Can TMS Make Anxiety Worse? What You Should Know

TMS may temporarily increase anxiety in some patients, though most experience long-term relief. Side effects are usually mild and manageable with provider support and treatment adjustments.

Transcranial magnetic stimulation (TMS) is increasingly recognized as an alternative treatment for mental health conditions, particularly depression and anxiety disorders. While many individuals experience relief, some worry about whether TMS may worsen anxiety symptoms.

This article explains how the treatment works, outlines potential impacts, and highlights key information that individuals should be aware of before starting treatment.

Understanding TMS and Its Purpose

Transcranial magnetic stimulation uses focused magnetic pulses to stimulate specific parts of the brain connected to mood regulation and emotional balance. The most common target is the prefrontal cortex, an area of the brain that plays a key role in managing stress and regulating emotions. By influencing brain activity in this region, this therapy can improve communication between neurons and support healthier patterns of thought and response.

A typical session lasts between 20 and 40 minutes and is repeated daily over several weeks. In some programs, repetitive TMS therapy is used, which delivers repeated pulses in a structured pattern to strengthen its therapeutic effect. The effect depends on each individual’s unique brain chemistry, and outcomes can differ from person to person.

How TMS May Affect Anxiety

The possibility that TMS may increase anxiety is a valid concern, while many patients experience reduced symptoms, a smaller number report temporary discomfort or heightened restlessness during treatment. This can happen because it stimulates brain regions that regulate emotional processing, and in some cases, this activation may initially feel overwhelming before positive results emerge.

For individuals with generalized anxiety disorder or co-occurring depression, these effects may be more noticeable. Most reports indicate that these changes are short-term and resolve as treatment continues. Open communication with providers ensures that any changes are monitored closely.

Possible Side Effects of TMS

Like any medical intervention, TMS carries potential side effects. Common ones include mild scalp discomfort, headaches, or brief dizziness after sessions. Some individuals also describe irritability or an increase in anxiety symptoms at the start of treatment. These side effects are usually temporary and lessen as the brain adapts to the stimulation.

Because the treatment directly engages the part of the brain involved in mood regulation, adjustments may be needed if symptoms persist. Clinicians can alter stimulation patterns or session intensity to reduce discomfort while maintaining effectiveness.

What Research Suggests About TMS for Anxiety

Clinical studies on transcranial magnetic stimulation show promising results for treating anxiety disorders. Research findings suggest that TMS may provide measurable improvement, especially for people who also struggle with depression and anxiety combined. While a small percentage of patients report worsened symptoms at first, most benefit from sustained relief once treatment stabilizes.

tms treatment for anxiety

The evidence indicates that the effect of TMS depends on patient-specific factors, such as brain activity, treatment protocols, and individual health conditions. Working with a trained professional enables adjustments that enhance outcomes and minimize risks. 

Considering TMS as a Treatment Option

For those considering transcranial magnetic stimulation, the decision should balance potential benefits with possible risks. It may be an effective tool for treating anxiety when other treatments have not worked. However, awareness of temporary challenges, such as a short-term increase in anxiety, is essential.

If TMS therapy is part of your treatment plan, staying engaged with your care team is key. Clinicians can modify sessions to manage side effects, ensuring safety while maintaining therapeutic progress. Careful monitoring supports long-term relief and a more comfortable treatment journey.

Final Thoughts from Quantum Wellness Center

Transcranial magnetic stimulation is a clinically validated therapy that can significantly reduce symptoms of both depression and anxiety disorders. While it may occasionally make it worse in the short term, most patients experience improvements that outweigh temporary setbacks when treatment is properly managed.

At Quantum Wellness Center, we approach rTMS therapy with precision, safety, and individualized care. Our team evaluates each patient’s unique needs, monitors progress closely, and integrates treatment into a comprehensive wellness plan. This approach helps patients not only explore advanced therapies but also build lasting strategies for mental health resilience.

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