TMS Therapy treats depression when medications are not enough. You are not alone.

During the first TMS session, several measurements are made to ensure that the TMS coil will be properly positioned over the patient’s head. Once this is done, the TMS coil is suspended over the patient’s scalp. The TMS physician then measures the patient’s motor threshold, by administering several brief pulses. The motor threshold is the minimum amount of power necessary to make the patient’s thumb twitch and varies from individual to individual. Measuring the motor threshold helps the physician personalize the treatment settings and determine the amount of energy required to stimulate brain cells.

Once the motor threshold is determined, the coil is then brought forward so that it rests above the front region of the patient’s brain. Treatment is then commenced. During the treatment, patients will hear a series of clicking sounds and will feel a tapping sensation under the treatment coil. Motor threshold is not checked at every treatment but may be reassessed if there is concern it may have changed. Patients need to report if there is any change in their health status during the treatment.

Because it is important to determine how to most effectively administer your individual treatment, your first session may last up to an hour. You will be provided with earplugs to reduce the audible tapping sound that the device emits. You can bring your own headphones (providing they are not metal) and listen to music during your treatment.

We look forward to helping you or a loved one.


Dr. Srisai Gowda is a leading Board–Certified Psychiatrist practicing over 20 years caring for patients in Somers Point/Linwood area, NJ.

Dr. Gowda is committed to improving patients’ overall wellness, avoiding the “Pill for every ill mantra” and addressing any underlying conditions causing their symptoms with customized treatment plans that incorporate appropriate lifestyle changes, referral to psychotherapy when indicated, and cutting-edge psychopharmacology.