Lasting Relief from Depression: Exploring TMS at Goolsby & Associates

For many people, depression isn’t just a passing phase of sadness—it’s a constant, heavy weight that makes even everyday tasks feel impossible. When medications and talk therapy haven’t brought relief, it can feel like hope is slipping away. But there’s good news: innovative treatments like Transcranial Magnetic Stimulation (TMS) are opening new doors for people who struggle with depression.

At Goolsby and Associates, patients have access to cutting-edge TMS therapy, including accelerated treatment protocols designed to help them feel better faster. We are located in beautiful Gainesville, GA and support patients throughout the North Georgia region.

Let’s break down what TMS is, why it’s so promising for people with depression, and when you might consider exploring it for yourself or a loved one.

What Is TMS?

Transcranial Magnetic Stimulation (TMS) is a noninvasive, drug-free treatment approved by the FDA for major depressive disorder (MDD). Here’s how it works in simple terms:

TMS uses magnetic pulses, similar in strength to those used in MRI machines, to stimulate specific areas of your brain involved in mood regulation.
These pulses help “wake up” brain circuits that may be underactive in people with depression.
Unlike medications, TMS doesn’t circulate throughout your entire body, so it avoids the systemic side effects (like weight gain, sexual dysfunction, or fatigue) that can come with antidepressant drugs.
TMS is an FDA approved treatment option for major depression and is covered by most insurance plans.

It’s important to note that TMS is not electroconvulsive therapy (ECT). There’s no anesthesia, no seizure induction, and you’re awake and alert throughout the session. Many patients read, listen to music, or simply relax during treatment.

How Does TMS Help Treat Depression?

To understand why TMS can be so effective, it helps to know a little about how depression affects the brain. Research shows that in people with depression:

Certain brain regions become less active—especially the prefrontal cortex, which is responsible for mood, decision-making, and emotional regulation.
The connections between brain cells (neurons) may become weaker or disrupted, making it harder to process positive emotions or cope with stress.

TMS targets these regions directly. The magnetic pulses:

-Stimulate neural activity in the prefrontal cortex.
-Encourage the release of neurotransmitters like serotonin, dopamine, and norepinephrine, which help regulate mood.
-Promote neuroplasticity—the brain’s ability to form new, healthier connections.

Think of it like jump-starting a car battery. For many people, TMS helps their brain circuits “turn back on,” leading to significant improvements in mood, energy, and outlook on life.

Benefits of TMS for Depression

TMS offers several advantages, especially for people who haven’t found success with traditional treatments:

Noninvasive: No surgery, no anesthesia, and no recovery time required.
Minimal side effects: The most common side effect is mild scalp discomfort during treatment. Serious side effects are rare.
No systemic side effects: Unlike medications, TMS does not cause weight gain, sexual dysfunction, or fatigue.
Outpatient treatment: You can drive yourself to and from appointments and return to work or daily activities afterward.
Long-lasting results: Many patients maintain significant relief for months or even years after completing a treatment course. Some require occasional maintenance sessions.

Clinical studies show that approximately 50-60% of patients with treatment-resistant depression respond to TMS, and about one-third experience full remission. Those are encouraging numbers for people who’ve felt stuck in their depression for years.

When Should You Consider TMS?

While TMS isn’t usually a first-line treatment, it’s an excellent option if:

You’ve tried one or more antidepressant medications using the prescribe amount for an appropriate duration without adequate relief.
Medications cause side effects that you can’t tolerate.
You prefer a non-drug alternative for treating depression.
Your depression is moderate to severe, significantly impacting your ability to function.
You’ve completed psychotherapy but still have lingering symptoms.

At Goolsby and Associates, our team performs a thorough evaluation to determine if TMS is right for you. This includes discussing your medical history, previous treatments, and specific symptoms.

What Is TMS Treatment Like?

Many patients worry that TMS might be painful or scary, but it’s generally very well-tolerated. Here’s what to expect:

Each session generally lasts about 5-30 minutes..
You’ll sit comfortably in a chair while a small magnetic coil is placed lightly against your scalp.
You’ll hear clicking sounds and feel a tapping sensation, like a gentle tapping on your head.
You remain awake and alert during the session.
Treatment is usually administered five days a week for about 4-6 weeks, though the schedule can vary.

Side effects, if they occur, are typically mild and temporary. These might include scalp discomfort, mild headache, or lightheadedness.

What Is Accelerated TMS?

Traditionally, TMS treatments are spread out over several weeks. However, Accelerated TMS (aTMS) is a newer approach that aims to deliver the same—or even better—results in a shorter period.

With aTMS:

Multiple sessions are delivered in a single day (often 5-10 sessions daily).
The entire course of treatment may be completed in as little as one week instead of several weeks.
Research suggests aTMS may be as effective as traditional TMS, especially for people who need rapid relief from severe depression symptoms.

Accelerated TMS is still emerging and may not be suitable for everyone. At Goolsby and Associates, we can discuss whether you’re a candidate for this faster treatment protocol based on your specific needs and health history.

Why Choose Kenneth E. Goolsby for TMS?

Finding the right provider is crucial for successful TMS treatment. Dr. Kenneth E. Goolsby and his experienced team offer:

Personalized care tailored to your symptoms and treatment history.
Advanced technology and equipment for precise TMS targeting.
A compassionate, supportive environment where patients feel heard and respected.
Expertise in both standard and accelerated TMS protocols.

Our goal is not just to reduce symptoms but to help you reclaim your life and rediscover hope.

The Bottom Line: Hope Is Within Reach

If you’ve been battling depression without relief, TMS could be the breakthrough you’ve been searching for. It’s safe, effective, and offers hope for lasting recovery—even for those who have struggled for years.

At Goolsby and Associates, help is closer than you might think. Don’t settle for merely surviving each day. Reach out to learn whether TMS or accelerated TMS could help you find real, lasting relief from depression.

Are you ready to take the next step? Contact Goolsby and Associates today to set up an initial consultation. We will meet with you and review your medial information to determine if TMS is a good fit for you. If you are ready to start your journey toward a brighter, healthier future Goolsby and Associates is here to serve you.