When it comes to treating a severe depression, especially when other conventional medications have not worked, two progressive measures tend to occur. The Transcranial Magnetic Stimulation TMS vs ECT. More so, they both are effective at alleviating the symptoms of treatment-resistant depression; however, the mechanism of action, side effects, cost, and experience of the patients differ among them.
At Central Connecticut Behavioral Health, we know that it is easy to get confused about which is better between TMS and ECT. These differences have been demystified in a way that allows you to make a knowledgeable choice when choosing what to do with your mental health care. This guide explains the difference between effective and side effects, as well as between cost and memory level.
What Is TMS?
Transcranial Magnetic Stimulation (TMS) is a non-invasive and FDA-approved treatment that uses magnetic fields to stimulate nerve cells in the brain that are involved in mood control.
The TS interface uses a magnetic coil around your head. It is used in treating depression in patients by providing specific pulses to stimulate underutilized regions of the brain. The treatment sessions take approximately 20 to 40 minutes, and patients are allowed to resume normal activities immediately after the treatment.
TMS is particularly useful to individuals who have failed to respond to antidepressants and treatment. It is non-anesthetic, non-drug, and has minimal side effects.
What Is ECT?
Electroconvulsive treatment (ECT) is one of the oldest and most studied interventions in the treatment of the most severe form of depression disorder, as well as other mental disorders. It is the passing of restrained electrical impulses through the brain to cause a temporary seizure in the patient under anesthesia.
ECT has been effective in major depressive disorder, bipolar disorder, and psychosis, where other treatment methods have failed to work or the symptoms are life-threatening. ECT, however, is usually associated with temporary confusion, loss of memory, and extended recovery time after the therapy session.
TMS vs ECT Effectiveness
TM and ECT are both clinically established in the reduction of the symptoms of depression. Nevertheless, they are unequally effective, which depends on the state and the medical background of the person.
TMS efficacy: Research indicates that approximately 6070 percent of patients have improved, and approximately half of them achieve full remission. Mostly, the best results would be observed at the end of 4-6 weeks of regular sessions.
Effectiveness of ECT: ECT is a little more effective, as 70 80 percent of patients will improve, especially in severe or psychotic depression. But it normally involves continuous treatment therapy to avoid a recurrence.
How Fast Does Work TMS vs ECT?
ECT is more likely to produce quicker results – even 1- 2 weeks- and therefore it is applicable in emergency cases.
TMS, however, can be achieved over a period of 5 weeks, but with long-term lasting results that do not require anesthesia or hospitalization.
TMS vs ECT Side Effects
TMS Side Effects
- Light headache or numbness at the site of stimulation.
- Alternating headache, post-session.
- These side effects dissipate as the brain adapts to treatment.
- Notably, TMS does not result in memory loss and cognitive impairments.
ECT Side Effects
ECT side effects normally become more severe as a result of anesthesia and during the seizure process. They may include:
- Short-term confusion following treatment.
- Headaches or jaw pain
- Short-term or, in some exceptional instances,
- There is short-term or long-term memory impairment.
Although it is effective, ECT has side effects that might affect normal functioning in the short term following treatment.
TMS vs ECT Memory Loss
Among various doubts that patients tend to express when they compare TMS with ECT is the threat of memory impairment.
- TMS and memory: TMS has no effects on memory. In fact, the already existing research has shown that it can even enhance mental performance and clarity since it is capable of enhancing neural activity.
- ECT and memory: ECT can result in long-term or short-term memory failure, particularly of those things that took place around the period of treatment. Most patients recover their memory capacity over a period, but it is essentially of the key aspects that are to be taken into account during selection.
TM Vs ECT Cost and Insurance Coverage
Cost Comparison
The cost of treatment will be according to sessions and the center.
- Cost of TMS: A full course of treatment with TMS can cost a mean value of 600012000. TMS is now also accepted by many insurance companies and Medicare if employed in the treatment of treatment-resistant depression.
- ECT Cost: Owing to monitoring, hospitalization, and anesthesia, ECT sessions can be more expensive, typically ranging between 10000-20000 per course. While the majority of insurance companies cover ECT, as does Medicare, the out-of-pocket cost can still be high.
TMS vs ECT Medicare Coverage
Most insurance plans, including Medicare and major insurance plans, will cover both TMS and ECT in certain conditions, including reported treatment-resistant depression. TMS coverage is, however, more frequently and more readily available to patients who want a non-invasive outpatient treatment.
Comparison of TMS vs ECT: Clinical Studies
Both treatments are supported by clinical research, but TMS is more modern and patient-friendly with fewer side effects caused by its cognitive nature.
One review observing TMS vs ECT (2022) concluded that both TMS and ECT have comparable effects of reducing depressive symptoms, though TMS patients had better quality of life and cognitive performance.
Studies further suggest that ECT can be more effective than TMS in severe cases of psychotic depression, and TMS demonstrates good outcomes in moderate to severe cases of non-psychotic depression.
At Central Connecticut Behavioral Health, we keep abreast with the new research in order to provide evidence-based care that suits the specific needs of every patient.
Why Central Connecticut Behavioral Health?
We are Central Connecticut Behavioral Health, and we are experts in evidence-based therapies of depression and other mental health disorders delivered on a case-by-case basis.
Our highly qualified clinicians are educated in modern therapies, such as TMS, and take a warm and caring approach to their patients in a welcoming outpatient environment.
We concentrate on your overall health- both emotionally, behaviorally, and biologically to be a healthier and happier person.
Final Thoughts
In the case of TMS vs ECT in depression treatment, it is important to weigh the effectiveness against the safety and quality of life.
In Central Connecticut Behavioral Health, we are convinced that all people should be subjected to compassionate, evidence-based treatment choices that suit their needs.
Well, be it in your quest to learn TMS as a treatment of depression or whether you are assessing ECT, our specialists will ensure that you are taken through.
Make the first move to a permanent solution — call Central Connecticut Behavioral Health and see whether TMS can help you.
FAQs: TMS vs ECT
Is TMS safer than ECT?
Yes. TMSI is not invasive; it does not need general anesthesia, and its side effects are less than those of ECT.
What is the number of sessions required in TMS or ECT?
The treatment of TMS usually takes 20-36 sessions in 4–6 weeks. ECT is most commonly performed twice to three times a week for a number of weeks, based on the severity of the symptoms.
Is it possible to use TMS or ECT with medication?
Yes. The combination of both treatments can be taken with antidepressants or therapy to improve the results.
Insurance in Connecticut: Is TMS or ECT covered?
Connecticut Behavioral Health centers generally accept Medicare payment and private insurance for treatment in case of a medical necessity.
What are the TMS or ECT results in the long term?
Results vary. Numerous TMS patients can experience long-term relief, particularly when maintenance therapy is utilized. ECT patients can require follow-up treatments to avoid relapse.
