Happy elderly couple representative image for TMS therapy page discussing a typical TMS therapy treatmentYour First TMS Visit

  • On your first visit to the TMS Serenity Center located in Sugar Land, TX, you will have a consultation with Dr. Cress to evaluate your symptoms, treatment history and possible treatment options. If TMS is the right treatment for you, treatment sessions can be scheduled to begin immediately.

TMS Therapy Treatment

  • A typical course of treatment involves sessions 5 days a week for 4 to 6 weeks, approximately 36 treatments with a taper. The number of treatments varies for each individual and how their mood improves over the course of the TMS therapy treatments.
  • Each treatment will last approximately 37 minutes. We block out an hour of time to ensure patients are able to arrive, receive treatment, and return to their daily routine with no rush.
    • Patients are awake and alert throughout the entire treatment.
    • After the TMS treatment, individuals can resume normal day-to-day activities, like driving or returning to work or school.
  • Not uncommonly, patients begin to experience results in the first 2 weeks of treatment. They report more energy, desire, and motivation to do things, along with improved sleep.
  • During the third week, they will have days of their mood improving, but find their symptoms return, what we refer to as “dips”. Dips are very common and do not mean TMS is not working. Dips are simply an indication of the need for more treatments to stabilize mood.
  • However, by the fourth and fifth weeks of treatment, mood has drastically improved and becomes consistent. This is a sign that it is time for taper.
  • TMS treatment is tapered over three weeks, with 3 sessions the first week, 2 sessions the second week, and one the final week. Taper helps us ensure mood has stabilized. We monitor mood during taper to make sure mood has remained consistent.

A follow-up visit is scheduled with Dr. Cress at the final TMS session, usually a month from the last TMS session. When individuals return for a follow-up, we often find mood has continued to improve.

  • Upon conclusion of treatment, some individuals may be able to reduce or eliminate one or more of their medications, provided mood remains stable.
  • Patients should continue their regular visits with their psychiatrist or other treating doctors and should not stop medication without consenting advice of their treating physician or psychiatrist.


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