Experience Lasting Relief with TMS Therapy in Richmond, VA

A Proven, Non-Invasive Treatment for Depression

Transcranial Magnetic Stimulation (TMS) offers hope for individuals who haven’t found relief through traditional treatments. At WHOA Wellness, we provide TMS therapy using advanced Brainsway Deep TMS technology—an FDA-cleared treatment that uses targeted magnetic pulses to stimulate areas of the brain involved in mood regulation.

TMS is not a last resort. It’s a smart, evidence-based choice for anyone seeking an effective alternative to medication or looking to enhance their current treatment plan.

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How Does TMS Therapy Work?

TMS uses magnetic fields—similar to those in an MRI—to stimulate nerve cells in specific brain regions linked to depression and mood disorders. When these areas of the brain are underactive, depression symptoms can persist despite medication or therapy. TMS helps “wake up” these regions, restoring healthy neural activity and alleviating symptoms.

During treatment, a cushioned helmet containing an electromagnetic coil is placed comfortably over your head. The device delivers brief magnetic pulses that pass painlessly through your scalp and skull, reaching the targeted brain structures beneath. You’ll remain fully awake and alert throughout the session—no anesthesia, no sedation, no downtime.

The magnetic pulses create small electrical currents in the neurons, encouraging them to fire more regularly and communicate more effectively. Over the course of multiple sessions, this repeated stimulation helps reset neural pathways, leading to lasting improvements in mood and function

What Makes Brainsway Deep TMS Different

Not all TMS systems are the same. WHOA Wellness uses Brainsway Deep TMS, which represents a significant advancement over first-generation TMS technology.
Deeper, Broader Stimulation
Brainsway’s patented H-Coil technology reaches deeper brain structures and covers a broader area than traditional figure-8 coils. This means more neurons are activated with each pulse, reducing the likelihood of targeting errors and increasing the effectiveness of treatment.
The H-Coil is integrated into a cushioned, cooled helmet that fits securely but comfortably on your head. Unlike older systems that require complete stillness, Brainsway allows you to move naturally during treatment without compromising accuracy. You can read, listen to music, or simply relax—whatever helps you feel most at ease.
Brainsway Deep TMS has been studied in over 60 clinical trials worldwide and has treated more than 100,000 patients across 2.5 million treatment sessions. In real-world clinical practice, approximately 4 in 5 patients who complete at least 30 sessions achieve a meaningful response, and about 2 in 3 achieve remission from depression.
Brainsway holds multiple FDA clearances, including treatment for major depressive disorder, reduction of anxiety symptoms in patients with depression, obsessive-compulsive disorder, and smoking cessation. It’s the only Deep TMS system cleared for treating depression in adults up to age 86.

What To Expect During a TMS Therapy Session

Your First Session

Your first TMS session includes a process called motor threshold mapping, which helps us determine the optimal stimulation level for your brain. A technician will position the magnetic coil over your head and deliver single pulses while observing your hand for small, involuntary movements. This is completely painless and helps us personalize your treatment to your unique physiology.

Once your treatment parameters are established, your regular sessions begin.

During Each Session

You’ll sit comfortably in a reclining chair with the TMS helmet positioned on your head. Most patients describe the sensation as a rhythmic tapping or pulsing on the scalp—similar to light, rapid drumming. It’s not painful, though some people find it takes a session or two to get used to the feeling.

Each session lasts approximately 20 to 40 minutes, depending on your specific protocol. During this time, you can:

  • Listen to music or podcasts through earbuds
  • Read a book or magazine
  • Watch videos on your phone
  • Simply close your eyes and relax

You’ll remain fully awake and aware throughout the treatment. There’s no grogginess, no confusion—just the gentle tapping sensation and the hum of the device.

After Each Session

One of the greatest advantages of TMS is that there’s no recovery period. When your session ends, you can immediately return to your day. Drive yourself home, go back to work, pick up your kids, run errands—whatever your schedule demands. Most side effects, if any, are mild and temporary.

Treatment Course

A full course of TMS therapy typically includes 30 to 36 sessions over 6 to 8 weeks, scheduled five days per week. Consistency is key to achieving the best results, as each session builds on the last to create lasting changes in brain activity.

Some patients begin to notice improvements within the first few weeks, while others see more gradual changes as treatment progresses. Your provider will monitor your progress throughout and can adjust your treatment plan as needed.

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Is TMS Right for You?

TMS therapy is FDA-cleared for adults with major depressive disorder who have not achieved satisfactory improvement from prior antidepressant medications. It’s also cleared for reducing anxiety symptoms in patients with depression.

You may be a candidate for TMS if:

  • You’ve tried at least one antidepressant without sufficient relief
  • You experience intolerable side effects from medications
  • You’re looking for a non-medication treatment option
  • You have depression with comorbid anxiety symptoms
  • You want to enhance the effectiveness of your current treatment plan

TMS is not right for everyone. Candidates must not have certain metal implants near the head (such as cochlear implants or deep brain stimulators) or a history of seizures. During your consultation, we’ll review your medical history thoroughly to ensure TMS is safe and appropriate for you.

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Safety and Side Effects of TMS

TMS has an excellent safety profile. Unlike many antidepressant medications, TMS does not cause systemic side effects like weight gain, sexual dysfunction, or digestive problems. Because the magnetic field is focused on specific brain regions, it doesn’t affect your memory, personality, or cognitive function.

Common Side Effects (Usually Mild and Temporary):

  • Scalp discomfort or mild headache during or after the first few sessions
  • Tingling or twitching sensations in the facial muscles
  • Lightheadedness (rare)

Most patients find that any initial discomfort diminishes significantly after the first week as the scalp becomes accustomed to the stimulation. Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage any temporary discomfort.

Serious Side Effects (Extremely Rare):

The most serious potential side effect of TMS is seizure, which occurs in less than 0.01% of sessions—making it extraordinarily rare. Your provider will screen you carefully to minimize this already minimal risk.

TMS is considered as safe as having an MRI and involves no radiation exposure.

TMS Therapy

What is TMS therapy?
Transcranial Magnetic Stimulation (TMS) is an FDA-cleared, non-invasive treatment for major depressive disorder. It uses focused magnetic pulses—similar to those in an MRI—to stimulate specific areas of the brain involved in mood regulation. TMS is particularly effective for people who haven’t found adequate relief from antidepressant medications.
TMS is not painful, though you’ll feel a tapping or pulsing sensation on your scalp during treatment. Some people find this mildly uncomfortable during the first few sessions, but most adjust quickly. The most common side effect is temporary scalp tenderness or a mild headache, which typically diminishes after the first week of treatment.
TMS sessions typically last 20 to 40 minutes, depending on the specific treatment protocol. You can return to your normal activities immediately afterward—no downtime or recovery period is needed.
A standard course of TMS therapy includes 30 to 36 sessions over 6 to 8 weeks, typically scheduled five days per week. Consistency is important for achieving the best results, as each session builds on the previous one to create lasting changes in brain activity.
Most major insurance plans cover TMS therapy for qualified patients, including Aetna, United Healthcare, Cigna, and Medicare. Many Medicaid plans also provide coverage. Eligibility typically requires a diagnosis of major depressive disorder and documentation of prior antidepressant trials that were either ineffective or poorly tolerated. During your consultation, we’ll verify your specific coverage and discuss any out-of-pocket costs upfront.
TMS has minimal side effects. The most common are temporary scalp discomfort or mild headache during or after the first few sessions, which usually resolve within the first week. Facial muscle twitching during treatment can occur but is harmless. Serious side effects like seizures are extremely rare, occurring in less than 0.01% of sessions.
Yes. Unlike some psychiatric treatments, TMS requires no anesthesia or sedation. You’ll remain fully awake and alert throughout the session and can drive yourself home or return to work immediately afterward.
You may be a candidate for TMS if you have major depressive disorder and have not achieved satisfactory improvement from at least one antidepressant medication trial. TMS is also FDA-cleared for reducing anxiety symptoms in patients with depression. You cannot receive TMS if you have certain metal implants in or near your head (such as cochlear implants or deep brain stimulators) or a history of seizures. We’ll conduct a thorough screening during your consultation to determine if TMS is safe and appropriate for you.
TMS and ECT (electroconvulsive therapy) are both brain stimulation treatments for depression, but they work very differently. TMS is non-invasive, requires no anesthesia, causes no memory problems, and allows you to drive yourself to and from treatment. ECT requires general anesthesia, can cause temporary memory issues, and involves inducing a brief seizure. TMS is typically used before ECT in the treatment progression.
At WHOA Wellness, we provide TMS therapy for major depressive disorder, including treatment of comorbid anxiety symptoms in patients with depression. TMS is particularly effective for treatment-resistant depression—when antidepressant medications haven’t provided adequate relief.

Insurance and Accessibility

Most major insurance plans cover TMS therapy for qualified patients, including:

Coverage typically requires a diagnosis of major depressive disorder and documentation of prior antidepressant trials that were either ineffective or poorly tolerated. Most insurers require at least one or two failed medication trials before approving TMS.

During your consultation at WHOA Wellness, we’ll verify your insurance coverage, explain any out-of-pocket costs, and handle the prior authorization process on your behalf. Our goal is to remove financial barriers and make this potentially life-changing treatment accessible to everyone who needs it.

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Your Next Steps

If you’ve been struggling with depression that hasn’t responded to traditional treatments, TMS therapy may offer the relief you’ve been seeking. The first step is a consultation with our team to discuss your symptoms, treatment history, and goals.

During your consultation, we’ll:

  • Review your medical and psychiatric history
  • Determine if TMS is appropriate and safe for you
  • Explain exactly what to expect throughout the treatment process
  • Verify your insurance coverage and discuss costs
  • Answer all your questions

You don’t have to keep living with treatment-resistant depression. TMS therapy has helped thousands of people reclaim their lives, and it may be able to help you, too.

Take the Next Step

Healing starts with a single decision to move forward. Whether you are seeking clinical treatment, holistic wellness, or both, WHOA Wellness is here to support you.