How TMS Therapy Works for Depression: A Guide from Dr. Goolsby's Office

If you or someone you love is struggling with depression that just won’t go away, even after trying medication and talk therapy, you’re not alone. Coming off the heels of National Mental Health Awareness Month in May and National Men’s Mental Health Awareness Month in June, it is important to discuss the need for mental health care for everyone.

Depression is a worldwide health issue impacting an estimated 5% of the global population. Depressive disorder impacts women and men alike and many are seeking treatment options that will aid them in living full rich lives. For many with a depression diagnosis typical treatment, including medication and talk therapy, simply do not resolve their symptoms. When traditional treatment protocols cease to work, or don’t work to begin with, treatment resistant depression becomes an issue.  

Treatment-resistant depression (TRD) affects millions of people—and for many, it can feel like a never-ending battle. At Goolsby and Associates in Gainesville, Georgia, we understand how frustrating this journey can be. That’s why we’re proud to offer Transcranial Magnetic Stimulation (TMS) therapy, a breakthrough treatment option that offers hope and healing when other methods haven’t worked.

In this post, we’ll walk you through what TMS is, how it works, and why it’s such an effective strategy for treating depression—especially when standard treatments fall short.

What Is TMS Therapy?

TMS stands for Transcranial Magnetic Stimulation. It’s a noninvasive, FDA-approved therapy that uses magnetic pulses to stimulate areas of the brain that are underactive in people with depression. It might sound high-tech—and it is—but the treatment itself is simple, safe, and doesn't involve surgery, sedation, or medication.

At Goolsby and Associates, we use cutting-edge TMS technology to help people find relief from depression without the side effects of antidepressant medications. Our trained professionals guide you through every step of the process, ensuring your comfort and confidence during treatment.

How Does TMS Work?

In people with depression, certain areas of the brain—particularly those involved in mood regulation—become underactive. TMS targets the prefrontal cortex, a region linked to emotional control and decision-making, and uses gentle magnetic pulses to “wake up” these brain circuits.

Here’s what you can expect during a typical TMS session at our Gainesville office:

1. You’ll be seated comfortably in a chair. There’s no need for anesthesia or recovery time.

2. A small magnetic coil is placed on your head. This coil delivers magnetic pulses to the targeted area.

3. You’ll feel a light tapping sensation. Most patients find it completely tolerable, and you’ll be awake the entire time.

4. Sessions between 5-30 minutes, depending on your treatment plan.

5. You can drive yourself home afterward and return to normal activities right away.

Over a course of sessions—usually five days a week for four to six weeks—TMS helps reset brain activity and reduce the symptoms of depression.

Why Is TMS So Effective for Depression?

TMS therapy has been a game-changer for people with major depressive disorder and/or treatment-resistant depression, which means depression that hasn’t responded well to at least two antidepressant medications. For many, TMS offers real, lasting relief without the side effects of medications like weight gain, sexual dysfunction, or fatigue.

Benefits of TMS include:

• Noninvasive: No surgery, needles, or sedation.

• Medication-free: Ideal for those who can't tolerate antidepressants.

• Minimal side effects: The most common are mild scalp discomfort or headache during or after the session.

• Clinically proven results: TMS has been shown to significantly reduce—or even eliminate—symptoms in people with TRD.

• Sustained improvement: Many patients experience long-lasting improvement in their mood and daily functioning.

At Goolsby and Associates, we’ve seen firsthand how TMS has transformed the lives of our patients in Gainesville and across Northeast Georgia. People who were once fearful their depression would rule their lives are now living life to the fullest rediscovering joy, purpose, and hope.

What Makes TMS Different from Other Treatments?

While traditional treatments like medication and therapy help many people, they don’t work for everyone. Depression is a complex condition with biological, psychological, and environmental factors, and sometimes the brain simply needs a different kind of stimulation to get back on track.

Unlike medication, which works systemically and affects your whole body, TMS is localized—it targets the specific part of your brain that regulates mood. It’s like rebooting a computer: TMS helps rewire faulty circuits and restore balance.

Is TMS Right for You?

You might be a good candidate for TMS if:

• You’ve tried at least two antidepressants without success

• You’ve experienced difficult side effects from medication

• You want a non-drug alternative to treat your depression

• You’re looking for a therapy that allows you to stay alert and active during and after sessions

At Goolsby and Associates, we begin with a comprehensive mental health evaluation to determine if TMS is right for you. Our experienced team is here to listen, answer your questions, and create a personalized care plan that fits your needs and goals. Your initial consultation with us will give us a better understanding of your individual situation and help us determine if TMS is a good fit for you. 

Why Choose Goolsby and Associates for TMS?

We know that seeking treatment for depression is a deeply personal decision. At Goolsby and Associates, our mission is to walk with you every step of the way—with compassion, clinical expertise, and cutting-edge technology.

Here’s what sets us apart:

• Board-certified providers with experience in mental health and neuromodulation therapy

• Convenient location in Gainesville, GA with easy access and free parking

• Supportive care team who treats you with respect, kindness, and dignity

• Flexible scheduling to work around your daily life

• Insurance and financing guidance, so you understand your options

We don’t just offer a service—we offer a partnership in your healing.

What Do Our Patients Say?

I was hesitant to try TMS, I didn't really think it would work. I just couldn't see how it would help me at all. I just decided that I had been depressed for so long, I would give TMS a try. I'm thankful to the good Lord I did. It has not changed only my life but my husband's life. I haven't felt this good in twenty years, maybe longer. I feel like a young woman again...As far as feeling, I feel great!!      -Joyce

I wish I could express in words what a difference the TMS treatment have made in my life. I don't just feel better, I feel like a different person.      -Joan

Take the First Step Toward Relief

Living with depression doesn’t have to be a life sentence. If you’ve been struggling and feel like nothing is working, TMS therapy may be the breakthrough you need. At Goolsby and Associates, we’re here to help you explore your options and find hope again.

Contact us today to schedule your TMS consultation or to discuss any mental health needs you may have. We look forward to partnering with you on your path to healing.