUL Hospital
Personalized TMS applications at NPİSTANBUL Hospital are;
- Planned after detailed evaluation by psychiatry specialists,
- In conjunction with the individual's current treatments,
- Within the framework of a multidisciplinary approach.
The aim is not to offer a standard application to every patient; rather, it is to create a holistic and personalized treatment process suited to the clinical requirements of the individual. Throughout the treatment process, patients are monitored regularly, and the treatment plan can be reviewed according to clinical requirements.
