Understanding Anxiety and Its Impact
Anxiety is more than occasional worry or stress. It is a persistent feeling of fear, dread, or uneasiness that can interfere with daily life. People living with anxiety may experience difficulty sleeping, racing thoughts, rapid heart rate, panic attacks, or changes in appetite. When these symptoms persist over time and disrupt daily functioning, they may indicate an anxiety disorder.
According to the World Health Organization, anxiety is the most common mental health disorder worldwide, affecting over 300 million people. In the United States alone, more than 40 million adults and seven percent of children each year struggle with anxiety. Given how widespread anxiety is, understanding effective treatment options is essential for individuals seeking relief and improved quality of life.
The Role of TMS in Treating Anxiety
Transcranial Magnetic Stimulation, or TMS, is a non-invasive, brain-based therapy that offers a new approach for patients with treatment-resistant anxiety. At NeoPsych, Dr. Thomas Hughes provides TMS for anxiety with protocols tailored to each patient’s needs. Unlike medications, which affect the body systemically, TMS targets specific brain regions associated with emotional regulation and stress response.
TMS uses a specialized magnetic coil placed on the scalp to deliver controlled magnetic pulses. These pulses generate small electrical currents that stimulate neurons in the brain, modulating activity in circuits that influence mood and anxiety. For anxiety treatment, the target location is typically on the right dorsolateral prefrontal cortex. Low-frequency pulses at this site help calm overactive brain cells, reducing anxious thoughts and physiological hyperarousal.
How TMS Differs for Anxiety Versus Depression
TMS was first FDA-approved in 2008 for major depressive disorder, with treatment targeting the left dorsolateral prefrontal cortex. High-frequency stimulation in this region excites underactive neurons associated with depressive symptoms. In 2021, TMS for anxious depression received FDA clearance. This distinction makes TMS uniquely suited for patients with anxiety and depression comorbidly.
Some patients may also benefit from functional connectivity MRI-guided TMS. This method maps the specific neural circuits linked to anxiety, allowing for more precise targeting and potentially improved outcomes.
Standard Treatments and Where TMS Fits
Traditional treatments for anxiety often involve a combination of psychotherapy and medications. Cognitive-behavioral therapy, dialectical behavior therapy, acceptance and commitment therapy, and psychodynamic therapy are among the most commonly used modalities. Medications, particularly selective serotonin reuptake inhibitors such as Prozac, Lexapro, Luvox, and Zoloft, are also frequently prescribed.
However, not all patients respond to these approaches. Some experience intolerable side effects or have medical conditions that limit medication use. For these individuals, TMS offers an evidence-based alternative that is safe, non-invasive, and does not require sedation or systemic medications.
The TMS Experience at NeoPsych
At NeoPsych, Dr. Hughes begins each patient’s journey with a comprehensive consultation to review their medical history, anxiety symptoms, prior treatments, and any coexisting conditions. Brain mapping is then used to determine the optimal location for TMS stimulation. Each session is conducted with the patient seated comfortably, and the treatment typically lasts between 20 and 40 minutes. Patients may feel a tapping sensation or mild muscle movement in the scalp during stimulation.
Dr. Hughes offers flexible TMS schedules to accommodate different patient needs. These include the 1-Day Accelerated TMS (ONE-D Protocol), the 5-Day Accelerated TMS (M-SAINT Protocol), and the 10-Day Accelerated TMS. The choice of protocol depends on treatment goals, scheduling preferences, and clinical considerations. These flexible options allow patients to receive effective therapy without disrupting work or daily responsibilities.
Safety, Side Effects, and Candidacy
TMS is generally well-tolerated. Mild side effects may include temporary scalp discomfort or headaches, which usually resolve quickly. Because TMS is non-invasive and does not involve anesthesia or systemic medications, patients can return to their normal routines immediately after each session.
Ideal candidates for TMS for anxiety include adults diagnosed with generalized anxiety disorder, social anxiety disorder, or treatment-resistant anxiety. Patients who cannot tolerate medications or have not experienced sufficient relief from traditional therapy may also benefit. Dr. Hughes carefully evaluates each patient to determine suitability, considering medical history, neurological factors, and lifestyle.
Integrating TMS With Comprehensive Care
While TMS can be highly effective on its own, it often works best as part of a holistic mental health plan. At NeoPsych, Dr. Hughes encourages combining TMS with psychotherapy, mindfulness practices, and lifestyle interventions. Attention to sleep hygiene, regular exercise, and nutrition supports brain health and enhances long-term anxiety regulation. By integrating these approaches, patients receive both immediate symptom relief and strategies to maintain mental wellness over time.
Outcomes and Ongoing Monitoring
Many patients notice symptom improvement within the first few weeks of treatment, including reduced tension, fewer panic episodes, and better sleep. Progress is closely monitored, with adjustments to stimulation parameters as needed. Maintenance sessions may be recommended to reinforce treatment benefits, and ongoing guidance helps patients prevent relapse and sustain mental health improvements.
Why Choose NeoPsych
NeoPsych provides a patient-centered approach to TMS that combines cutting-edge technology, scientific rigor, and compassionate care. Dr. Thomas Hughes brings extensive experience in delivering TMS, ensuring each patient receives an individualized plan that aligns with their goals. His expertise, combined with the clinic’s advanced protocols and flexible scheduling, makes TMS a practical, safe, and effective option for residents of Los Angeles, Glendale, Pasadena, and Burbank.
Taking the Next Step
Patients interested in exploring TMS for anxiety can schedule a discovery call with Dr. Hughes at NeoPsych. During this initial session, the patient receives a thorough assessment, a discussion of treatment goals, and guidance on protocol selection. While insurance does not yet cover TMS for anxiety, NeoPsych offers clear information on out-of-pocket costs and treatment planning.
By combining personalized brain-based therapy with flexible scheduling and comprehensive care, TMS under Dr. Hughes empowers patients to regain control over their anxiety, improve overall well-being, and achieve lasting mental wellness.