There are multiple manufacturers of TMS machines. At least with the machine being used on me, the "tapping" they talk about is actually moderately painful! I find the procedure rather uncomfortable. But, it is quick. I've only had 5 treatments so far.
You are very correct. Pain during TMS may vary depending on the pulse width, which varies based on the device type and manufacturer. Though pain and headache are common side effects of TMS, it is rarely severe for patients to stop treatment.
Have you encountered any way to get insurance (such as Bluecross BlueShield) to cover TMS more frequently than 36 sessions every 12 months? If someone is diagnosed with depression would insurance cover an additional 36 sessions if they’re also diagnosed with OCD? What if the patient only starts to respond after 30 sessions and needs considerably more? Is the only option out of pocket?
Insurances should cover retreatment with TMS after 2-3 months from the first course as long as the patient meets the indication criteria again and they had responded well to the previous TMS treatment course. No need to wait 12 months. I hope this answers the question.
How does insurance decide whether your TMS is for an appropriate condition if say you have several comorbidities being treated in addition to depression (but depression isn’t the primary issue). Do they judge this based on the part of the brain the doctor stimulates?
If the main disorder is depression then insurance (in the US) should cover TMS. It is up to the clinic to add other treatments (like right-sided low-frequency TMS) to help with a comorbid disorder (like anxiety or PTSD). A good TMS clinic wouldn't charge extra for such added treatment. On the other hand, a money-driven business could charge an "add-on treatment" fee for such service. If the primary disorder is not a covered service then insurance would try to decline coverage.
What’s your experience with insurance companies (eg BlueCross) approving TMS for depression if a patient already got a pre-authorization approved for TMS at doctor A and wants to switch to doctor B without interruption but before the 36 sessions are over? Unlikely to be approved for doctor B until the first pre-authorization expires?
Clinic B needs to request a PA for the number of sessions left to complete the 36 treatments sessions. The insurance PA person will call clinic B to ask why? Clinic B will explain the situation. The insurance PA person calls the patient to confirm the change of provider. The rest of TMS gets approved. It happened that we transferred patients and it happened that we received patients. Well-organized clinics know what to do. I hope this helps.
Iam using antidepressants from 2yrs i have seen changes only 40% still iam suffering with thoughts symptoms i can't concentrate on studies while concentarating iam getting breathing problem and repetitive thoughts..iam decide to stop medicine there is no use for me
TMS does NOT work for everyone! Please do tons of your own research- I was told I was an ideal candidate, but TMS made my depression MUCH WORSE and caused me to develop severe anxiety. I was repeatedly told I was having a “dip” during my five weeks of treatment, but it’s now two months later and I’m still horribly depressed and anxious. I feel like TMS has broken my brain. I wish I’d never done it.
There are multiple manufacturers of TMS machines. At least with the machine being used on me, the "tapping" they talk about is actually moderately painful! I find the procedure rather uncomfortable. But, it is quick. I've only had 5 treatments so far.
You are very correct. Pain during TMS may vary depending on the pulse width, which varies based on the device type and manufacturer. Though pain and headache are common side effects of TMS, it is rarely severe for patients to stop treatment.
But, the question is.,, how do you feel? Any better?
@@florencia2771 At least for me, I don't think the TMS helped any. But a change of meds did. So I'm doing better.
@Tmslogig The post where I said it did not work for me was 7 months later. The person I was replying to, Florencia, was aware of the time gap.
@@CaseAgainstFaith1Which meds?
I have permanent tinnitus and hyperacusis caused by TMS
Have you encountered any way to get insurance (such as Bluecross BlueShield) to cover TMS more frequently than 36 sessions every 12 months? If someone is diagnosed with depression would insurance cover an additional 36 sessions if they’re also diagnosed with OCD? What if the patient only starts to respond after 30 sessions and needs considerably more? Is the only option out of pocket?
Insurances should cover retreatment with TMS after 2-3 months from the first course as long as the patient meets the indication criteria again and they had responded well to the previous TMS treatment course. No need to wait 12 months. I hope this answers the question.
Does TMS help patient’s with cluster headaches?
I love how they stole my jobs intro video lol
How does insurance decide whether your TMS is for an appropriate condition if say you have several comorbidities being treated in addition to depression (but depression isn’t the primary issue). Do they judge this based on the part of the brain the doctor stimulates?
If the main disorder is depression then insurance (in the US) should cover TMS. It is up to the clinic to add other treatments (like right-sided low-frequency TMS) to help with a comorbid disorder (like anxiety or PTSD). A good TMS clinic wouldn't charge extra for such added treatment. On the other hand, a money-driven business could charge an "add-on treatment" fee for such service. If the primary disorder is not a covered service then insurance would try to decline coverage.
What’s your experience with insurance companies (eg BlueCross) approving TMS for depression if a patient already got a pre-authorization approved for TMS at doctor A and wants to switch to doctor B without interruption but before the 36 sessions are over? Unlikely to be approved for doctor B until the first pre-authorization expires?
Clinic B needs to request a PA for the number of sessions left to complete the 36 treatments sessions. The insurance PA person will call clinic B to ask why? Clinic B will explain the situation. The insurance PA person calls the patient to confirm the change of provider. The rest of TMS gets approved. It happened that we transferred patients and it happened that we received patients. Well-organized clinics know what to do. I hope this helps.
Can tms help with ocd
Yes. dTMS using H7 coil from Brainsway and DB-80 coil from Magventure are both approved in the USA by the FDA to treat OCD.
Iam using antidepressants from 2yrs i have seen changes only 40% still iam suffering with thoughts symptoms i can't concentrate on studies while concentarating iam getting breathing problem and repetitive thoughts..iam decide to stop medicine there is no use for me
I have too many negative thoughts In my mind i want remove I'm weak day by day through negative thoughts plz tell me this tms is helpful for me or not
Please see a local psychiatrist for a full evaluation and individualized advice.
I was permanently injured by TMS. Tinnitus and hyperacusis caused by TMS 4 years ago.
TMS caused my PTSD
TMS may cause tinnitus in rare cases if earplugs were not used for hearing protection. TMS doesn't cause PTSD. Thanks for sharing.
@@floridatmsclinic1239 I'm really surprised you're willing to admit that.
TMS does NOT work for everyone! Please do tons of your own research- I was told I was an ideal candidate, but TMS made my depression MUCH WORSE and caused me to develop severe anxiety. I was repeatedly told I was having a “dip” during my five weeks of treatment, but it’s now two months later and I’m still horribly depressed and anxious. I feel like TMS has broken my brain. I wish I’d never done it.
Depression is very difficult to treat. It might be helpful to our community to share what ended up working?