Introduction

When battling depression, choosing the right treatment can feel daunting. Medications are often the first step, but for some, they don’t bring enough relief — or the side effects outweigh the benefits. That’s where Transcranial Magnetic Stimulation (TMS) comes in.

At Broadview Psychiatry, we help patients weigh the pros and cons of both options to make informed decisions. Here’s a breakdown of how TMS compares to medication.

Medications for Depression

Benefits:

• Widely available.

• Effective for many patients.

• Can treat multiple conditions (depression, anxiety, OCD, etc.).

Drawbacks:

• Trial-and-error process — finding the right medication may take time.

• Side effects such as weight gain, fatigue, sexual dysfunction, or digestive issues.

• Some patients require multiple medications to achieve relief.

TMS Therapy for Depression

Benefits:

• Non-invasive, no systemic side effects.

• High success rates for treatment-resistant depression.

• Patients can resume normal activities immediately after sessions.

• Long-lasting effects for many individuals.

Drawbacks:

• Requires frequent visits over several weeks.

• Not yet available in all clinics.

• Insurance coverage may vary.

Factors to Consider in Choosing Between TMS and Medication

• Severity of symptoms: Medications may be a starting point, but TMS can be effective if symptoms persist.

• Tolerance for side effects: TMS avoids many of the systemic effects of drugs.

• Lifestyle and convenience: Medications are taken daily at home, while TMS requires clinic visits.

• Response history: Patients who haven’t responded to two or more medications are strong candidates for TMS.

The Broadview Psychiatry Recommendation

There’s no one-size-fits-all solution. Often, the best outcomes come from combining treatments — using medication, TMS, and therapy together to create a personalised plan.

Conclusion

Both TMS and medication can play an important role in depression treatment. The best choice depends on your history, needs, and preferences. At Broadview Psychiatry, we’ll guide you through every option, ensuring your treatment path is tailored to you.