Deep Repetitive Transcranial Magnetic Stimulation

Deep rTMS (Repetitive Transcranial Magnetic Stimulation) is a non-invasive therapy that uses magnetic fields to stimulate nerve cells in the brain, used to treat depression and OCD. NICE has reviewed the evidence for depression and found no major safety concerns, with adequate short-term efficacy, though response varies between patients - it can be used with normal clinical governance arrangements. (Source: NICE guidance HTG396, 'Repetitive transcranial magnetic stimulation for depression', published 16 December 2015.)

A magnetic coil placed against your scalp generates a changing magnetic field, which induces a small electrical current in the brain. This activates nerve cells involved in mood regulation. The exact mechanism is still being studied, but it's thought to work through changes in neural plasticity and neurotransmitter release.

It depends on your symptoms, medical history and treatment goals — particularly if you haven't responded well to medication or psychotherapy. NICE's guidance notes that response to treatment varies between patients, so as part of your consultation we'll talk through the other options available and make sure you understand the procedure may not benefit everyone. A consultation with our Deep rTMS specialist is the best way to find out if it's a good fit for you.

Most people feel a tapping or clicking sensation on the scalp where the coil sits, which is generally painless. Some people report a mild headache or scalp discomfort during or shortly after a session, but this is usually temporary. Everyone's experience differs — speak to our Deep rTMS specialist if you have concerns.

For depression, NICE reviewed the safety evidence and found no major safety concerns. Commonly reported effects include mild headache, scalp discomfort, or muscle twitching in the face or jaw during the session, usually short-lived and manageable with over-the-counter pain relief. Seizures or mania are rare and typically only associated with certain pre-existing conditions. Discuss any concerns with a healthcare professional before starting treatment.

We're currently building relationships with insurance providers — check your policy to see what's covered and get in touch to discuss your options.

No — Deep rTMS is private only. NHS Right to Choose with Atrom Mindcare currently covers adult ADHD and autism assessment only. See our pricing page for Deep rTMS costs.