TMS with Neuronavigation › Depression › Depression with anxiety
Depression and anxiety at the same time? There is a plan for both.
Transcranial magnetic stimulation (TMS) treats depression directly in the brain, and restlessness and tension often ease along with it. Alongside medication and psychotherapy, with the target found by Neuronavigation.
Why it matters
When depression comes with anxiety, antidepressants lead to remission less often.
This is what the largest study on choosing antidepressants, STAR*D, shows, with 727 patients at this step. That is why a treatment that acts directly on the brain, added to medication, can make a difference.
Does this sound familiar?
Restlessness keeps you awake, tiredness deepens sadness, and sadness feeds worry. That is why we assess and treat them together.
What studies show
less often
remission with antidepressants
In STAR*D, patients whose depression came with anxiety reached remission less often when they switched antidepressants.
208
randomised studies analysed
The most comprehensive analysis of brain stimulation in mental disorders found a large effect of TMS on generalised anxiety symptoms.
both
anxiety and stress decrease
In 109 patients treated with TMS for depression, not only depressive symptoms but also anxiety and stress decreased significantly.
In brief, with Dr Nadia Gorduza
Dr Nadia Gorduza explains why restlessness and tension often ease along with depression and what a session looks like, step by step.
The treatment plan
TMS
The protocol chosen for you
For marked anxiety, the doctor may choose the gentle right-hemisphere protocol, included in the European recommendations for depression, or Theta Burst, with sessions of about 3 minutes.
Psychotherapy
Techniques for restlessness
Practical techniques for managing worry and panic attacks that complement the effect of TMS.
Assessment
We measure anxiety separately
At the start and after 10, 20 and 30 sessions we track mood, anxiety and stress separately.
No surprises
You are awake and sitting in a chair
No anaesthesia is needed, and you can go home on your own after the session.
A click and a light tap
The device clicks with each pulse, and you feel a light tap on the scalp.
You can ask for a break at any time
The session stops immediately if you need it to. You are in control.
Short sessions, if you prefer
With Theta Burst, stimulation takes about 3 minutes.
Yes, panic attacks are not in themselves a reason not to have TMS. We discuss them at the assessment and choose the right protocol and pace together.
Do not stop them on your own and do not stop them suddenly. Tell the doctor about any change in medication, including benzodiazepines, before a session.
TMS treats depression, and anxiety symptoms often improve along with it. We measure them separately, so you can see exactly how each one changes.
Yes, and we recommend it. At ID Therapy you can have both in the same clinic.
The first step is the initial assessment. Tap “Book now!” and choose your time directly on WhatsApp. Bring your medical records, your list of medications and your MRI, if you have one.
3 Aviator Jean Texier Street, 1st floor, apt. 2, Sector 1, Bucharest · Monday–Friday, 10:00–20:00
Results vary from patient to patient. The indication for TMS is set by the doctor after an assessment. Sources: Rush et al., Arch Gen Psychiatry 2008 · Hyde et al., Mol Psychiatry 2022 · Badawi et al., Psychiatr Q 2021 · Lefaucheur et al., Clin Neurophysiol 2020.
ID Therapy Brain & Longevity Clinic
