Getting Started with TMS Therapy

The first step to TMS Therapy is to determine if TMS is right for you.
Cascade TMS offers a free consultation with one of our knowledgeable TMS Coordinators, who will help guide you through the intake process. During the consultation, we provide details regarding TMS Therapy and review your treatment history and insurance eligibility. Then we schedule you with an intake with one of our TMS psychiatrists. During this appointment, you and the provider discuss your treatment options.

Cascade TMS will no longer be accepting new patients after October 14, 2022.


Benefits of TMS

Depression is a brain problem and TMS focuses its efficacy on the apart of the brain that is not working effectively when depression is experienced. That area of the brain is called the frontal lobe which is responsible for attention, mood, planning, decision making and allows you to feel a part of the world. TMS Therapy stimulates the brain and increases neuronal activity. The magnetic pulses increase metabolism and blood flow without experiencing body side effects, i.e. nausea, lethargy, etc.

TMS is a safer treatment option than ECT with fewer side effects and similar results.

TMS is an effective, safe, and well-tolerated in-office treatment.


TMS Safety & Efffectiveness

Clinical trials have demonstrated the safety of TMS therapy in treating patients who have had an inadequate response to prior antidepressant medications.  Cascade TMS in Portland, OR has been at the forefront of TMS safety and is our number one concern.

Treatment with TMS therapy caused very few side effects.  It is generally well tolerated by patients. The most common side effect reported during clinical trials was scalp discomfort—generally mild to moderate and occurring less frequently after the first week of treatment.

Fewer than 5% of patients discontinued treatment with TMS therapy due to adverse events.

Over 10,000 active treatments were performed across all TMS clinical trials demonstrating its safety. Most common side effects include scalp discomfort or headache.

  • No systemic side effects
  • No weight gain
  • No sexual dysfunction
  • No sedation
  • No nausea
  • No dry mouth
  • No adverse effects on concentration or memory
  • No drug interactions

TMS Therapy should not be used in patients with implanted metallic devices or non-removable metallic objects in or around the head. This does not include metallic fillings in teeth.

TMS therapy should not be used in patients with implants controlled by physiological signals. This includes pacemakers, implantable cardioverter defibrillators (ICDs), and vagus nerve stimulators (VNS).




Janicak, P, et al. Transcranial Magnetic Stimulation (TMS) in the Treatment of Major Depression: A Comprehensive Summary of Safety Experience from Acute Exposure, Extended Exposure and During Reintroduction Treatment. Journal of Clinical Psychiatry, February 2008.