TMS for PTSD A Potential Treatment Approach
Post-traumatic stress disorder, or PTSD, is a condition that can deeply affect how someone feels, thinks, and functions day to day. It often develops after experiencing or witnessing a traumatic event such as military combat, a serious accident, violence, or any situation that creates intense fear or helplessness. For many people, PTSD shows up through flashbacks, nightmares, constant worry, emotional numbness, or feeling on edge all the time. These symptoms can interfere with work, relationships, sleep, and overall quality of life.
While traditional treatments like therapy and medication remain incredibly important, some people need additional support when symptoms don’t improve. This is where Transcranial Magnetic Stimulation, or TMS, may offer a promising path forward. TMS is a noninvasive, drug-free treatment that works directly with the brain’s communication pathways. For those battling PTSD, it can create meaningful improvements when other treatments haven’t been enough.
At Goolsby and Associates in Gainesville, Georgia, we are proud to offer TMS to the North Georgia region and beyond. We know the power of this groundbreaking treatment option for major depressive disorder, which shows promise for PTSD treatment.

Understanding PTSD and How It Affects the Brain
To understand how TMS can help, it’s useful to know what happens in the brain with PTSD. After trauma, certain regions of the brain become overactive, especially the amygdala, which controls fear and emotional responses. At the same time, the prefrontal cortex, which helps regulate emotions and decision-making, often becomes underactive. This imbalance can contribute to the intense reactions, intrusive memories, and difficulty calming down that many people with PTSD experience.
Traditional treatments like psychotherapy and medication work by helping the brain process the trauma and manage symptoms. However, not everyone responds fully to these approaches. PTSD can create patterns in the brain that are deeply rooted, and sometimes the brain needs additional support to shift out of these patterns. That’s where TMS comes in as a valuable option.
What Is TMS and How Does It Work
TMS is a noninvasive technology that uses magnetic pulses to stimulate specific areas of the brain. During a TMS session, a small coil is placed gently against the scalp. This coil delivers painless magnetic pulses that activate nerve cells in targeted regions. The goal is to help the brain create healthier activity patterns, improving mood regulation and emotional control.
For PTSD, TMS typically targets areas involved in emotional regulation and memory, especially the prefrontal cortex. By stimulating this region, TMS can help reduce the overactive fear responses that are common in PTSD and strengthen the brain’s ability to manage stress and emotions. Over a series of sessions, this stimulation encourages long-term changes in how brain circuits communicate, which can lead to lasting symptom improvement.
TMS sessions are usually done five days a week for several weeks. Each session lasts approximately 5 to 30 minutes, and patients remain awake and comfortable throughout. There is no anesthesia, no downtime, and patients can drive themselves home afterward. At Goolsby and Associates, the care team customizes each treatment plan to the individual’s needs, ensuring each patient receives the most effective stimulation pattern for their symptoms.

Why TMS May Help People with PTSD
TMS has gained attention as a potential PTSD treatment because it offers benefits that are different from medication or talk therapy. Here are some reasons it may be effective.
TMS is medication-free, which is helpful for people who cannot tolerate side effects from antidepressants or anti-anxiety medications. Many PTSD patients struggle with sleep disturbances, weight changes, or emotional numbness from medications. TMS avoids these issues since it does not involve chemicals affecting the whole body.
TMS is a non-invasive treatment that does not require surgery. The magnetic pulses only affect the targeted brain area and do not interfere with memory or personality. Patients remain alert and engaged throughout the session.
TMS may improve symptoms that have not responded well to other treatments. Some people with PTSD try multiple medications or therapy techniques without finding full relief. Research has shown that TMS can reduce symptoms such as hypervigilance, emotional reactivity, anxiety, depression, and sleep issues in some individuals.
TMS supports brain healing by improving communication between brain regions. Over time, the stimulation helps the brain develop stronger and more balanced connections. This can lead to better emotional control, decreased fear responses, and improved ability to process traumatic memories.
TMS can be used alongside therapy and medications. Many patients find that combining TMS with ongoing counseling creates a more complete and effective treatment plan. TMS can make therapy more productive by helping patients feel calmer and more regulated.
What to Expect When Getting TMS at Goolsby and Associates
Our team at Goolsby and Associates in Gainesville focuses on creating a supportive and compassionate experience for individuals considering TMS. The process begins with a comprehensive evaluation, during which we review the patient's history, symptoms, and previous treatments. This helps determine whether TMS is a good fit.
Most patients start to notice improvements after two to four weeks, although the timeline varies. Common changes include feeling less on edge, sleeping better, experiencing fewer intrusive thoughts, and feeling more capable of managing daily stress. Because TMS builds on itself over time, the full benefit is usually seen after completing the full course of treatment.
Is TMS Right for You
TMS may be a good option for individuals with PTSD who have not found enough relief from therapy or medication alone. It is especially helpful for those who want a non-drug approach, who have difficulty managing side effects from medications, or whose symptoms continue to interfere with everyday life.
However, TMS is not the right fit for everyone. People with certain types of metal implants or medical conditions may not be eligible. This is why the initial evaluation at Goolsby and Associates is so important. We meet with every patient to review their medical records and discern if TMS is an appropriate treatment option for them.

TMS May Be the Solution You Have Been Searching For
Living with PTSD can feel overwhelming, but there is hope. TMS offers a promising treatment option that works directly with the brain to restore balance, reduce fear responses, and improve emotional well-being. At Goolsby and Associates in Gainesville, Georgia, patients receive compassionate, individualized care that supports healing and long-term recovery.
If PTSD has been limiting your life or if traditional treatments haven’t provided the relief you need, exploring TMS could be an empowering next step. Reaching out for help is a sign of strength, and the team at Goolsby and Associates is ready to guide and support you on your healing journey./p>