We offer treatment for patients who suffer from depression and either have not responded to standard treatment or wish no to use medication. The TMS can be used in conjunction with other treatments, both medication and psychotherapy. We may consider treating other conditions in which TMS has shown high level of evidence; Neuropathic pain, fibromyalgia and PTSD. However, treatment for these conditions would have to be coordinated with referring specialist.

We use standard High and Low frequency repetitive TMS – rTMS and intermittent theta burst TMS – ITBS delivered by DuoMag XT -100.Treatment is typically delivered over 20min daily, 5 days a week for 6 weeks, this however may be of shorter duration depending on the protocol.

Treatment consists of a preliminary screening process followed by a thorough clinical assessment by Consultant Psychiatrist in order to establish suitability for treatment and to design personalised treatment protocol. Consultant Psychiatrist will review treatment progress at midpoint and the end of treatment.

Prior to commencement of treatment we will have to take precise measurements of the head and calibrate TMS equipment to suit individual needs. Treatment is delivered by certified technician.We supply protective hearing equipment.

We update the referring physician upon completion of treatment. We must be informed if you are under secondary mental health services so that we can liaise with those in charge of your care accordingly.

We operate from the ground floor at the Wellness Centre Castle Quay, Jersey, Channel Islands- TMS Clinic at Wellness Centre Castle Quay.

Treatment is provided in a private, comfortable space which is easily accessible and has nearby parking at Castle Quay Waterfront carpark- watefront carpark. You will be greeted at reception and welcomed to the treatment room by the clinician working with you. The clinician will stay with you throughout the duration of treatment.

Who is this treatment for?

  • Patients suffering from Depression or Other Mood Disorder: TMS is most commonly used as a treatment for major depressive disorder,
  • Patients who have not responded to one or more antidepressant medications may be good candidates for TMS: TMS is often used as a second-line or third-line treatment for Treatment Resistant Depression, meaning it is typically used after other treatments such as medication or psychotherapy have failed.
  • Age: TMS is typically used in adults over the age of 18. Some clinics may have additional age restrictions.
  • General Health: Patients undergoing TMS treatment should be in good overall health, without any significant medical conditions that could increase the risk of complications.
  • Medication: Patients should be stable on their current medications and not experiencing any significant medication side effects that could interfere with treatment.

Who is the treatment not for

  • History of Seizures: TMS involves the use of magnetic fields, which can trigger seizures in some individuals. Therefore, TMS is generally not recommended for patients with a history of seizures, epilepsy, or other neurological disorders that increase the risk of seizures.
  • History of Head Injury: Patients with a history of traumatic brain injury or other head injuries may not be candidates for TMS, as the magnetic fields could exacerbate symptoms or cause further damage.
  • History of Substance Abuse: Patients with a history of substance abuse or dependence may not be good candidates for TMS, as substance abuse can affect brain function and make it difficult to accurately assess the effectiveness of the treatment. Alcohol withdrawal from alcohol dependence can also increase the risk of seizures so we would not be administering TMS to those currently in any detox programme.
  • Metallic Implants or Devices not MRI friendly: Certain types of metallic implants or devices, such as cochlear implants, pacemakers, or aneurysm clips, may be affected by the magnetic fields used in TMS, and could cause serious harm or interfere with the treatment.
  • Pregnancy: The safety of TMS during pregnancy is not well established, and therefore it is generally not recommended for pregnant women.
  • History of Psychotic Disorders: Patients with a history of psychotic disorders such as schizophrenia or bipolar disorder with psychotic features may not be good candidates for TMS, as the treatment could potentially exacerbate symptoms.

It’s important to note that exclusion criteria may vary based on the specific TMS protocol being used and the patient individual circumstances. Please discuss your concerns with us.

Potential side effects

Transcranial magnetic stimulation (TMS) is generally considered to be a safe and well-tolerated procedure. However, like any medical intervention, there is a risk of side effects.

The most common side effects of TMS are mild to moderate and typically occur during or immediately after the treatment. These can include:

  • Headache: Some patients may experience a mild to moderate headache during or after the treatment, which usually subsides within a few hours.
  • Scalp discomfort: Patients may experience some discomfort or mild pain in the scalp where the TMS coil is applied.
  • Tingling or twitching: During the treatment, patients may experience a sensation of tingling or twitching in the muscles of the scalp, face, or fingers. Mild discomfort or pain is common during TMS treatment and may feel like a tapping or tingling sensation on the scalp. In some cases, patients may experience more significant discomfort or pain, which can range from a mild headache to a more severe headache or scalp tenderness.
  • Lightheadedness: Some patients may feel lightheaded during or immediately after the treatment.
  • Hearing problems: The loud clicking noise made by the TMS machine can sometimes cause temporary hearing problems, such as ringing in the ears.

More serious side effects of TMS are rare but can occur in some patients. These can include:

  • Seizures: Although rare, seizures can occur in patients who are susceptible to them.
  • Mania or hypomania: In some patients with a history of bipolar disorder, TMS may trigger a manic or hypomanic episode.
  • Cognitive changes: In rare cases, TMS can cause changes in cognitive function, such as problems with memory or concentration.

It’s important to discuss the potential risks and benefits of TMS with a healthcare provider before starting treatment and to report any side effects that occur during or after treatment.

Cost: The cost of consultation is; £ 400 initial consultation and £ 200 each follow up consultations. TMS treatment is £ 6000 and it is paid up front. We may assist with reimbursement from your medical insurance company on individual basis.