Who May Be a Good Candidate for TMS?

July 1, 2026

For many people living with depression, treatment begins with psychotherapy, antidepressant medication, or a combination of both. These approaches have helped countless individuals manage their symptoms and improve their quality of life. However, not everyone experiences the same results. Some people continue to struggle with depression despite trying one or more treatment options.



In these situations, healthcare providers may consider additional approaches, including Transcranial Magnetic Stimulation (TMS). TMS is a non-invasive treatment that has expanded the range of options available for certain patients with depression.


While TMS can be an effective treatment for some individuals, it is not appropriate for everyone. Understanding who may be a good candidate can help patients have informed conversations with their mental health provider.


Individuals With Treatment-Resistant Depression

One of the most common reasons a healthcare provider may recommend TMS is treatment-resistant depression.


Generally speaking, treatment-resistant depression refers to depression that has not adequately responded to one or more antidepressant medications prescribed at appropriate doses and durations. Every patient’s situation is unique, so the specific criteria for treatment resistance are determined through a comprehensive psychiatric evaluation.


For some individuals in this category, TMS may become an appropriate treatment option after other approaches have not provided sufficient symptom relief.

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People Looking for a Non-Invasive Treatment Option

Unlike surgical procedures, TMS does not require incisions, anesthesia, or hospitalization.



Treatment is performed in an outpatient setting while patients remain awake and alert throughout each session. After treatment, patients are generally able to return to many of their normal daily activities, depending on their provider’s recommendations.


For individuals who qualify, the non-invasive nature of TMS is one of its distinguishing characteristics.


Patients Able to Commit to a Treatment Schedule

TMS is not a one-time procedure.


A typical course of treatment involves multiple sessions scheduled over several weeks. Because consistency is an important part of the treatment process, patients should be prepared to attend appointments as recommended by their provider.


Before treatment begins, the care team reviews the anticipated schedule and answers questions so patients understand what to expect. Commitment to the treatment plan helps support continuity of care throughout the process.

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Individuals Seeking Personalized Care

No two people experience depression in exactly the same way.


Symptoms, medical history, previous treatments, overall health, and personal goals all influence treatment planning. A comprehensive evaluation allows providers to determine whether TMS may be appropriate based on each individual’s circumstances.


Even when TMS is a potential option, it is often incorporated into a broader treatment plan that may also include medication management, psychotherapy, and ongoing psychiatric care.



This individualized approach recognizes that effective mental health treatment is rarely one-size-fits-all.

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A Comprehensive Evaluation Comes First

Before recommending TMS, a psychiatrist performs a detailed assessment.


This evaluation typically includes reviewing medical history, psychiatric history, previous treatments, current symptoms, medications, and other relevant factors. Providers also discuss treatment goals and answer questions about the process.


The purpose of the evaluation is to determine whether TMS is an appropriate option while ensuring the treatment plan aligns with the patient’s overall needs.


Every recommendation is based on the individual’s unique clinical situation rather than a single diagnosis alone.


When TMS May Not Be the Right Choice

Because every patient is different, TMS is not appropriate in every situation.


Certain medical conditions, implanted metallic or electronic devices near the head, or other clinical considerations may influence whether TMS is recommended. During the evaluation process, providers carefully review each patient’s medical history to determine the safest and most appropriate treatment options.


If TMS is not the best fit, other treatment approaches may be considered based on the individual’s needs.

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Finding the Right Treatment Path

Choosing a depression treatment is a highly personal decision that should always be made in partnership with a qualified mental health professional. Understanding who may be a good candidate for TMS is simply the first step toward exploring the options that may be available.


At Apex Interventional Psychiatry, we provide comprehensive psychiatric evaluations to determine whether treatments such as Transcranial Magnetic Stimulation (TMS), Spravato®, medication management, or other evidence-based approaches are appropriate for each patient. Every treatment plan is personalized, with the goal of helping patients find the care that best supports their individual needs.



There is no single solution for depression, but there are more treatment options available today than ever before. For some individuals, TMS may become an important part of the journey toward improved mental health and quality of life.

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What Anhedonia Looks Like in Daily Life

September 8, 2026
Depression is often associated with sadness, but not everyone with depression primarily feels sad. For some people, one of the most disruptive symptoms is a loss of interest, enjoyment, or pleasure in activities that once felt meaningful. This symptom is called anhedonia . Someone experiencing anhedonia may still go to work, complete household responsibilities, or spend time with family, yet feel emotionally disconnected from those experiences. The National Institute of Mental Health identifies loss of interest or pleasure in hobbies and activities as a common symptom of depression. Understanding what anhedonia looks like in ordinary life can make it easier to recognize when depression may need professional evaluation. Hobbies May Stop Feeling Rewarding A person with anhedonia may continue doing activities they once enjoyed but notice that the emotional reward is missing . Music may sound ordinary rather than exciting. A favorite television show may no longer hold attention. Gardening, exercise, cooking, reading, gaming, or other hobbies may begin to feel like chores. Sometimes people stop participating altogether because they assume they have simply lost interest.  The difference is often broader than changing tastes. With anhedonia, multiple previously enjoyable activities may begin to feel flat or unrewarding.

Why TMS May Be Considered After Antidepressants Have Not Worked Well Enough

September 4, 2026
Antidepressants are often an important part of depression treatment, but they do not work equally well for everyone. Some people experience only partial improvement, while others continue to have significant symptoms despite trying more than one medication.  When depression remains difficult to treat, a psychiatrist may consider additional options such as transcranial magnetic stimulation, or TMS . TMS is a noninvasive treatment that uses magnetic pulses to stimulate areas of the brain involved in mood regulation. It is commonly considered when standard approaches have not provided enough relief.

How SPRAVATO® Differs From Standard Oral Antidepressants

September 1, 2026
For many people with depression, treatment begins with an oral antidepressant. These medications can be effective, but some patients continue to experience significant symptoms despite trying appropriate treatments. In certain situations, a psychiatrist may consider a different approach, including SPRAVATO® ( esketamine ) nasal spray.  SPRAVATO is not simply another version of a traditional antidepressant. It differs in how it is administered, how it acts in the brain, how quickly treatment is structured, and the level of medical supervision required.