TMS for Bipolar Disorder

If you are seeking an innovative treatment option for bipolar disorder, our database offers all the information you need. You can find the best TMS practitioners in your area, compare them, and select the one that suits your needs. On this page, we focus on how TMS may be an effective solution for managing bipolar depression and the benefits it provides. Whether you are exploring this innovative therapy for the first time or looking to understand its role in your treatment plan, we will guide you through what TMS can offer for your mental health.

TMS for Bipolar Disorder

Table Of Contents

What Is Transcranial Magnetic Stimulation?

Transcranial magnetic stimulation (TMS) is a non-invasive technique that uses magnetic pulses to target specific brain areas associated with mood regulation. During TMS therapy, a magnetic coil is placed against the scalp to deliver precisely focused pulses that stimulate nerve cells in the targeted brain regions. This advanced procedure is performed while the patient is awake and alert, sitting comfortably in a chair. TMS therapy usually involves a series of sessions lasting 3-40 minutes each, scheduled five days per week for 4-8 weeks (sometimes shorter). The magnetic pulses used in TMS are similar in strength to those in magnetic resonance imaging (MRI) devices. However, they are delivered differently to provide relief.

What Is Transcranial Magnetic Stimulation?

TMS Is Being Actively Explored and Used as a Treatment for Bipolar Depression

TMS has emerged as a promising treatment option for bipolar depression, offering hope to patients who may not respond well to conventional therapies. The FDA granted Breakthrough Device designation to NeuroStar® Advanced Therapy machine in 2020, marking a crucial milestone in TMS treatment for bipolar depression. This designation acknowledges the potential of TMS to address an unmet medical need in treating this form of depression, which is a particularly challenging aspect of bipolar disorder.

How Does Bipolar Depression Differ From Major Depressive Disorder?

Bipolar depression is a phase of bipolar disorder characterized by depressive symptoms, but it differs significantly from unipolar (major) depression. While unipolar depression involves persistent low mood without periods of elevated or manic states, bipolar depression is mixed with such episodes. The fluctuations between depressive and manic phases are typical for bipolar disorder. In contrast, unipolar depression presents as a continuous low pattern without mood elevation. This distinction is crucial for diagnosis and treatment, as the strategies for these two psychiatric disorders differ.

Preparation for TMS Therapy for Bipolar Disorder

The preparation process for TMS therapy begins with a comprehensive psychiatric evaluation. During the initial consultation, the TMS practitioner reviews the patient’s complete medical history, including previous treatments, medication regimens, and any contraindications, such as magnetic-sensitive metal implants in the head (or 12 inches in the vicinity) or past seizures. The practitioner discusses the expected course of therapy, potential side effects, and outcomes. Medical clearance may be required from other healthcare providers for concurrent health conditions. Insurance authorization is usually necessary and can take several hours to days.

Before beginning therapy, patients receive guidance regarding lifestyle modifications during the TMS course, such as maintaining consistent sleep patterns and avoiding caffeine at least 3 hours before sessions. The treatment team also documents baseline symptoms and may use standardized rating scales to track progress throughout the therapy.

TMS Session Overview

Positioning

Proper positioning is crucial for the effectiveness of TMS. During the procedure, the patient sits comfortably in a specialized chair to support their head and neck. The TMS provider carefully adjusts the positioning to ensure the magnetic coil is aligned precisely over the targeted brain region, typically the dorsolateral prefrontal cortex (DLPFC). This alignment ensures accurate stimulation and minimizes discomfort.

Determining the Motor Threshold

Before starting treatment, the TMS provider determines the patient’s motor threshold (MT). This involves placing the magnetic coil over the motor cortex (the brain’s movement control center) and delivering small pulses to observe muscle twitches, usually in the hand or fingers. The MT is the minimum amount of magnetic stimulation required to produce a visible muscle response. Establishing this threshold ensures the procedure is tailored to the patient’s brain sensitivity.

Target Identification

The targeted area for TMS in bipolar treatment is often the left or right DLPFC, depending on the patient’s symptoms. Neuronavigation systems or standardized measurement techniques locate the precise site. Accurate targeting maximizes the effectiveness of the stimulation and reduces potential side effects.

Stimulation

Once the target is identified, the magnetic coil is positioned, and the therapy begins. Pulses are delivered in short bursts or repetitive sequences, known as repetitive transcranial magnetic stimulation (rTMS), at a frequency determined by the treatment plan. The session may last between 3 and 40 minutes. Patients might hear clicking sounds from the machine and feel a tapping sensation on their scalp.

Patient Monitoring

The TMS technician monitors the patient throughout the procedure for comfort and any adverse reactions. If necessary, adjustments to the coil position or intensity are made. Patients are awake and alert throughout the entire session, and no anesthesia or sedation is required.

Session Completion

After the procedure, the magnetic coil is removed, and the patient can continue their day as usual. A treatment course generally involves many sessions over several weeks, with adjustments to the stimulation protocol as the patient progresses.

Is There Any Recovery After TMS for Bipolar Disorder?

One of the advantages of TMS for bipolar disorder is that there is no recovery period after treatment. Since the procedure is non-invasive and does not involve anesthesia or sedation, patients can resume their normal activities immediately after each session. Most people experience little to no side effects, apart from mild scalp discomfort or a slight headache, which resolve quickly without interfering with daily life.

Candidates for TMS for Bipolar Disorder

Diagnosed Bipolar Disorder

TMS is suitable for individuals with a formal diagnosis of bipolar disorder, particularly those experiencing depressive episodes. The treatment targets brain areas involved in mood regulation and is most often considered for bipolar depression rather than manic episodes.

Non-Response to Medications

TMS is an option for most people with bipolar disorder. For insurance coverage, this usually requires that the patient have tried and failed at 1-4 medications.

Intolerance to Medications

People who experience severe side effects from mood stabilizers or antidepressants may be candidates for TMS. This includes those unable to tolerate medication due to physical or mental health conditions.

No History of Seizures

Candidates for TMS should not have a history of epilepsy or other seizure disorders. The procedure involves magnetic stimulation that, while safe, could increase seizure risk in susceptible individuals.

No Metal Implants Near the Head

Those with non-removable, magnetic-sensitive metal implants 12 inches near the treatment area, such as cochlear implants, aneurysm clips, or deep brain stimulators, are typically not eligible for TMS. These devices can interfere with TMS and lead to severe adverse side effects.

Stability in Manic Symptoms

Candidates should have stable manic symptoms or be in a depressive phase of bipolar disorder. TMS is not typically used to address acute mania or mixed episodes.

Age Requirements

TMS is generally recommended for adults aged 18 and older. Research on the use of this therapy in children and adolescents with bipolar disorder is still limited.

Suicidal Ideation

If the patient is experiencing suicidal ideation, specific TMS regimens can be highly beneficial. For instance, the SAINT protocol involves an intense therapy of 10 daily treatments for 5 days. It can alleviate the symptoms and restore mental wellness.

Benefits of TMS for Bipolar Disorder

Reduced Depressive Symptoms

TMS has shown significant effectiveness in alleviating depressive episodes in bipolar patients. The targeted magnetic ... stimulation helps normalize neural activity in regions of the brain associated with mood regulation, leading to an improved psychological state. This therapy can be highly useful in treating bipolar disorder.

Non-Invasive Treatment

Unlike more invasive procedures, TMS doesn't require surgery or implants. The treatment is provided externally ... through magnetic pulses, making it a safer alternative for bipolar-depressed patients who cannot tolerate invasive operations or prefer to avoid discomfort.

Minimal Side Effects

Compared to traditional medications used for mood disorders, TMS typically produces fewer and weaker side effects. ... Most patients experience only minor discomfort during treatment, such as mild headaches that usually subside quickly after sessions.

Medication-Free Alternative

TMS can be particularly beneficial for patients who cannot tolerate bipolar drugs or experience severe side ... effects from them. It provides an alternative treatment pathway that doesn't involve pharmaceuticals.

Customizable Treatment Approach

The intensity and frequency of TMS can be adjusted according to each patient's specific needs and response to therapy. ... This personalization allows for optimal outcomes while maintaining safety and comfort.

Long-Lasting Results

Many patients experience sustained improvement in their bipolar symptoms following a complete course of TMS treatment. ... Some individuals maintain positive results several months to a year after therapy completion. Maintenance treatment can be provided to sustain the improvements in the longer term.

Improved Quality of Life

By reducing depressive symptoms, TMS may enhance overall functioning, strengthen relationships, increase work productivity, ... and bring joy to daily activities. It can also prevent the development of other mental disorders.

Cost of TMS for Bipolar Disorder in the United States

The cost of TMS for bipolar disorder in the United States ranges from $100 to $300 per session, depending on the provider and location. Treatment typically involves multiple procedures, which can add up over time. Fortunately, many insurance plans reimburse a significant portion of the cost, ranging from 30% to 100% of the total fees. Therefore, TMS is an affordable and effective way to address the symptoms of bipolar depression. Insurance coverage can vary, so patients need to check with their providers to understand the specifics of their benefits.

TMS Therapy Near Me Is the Ultimate Resource for Finding Qualified TMS Providers in Your Area

If you are interested in TMS, we recommend searching for a qualified provider. TMS Therapy Near Me is the ultimate resource for locating reputable TMS clinics in your area. We ensure that you have access to skilled professionals who specialize in this innovative therapy for bipolar disorder. In addition, our database includes practitioners who can offer relief from treatment-resistant depression, OCD, PTSD, autism, and smoking addiction. You may also explore the anxiety treatments provided by our skilled providers.

We connect people with trusted experts who can guide them through their TMS journey. Don’t wait to take the first step — explore TMS providers near you today and find the care you deserve!

TMS for Bipolar Disorder

What Is Transcranial Magnetic Stimulation?

TMS Is Being Actively Explored and Used as a Treatment for Bipolar Depression

How Does Bipolar Depression Differ From Major Depressive Disorder?

Preparation for TMS Therapy for Bipolar Disorder

TMS Session Overview

Is There Any Recovery After TMS for Bipolar Disorder?

Candidates for TMS for Bipolar Disorder

Benefits of TMS for Bipolar Disorder​

Cost of TMS for Bipolar Disorder in the United States

TMS Therapy Near Me Is the Ultimate Resource for Finding Qualified TMS Providers in Your Area

Benefits of TMS for Bipolar Disorder