Due to growing demand, Aurora Healthcare has launched Repetitive Transcranial Magnetic Stimulation (TMS) Clinics as an added offering for outpatients and extending our inpatient services provided across our Australian mental health hospitals.
TMS was initially introduced as an inpatient service in 2017 to provide an alternative treatment option for our experienced team of psychiatrists to use on patients with treatment-resistant depression.
The success and demand for the service has grown significantly; with over a dozen TMS machines now spanning across our inpatient mental health services at our hospitals and clinics.
Transcranial magnetic stimulation is a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. It is typically used when other depression treatments haven’t been effective.
TMS involves stimulation of an area of the brain using a pulsing magnet placed on the scalp. The magnet is designed to give a focused beam of magnetic energy inducing small electrical currents with the aim of altering brain function for therapeutic purposes.
TMS works by changing the brain electrical activity and the brain chemicals that are involved in controlling mood.
Depression is a treatable condition. But for some people, standard treatments aren’t effective. TMS is typically used when standard treatments such as medications and talk therapy (psychotherapy) are not effective. It may be an appropriate treatment option for adult patients with treatment resistant major depression, who have failed to achieve a satisfactory response from prior trials of antidepressant medications (defined as “treatment resistant depression”).
The aim of TMS treatment is to lift mood. With an improvement in mood there is often an associated improvement in sleep, appetite, energy and concentration and a decrease in negative thoughts. TMS is an acute treatment for depression that requires ongoing treatment to maintain remission.
TMS treatment is a non-invasive treatment based on repetitive transcranial magnetic stimulation, which delivers magnetic pulses to stimulate nerve cells in the part of the brain controlling mood, which is often underactive in patients with depression.
The brain is an organ that functions through complex electrochemical processes, which may be impaired by certain types of mental illness. Scientists believe TMS acts by temporarily altering some of these processes, thereby returning function to normal.
TMS treatment delivers magnetic fields via a coil that is applied to one side of the patient’s scalp, generally above the left side of the head (above the dorsolateral pre-frontal cortex). Repeated stimulation of this part of the brain has been proven to produce an antidepressant-like effect on people suffering from depression.
The magnetic field produces tiny electrical currents which then go on to activate cells within the brain, which (as believed) release neurotransmitters (chemicals in the brain), which do play an important role/function in mood regulation.
Since depression is believed to be caused by an imbalance of neurotransmitters/chemicals in the brain, TMS treatment helps restore the balance of these chemicals in the brain and goes on to relieve the symptoms of depression.
With Aurora Healthcare’s proven track record of strong clinical governance, patient outcomes and referrer confidence, our TMS Clinics are now uniquely positioned to expand – backed with the support of a network of over 300 psychiatrists at our hospitals.
Our TMS Clinics can be found at the following hospitals / sites:
The following are the steps and processes to receive treatments at our TMS clinics. Contact our TMS Clinics for any further information on the links above.
Talk to your general practitioner or psychiatrist and discuss whether the right option for you. A referral from a general practitioner or psychiatrist is required for TMS treatment as an outpatient.
Referrals can be submitted to each TMS Clinic online or via their TMS contact details.
The admission assessment coordinator will conduct a pre-admission assessment
Once successfully assessed, allocation of a psychiatrist credentialed to an Aurora Healthcare hospital is then made and an outpatient appointment is arranged.
A one-hour initial assessment consultation will be arranged with a psychiatrist to determine your suitability for TMS. Pre-treatment screening, baseline outcome measurements and patient consent will also be obtained. Once assessed as a suitable candidate for outpatient TMS, the patient is listed and booked for TMS and notified of the resting motor threshold (RMT) appointment.
A resting motor threshold is conducted by a psychiatrist with specialised training in TMS, which acts as the prescription for the basis of the treatment.
An acute course of 20 treatments of TMS is then booked. Treatment is administered 5 days a week. Ongoing reviews with the treating/prescribing psychiatrist can be booked via the psychiatrist's private practice.
In order to evaluate the outcomes of TMS treatment, patients' complete questionnaires on their mental state at the beginning of (pre) treatment and again after two weeks (mid), four weeks (end), and then finally two weeks following completion of (post) treatment that is around 6 weeks after commencing TMS treatment. Our internationally recognised tools are used to benchmark the information provided by patients to allows us to continue to improve our treatments.