NeuroStar® TMS Therapy
FDA-cleared, non-medication depression treatment
(855) 940-4867
Medically reviewed on by
Regional Medical Director Greater St. Louis
Prospective patients often ask us, “Is TMS FDA approved for anxiety?” Until recently, the answer was a straightforward no. But in an exciting development, the U.S. Food and Drug Administration (FDA) cleared the use of BrainsWay’s deep Transcranial Magnetic Stimulation™ (TMS) system to help alleviate symptoms of anxiety in people with major depressive disorder.
This is welcome news for the millions of people who have struggled with the common co-occurrence of depression and anxiety, especially for those who haven’t found relief with other treatment methods, such as medication or talk therapy.
TMS has been FDA-cleared for treatment of major depressive disorder since 2008. It’s important to note that this new ruling approves the use of BrainsWay deep TMS to treat anxiety in people with depression, not an anxiety disorder itself. As far as we know, TMS is not effective for anxiety disorders by themselves.
Anxiety and depression can be interlinked, possibly because both conditions are impacted by low levels of the brain neurotransmitter serotonin. Anxiety is very common in depressed patients. For those suffering from depression, more than half have at least moderate anxiety, and many have severe anxiety. Similarly, patients with anxiety disorders often also have depression.
If you’re someone who is experiencing symptoms in both categories, it’s critical to get a diagnosis to ensure the proper treatment plan is put in place to address anxiety and depression.
Depression and Anxiety Treatment Cases of co-occurring depression and anxiety can be treated with medications and therapeutic intervention as a starting point. Either modality can be used on its own, or in combination with each other.
Cognitive behavioral therapy (CBT) is perhaps the most common form of talk therapy used for anxiety and depression treatment. A CBT therapist helps patients examine their negative beliefs and thought patterns, giving them the necessary tools to replace those feelings with more positive behaviors. Dialectical behavioral therapy (DBT) may also be recommended for people with co-occurring anxiety and depression. This is an offshoot of CBT that believes patients must accept their negative patterns as part of life, and by accepting those challenges they can move towards change. Also, DBT coping mechanisms can be used when a patient is in emotional or physical distress.
Medications are the other common component of a treatment plan. Selective serotonin reuptake inhibitors (SSRIs) are antidepressants that can also be used to manage anxiety symptoms. Typical SSRIs include sertraline (Zoloft®), fluoxetine (Prozac®), and paroxetine (Paxil®).
Other antidepressants used for depression and anxiety include serotonin-norepinephrine reuptake inhibitors (SNRIs) and tricyclics. Duloxetine (Cymbalta®) is an example of an SNRI, while amitriptyline (Elavil®) is a type of tricyclic. Anxiety medications also include buspirone or benzodiazepines such as Xanax®. Prescription medications for depression include monoamine oxidase inhibitors (MAOIs) such as phenelzine (Nardil®).
Sometimes, however, medication and talk therapy don’t deliver the desired results. The new FDA clearance for the BrainSway TMS system indicates the promise TMS holds for people with depression who are seeking relief from anxiety symptoms. The data submitted to the FDA analyzed the results of 573 people across three randomized controlled trials and 11 studies where people had undergone deep TMS. According to the
FDA report granting the clearance, BrainsWay’s deep TMS system produced “consistent, robust and clinically meaningful” results when compared to medication or placebo treatment.
TMS is an effective treatment option for depression, as well as for obsessive compulsive disorder (OCD) and smoking cessation. Magnetic technology is the foundation for how TMS works. With an electromagnetic coil placed precisely on the scalp, near the left temple, magnetic pulses turn into gentle electrical currents that stimulate targeted areas of the brain.
Proper brain function is restored and symptoms are alleviated during a course of treatment, which is typically every weekday for several weeks, and then less frequent toward the end of treatment. Each session lasts from 18 to 40 minutes. TMS is non-invasive, no drugs are involved and side effects are minimal, so you can drive yourself to and from treatment and keep up with your normal schedule. Talk with us to find out if TMS is right for you or a loved one.
Schedule your free consultation today.
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NeuroStar Adult Indications for Use
The NeuroStar Advanced Therapy System is indicated for the treatment of depressive episodes and for decreasing anxiety symptoms for those who may exhibit comorbid anxiety symptoms in adult patients suffering from Major Depressive Disorder (MDD) and who failed to achieve satisfactory improvement from previous antidepressant medication treatment in the current episode.
The NeuroStar Advanced Therapy System is intended to be used as an adjunct for the treatment of adult patients suffering from Obsessive-Compulsive Disorder (OCD).
NeuroStar Adolescent Indications for Use
NeuroStar Advanced Therapy is indicated as an adjunct for the treatment of Major Depressive Disorder (MDD) in adolescent patients (15-21).
Important Safety Information
NeuroStar Advanced Therapy is only available by prescription. A doctor can help decide if NeuroStar Advanced Therapy is right for you. Patients’ results may vary.
The most common side effect is pain or discomfort at or near the treatment site. These events are transient; they occur during the TMS treatment course and do not occur for most patients after the first week of treatment. There is a rare risk of seizure associated with the use of TMS therapy (<0.1% per patient).
Visit neurostar.com for full safety and prescribing information.
Important Safety Information
What is the most important information I should know about SPRAVATO®?
SPRAVATO® can cause serious side effects, including:
Do not take SPRAVATO® if you:
If you are not sure if you have any of the above conditions, talk to your healthcare provider before taking SPRAVATO®.
Before you take SPRAVATO®, tell your healthcare provider about all of your medical conditions, including if you:
Tell your healthcare provider about all the medicines that you take, including prescription and over-the-counter medicines, vitamins and herbal supplements. Taking SPRAVATO® with certain medicine may cause side effects.
Especially tell your healthcare provider if you take central nervous system (CNS) depressants, psychostimulants, or monoamine oxidase inhibitors (MAOIs) medicine. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.
How will I take SPRAVATO®?
What should I avoid while taking SPRAVATO®?
Do not drive, operate machinery, or do anything where you need to be completely alert after taking SPRAVATO®. Do not take part in these activities until the next day following a restful sleep. See “What is the most important information I should know about SPRAVATO®?”
What are the possible side effects of SPRAVATO®?
SPRAVATO® may cause serious side effects including:
See “What is the most important information I should know about SPRAVATO®?”
Increased blood pressure. SPRAVATO® can cause a temporary increase in your blood pressure that may last for about 4 hours after taking a dose. Your healthcare provider will check your blood pressure before taking SPRAVATO® and for at least 2 hours after you take SPRAVATO®. Tell your healthcare provider right away if you get chest pain, shortness of breath, sudden severe headache, change in vision, or seizures after taking SPRAVATO®.
Problems with thinking clearly. Tell your healthcare provider if you have problems thinking or remembering.
Bladder problems. Tell your healthcare provider if you develop trouble urinating, such as a frequent or urgent need to urinate, pain when urinating, or urinating frequently at night.
The most common side effects of SPRAVATO® include:
If these common side effects occur, they usually happen right after taking SPRAVATO® and go away the same day.
These are not all the possible side effects of SPRAVATO®.
Call your doctor for medical advice about side effects. You may report side effects to Johnson & Johnson at 1-800-526-7736, or to the FDA at 1-800-FDA-1088.
What is SPRAVATO® (esketamine) CIII nasal spray?
SPRAVATO® is a prescription medicine used:
SPRAVATO® is not for use as a medicine to prevent or relieve pain (anesthetic). It is not known if SPRAVATO® is safe or effective as an anesthetic medicine.
It is not known if SPRAVATO® is safe and effective for use in preventing suicide or in reducing suicidal thoughts or actions. SPRAVATO® is not for use in place of hospitalization if your healthcare provider determines that hospitalization is needed, even if improvement is experienced after the first dose of SPRAVATO®.
It is not known if SPRAVATO® is safe and effective in children.
Please see full Prescribing Information, including Boxed WARNINGS, and Medication Guide for SPRAVATO® and discuss any questions you may have with your healthcare provider.
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