TMS Therapy and Teens: What Parents Need to Know Before Starting Treatment
Transcranial Magnetic Stimulation (TMS) is gaining attention as a safe, non-invasive treatment for depression, especially when traditional therapies haven’t delivered results. However, when it comes to teens, parents naturally have more questions. Is it safe? Is it effective? Will it help my child without the side effects of medication? These questions are valid, and this guide is here to help you make a confident, informed decision.

Understanding Depression in Teens
Teen depression isn’t just about moodiness or growing pains. According to the CDC, nearly 1 in 5 adolescents in the United States have experienced a major depressive episode. The rise in teen mental health concerns has made it more important than ever to offer treatments that are safe, effective, and tailored to younger individuals.
Traditional treatments like antidepressants and talk therapy can be helpful, but they don’t work for everyone. Some teens struggle with side effects from medications, while others might not respond to therapy alone. That’s where TMS therapy steps in.
What Is TMS Therapy?
TMS, or Transcranial Magnetic Stimulation, is a non-invasive treatment that uses magnetic fields to stimulate specific areas of the brain responsible for mood regulation. The treatment is FDA-approved for individuals aged 15 and up who are experiencing major depressive disorder and have not responded to at least one antidepressant medication.
During a TMS session, your teen will sit in a comfortable chair while a trained technician places a magnetic coil gently against their scalp. The coil delivers focused magnetic pulses to stimulate underactive neurons in the brain. Sessions typically last between 20 to 40 minutes and are conducted five days a week for four to six weeks.
Is TMS Therapy Safe for Teenagers?
Safety is a top concern for parents, and TMS has an excellent safety profile. Since it does not involve anesthesia, sedation, or systemic medications, it avoids many of the side effects associated with antidepressants like weight gain, fatigue, sleep problems, or emotional blunting.
The most common side effects of TMS are mild and temporary. These can include:
- Scalp discomfort where the coil is placed
- Mild headache
- Light sensitivity or slight facial twitching during treatment
These symptoms usually subside within the first week of treatment. Serious side effects, such as seizures, are extremely rare when TMS is administered by a trained professional following proper guidelines.
When Should Parents Consider TMS for Their Teen?
TMS is not typically the first step in treatment for adolescent depression. Most healthcare providers will first recommend therapy, lifestyle changes, or medications. However, if these methods fail to improve symptoms, TMS becomes a viable next option.
TMS may be worth considering if:
- Your teen has tried at least one antidepressant medication without success
- Side effects from medications were severe or intolerable
- Traditional talk therapy hasn’t provided noticeable improvements
- Depression symptoms are significantly impacting your teen’s school, social life, or home environment
Parents should speak with a licensed psychiatrist or mental health provider who has experience treating adolescents to determine if TMS is appropriate.
What Should Parents Expect During TMS Treatment?
Both the teen and parents need to understand the treatment schedule and expectations. Here’s what a typical TMS process looks like:
1. Evaluation: Your teen will undergo a comprehensive psychiatric evaluation to confirm a diagnosis of major depressive disorder and assess whether TMS is suitable.
2. Mapping Session: Before the first treatment, a “mapping” session is done to locate the precise brain region for stimulation.
3. Daily Sessions: Treatments occur Monday through Friday for several weeks. Each session lasts 20–40 minutes.
4. Monitoring and Adjustments: Progress is tracked throughout the treatment. Adjustments can be made based on your teen’s response and comfort level.
5. Maintenance: Some teens benefit from follow-up sessions after the initial course. These may be scheduled weekly or monthly as needed.
How Effective Is TMS Therapy in Teens?
Research into TMS for adolescents is growing, and results are promising. Studies suggest that teens respond to TMS similarly to adults, with many experiencing significant relief from depressive symptoms.
A 2020 study published in the Journal of Affective Disorders found that 60% of adolescents who underwent TMS treatment saw a reduction in depressive symptoms, and 40% achieved full remission.
It’s important to note that response rates can vary. While some teens may feel better within the first few weeks, others may take longer. Regular communication with your provider is essential throughout the process.
Addressing Common Parent Concerns
Will it change my child’s personality?
No. TMS targets mood regulation but doesn’t alter a teen’s personality or core identity.
Is it painful?
Most teens describe the sensation as a tapping on the head or a mild tingling. It’s not painful, though it can be slightly uncomfortable at first.
Will my teen need medication too?
TMS can be used with or without medications. Some teens use it to reduce their medication dosage, while others use it as a stand-alone treatment.
Can my teen continue school or extracurriculars?
Yes. One of the biggest advantages of TMS is that it doesn’t interfere with daily life. Teens can go to school and participate in normal activities immediately after each session.
The Importance of Parental Support
Supporting your teen through any mental health treatment is key to long-term success. Parents play a crucial role in scheduling, transportation, emotional encouragement, and helping teens stick to their treatment plan.
Being present, asking questions, and understanding what your child is experiencing will help ease their anxiety about the treatment and increase their chances of success.
Open communication with the treatment team is also encouraged. Providers can help answer your concerns, keep you informed about progress, and offer tips on how to support your teen at home.
When TMS Might Not Be the Right Fit
While TMS is a helpful option for many teens, it’s not right for everyone. Teens with a history of seizures, metal implants in or near the head, or certain neurological conditions may not be eligible.
Your provider will go through a detailed screening process to determine if TMS is safe for your teen.
As a parent, you want to do everything in your power to help your teen feel better. If depression has taken a toll and other treatments haven’t worked, TMS therapy may offer new hope. It’s safe, non-invasive, and continues to show promise in helping teens regain their energy, motivation, and joy.
Ready to explore a new path for your teen’s mental health? Prime Behavioral Health is here to help. Our team offers personalized TMS therapy in Southlake, TX and surrounding areas. Call us at 817-778-8884 to schedule a consultation and see if TMS is right for your teen.