Repetitive Transcranial Magnetic Stimulation (rTMS) uses gentle magnetic pulses to activate specific brain circuits. Decades of clinical trials have clarified where it works best and where it shows early promise.
Proven Help
Major Depression: The strongest track record of all. Large multi-centre studies confirm that rTMS can lift mood when medication or talk therapy alone is not enough.
Solid but Still Growing Evidence
Obsessive–Compulsive Disorder (OCD): Both standard and “deep” coils can reduce intrusive thoughts and rituals, especially when combined with exposure-based therapy.
Auditory Hallucinations in Schizophrenia: Daily sessions over the brain’s “hearing centre” can soften the intensity and frequency of voices.
Negative (Motivation) Symptoms of Schizophrenia: Stimulation of the frontal thinking area can briefly boost drive and emotional expression; booster courses are often needed.
Promising Early Findings
Post-Traumatic Stress Disorder (PTSD): Studies show fewer flashbacks and calmer arousal levels, suggesting rTMS is a useful add-on when first-line treatments stall.
Addiction & Craving: Stimulation over decision-making circuits can curb urges for nicotine, alcohol and stimulants; larger trials are underway.
Chronic Neuropathic or Fibromyalgia-Type Pain: rTMS aimed at motor or prefrontal regions can lower pain scores, particularly when drugs have failed.
Post-Stroke Depression & Thinking Problems: Early trials point to brighter moods and sharper attention, with good safety alongside standard rehabilitation.
What This Means for You
Evidence-based, not experimental: For the conditions above, rTMS is backed by peer-reviewed research and has regulatory approvals for several uses.
Part of a package: It usually complements, rather than replaces, medication, psychological therapy or rehabilitation.
Individual results vary: The Treating doctor will tailor the protocol and discuss realistic benefits, side effects and costs and will answer your questions before obtaining informed consent from you.