James C.
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Replied to How long do TMS results typically last?
Lifestyle stuff matters — sleep, exercise, therapy alongside. The folks who relapse fastest in my support group are the ones who dropped everything else after TMS.
Replied to From barely surviving to actually living — TMS changed everything
Six months post-treatment and I'm still doing well. The maintenance sessions every 6 weeks have been worth it.
Replied to Free virtual Q&A — "Ask a TMS Specialist Anything" — April 19
Loved that you didn't oversell. 'TMS isn't magic, it's a tool' is the right framing.
Replied to TMS for anxiety (not just depression) — my experience
The Stanford team published on right-sided iTBS for anxiety last year. Worth asking your provider about it.
Replied to Can I do TMS if I have a metal dental implant?
Get a letter from whoever placed the implant confirming the material. Most TMS clinics will accept that and move on.
Replied to New Stanford SAINT protocol showing 90% remission rates — what it means for patients
Asked four clinics in my city — none use real fMRI targeting yet. Calling that out matters because it's the part that drives the 90% number.
Replied to How I got my insurance to cover TMS after initial denial
External review (the IRO process) is the trump card most people don't know about. After two appeals, you can force an independent doctor's review. I won there.
Replied to Free virtual Q&A — "Ask a TMS Specialist Anything" — April 19
Recording link please? Couldn't make the live call.
Replied to Can I do TMS if I have a metal dental implant?
My TMS clinic had a one-page screening checklist with specific keywords (ferromagnetic, deep brain stimulator, vagal nerve stim, etc.). Ask for it ahead of time.
Replied to Just finished my 36-session TMS course — here is my honest review
I had the same 'cumulative click' you described — somewhere around session 22 my baseline shifted permanently.
Replied to How I got my insurance to cover TMS after initial denial
Cigna requires you to fail SSRIs from two different classes. Mine kept denying because I'd only failed two from the same class. Switched approach and got approved.
Replied to New Stanford SAINT protocol showing 90% remission rates — what it means for patients
I did SAINT-equivalent (5 sessions/day for 5 days) at a clinic in Texas. It worked but the intensity was rough — not for everyone.
Replied to Just finished my 36-session TMS course — here is my honest review
Honest reviews like this are gold. Saved this thread for when I start in May.
Replied to From barely surviving to actually living — TMS changed everything
Same here. I cried during my session 18 because I realized I hadn't had a suicidal thought in over a week. First time in years.
Replied to Just finished my 36-session TMS course — here is my honest review
Bookmarking. About to start my course on Monday. Your week-by-week breakdown is more useful than anything I got from the consult.
Replied to Headaches after TMS sessions — when do they stop?
Mine stopped completely around session 12. Hang in there! I also found that eating a good meal before my session helped. Going in on an empty stomach made headaches worse for me.
Replied to How long do TMS results typically last?
I did need a second course about 14 months after my first one. The relapse wasn't as severe as the original depression though — more like a 4/10 vs the original 9/10. The second round worked faster too, only needed about 20 sessions to get back to feeling good.