TMS Therapy Vs. Fisher Wallace - TMS & Brain Health (2024)

When persistent depression doesn’t improve with medication and psychotherapy, transcranial magnetic stimulation (TMS) therapy offers more than a glimmer of hope — it provides a highly effective lifeline to better mental health.

Given that TMS is so effective for addressing treatment-resistant depression, it’s not surprising that technology companies have made an effort to replicate the therapy in a more convenient package. Now there are wearable neuromodulation devices that anyone who’s suffering from depression (or anxiety or insomnia) can buy and use in the comfort of their own home.

At-home brain stimulation with a device like the Fisher Wallace Stimulator® may be based on the same premise as TMS therapy, but the two treatments have some big differences.

If you’re wondering which is best for you, the mental health and neuromodulationspecialistsatTMS & Brain Healthcan help — here’s how conventional TMS therapy compares to self-guided treatments with an at-home brain stimulation device.

TMS therapy basics

TMS uses noninvasive magnetic energy to target and stimulate the specific area of your brain that has become less active because of a persistent mental illness likedepression,anxiety, or obsessive-compulsive disorder (OCD).

Before TMS therapy begins, our team uses electroencephalogram (EEG) testing to calibrate, measure, and pinpoint the exact area of your brain that’s most affected by your specific mental health disorder.

During a TMS session, we position an electromagnetic coil directly on your scalp over the most affected area. The coil generates a steady stream of low-amplitude magnetic pulses that pass through your skull and into your brain, where they actively stimulate the sluggish cells that have kept your brainwaves locked in an abnormal and detrimental pattern.

Over the course of your TMS treatment cycle, our team continuously monitors and measures your brain activity, so we can adjust your therapy in real time and keep it as targeted as possible.

At-home brain stimulation

Like other at-home brain stimulation devices, the Fisher Wallace Stimulator uses a mild electric current —notmagnetic energy — to trigger the production of serotonin and generate renewed activity in the area of your brain that controls and regulates your mood.

With this self-directed, one-size-fits-all treatment, you position an elastic band around your forehead that holds an electrode firmly against each temple.

Then, while sitting comfortably in a chair, you switch on the battery-operated device and set it to level two, which is the level that’s generally recommended to treat anxiety, depression, and insomnia.

Like TMS therapy, at-home brain stimulation requires daily use to generate the kind of brain changes that lead to symptom improvement. The Fisher Wallace Stimulator is designed to be used for 20-minute daily sessions, once during the day to treat depression or anxiety, and/or once a couple of hours before bedtime to treat insomnia.

If you don’t experience some degree of symptom relief after 14 days of use at level two, you’re advised to try level three or four for another two weeks. Either way, the makers of the device suggest using it for at least one full month (ideally twice a day) before you assess how well the treatment is working for you.

Unlike TMS orneurofeedback, the Fisher Wallace Stimulator can’t directly target certain portions of the brain. When a user turns the device on (with one electrode on each earlobe), it creates an a low powered, diffuse electrical field that interacts with the brain. Because the electrical field is large and diffuse, one can’t be certain exactly which part of the brain is being stimulated, whether or not it’s the whole brain, and how healthy that actually is.

The TMS advantage

Comparing TMS therapy to at-home brain stimulation with a device like Fisher Wallace is like comparing apples to oranges — just as apples and oranges both qualify as fruit, TMS therapy and at-home brain stimulation both qualify as neuromodulation.

But that’s really where the similarities end.

The Fisher Wallace Stimulator uses a low-level electrical current to stimulate your brain, which makes it a weaker derivative of conventional electroconvulsive therapy (ECT),nota derivative of transcranial magnetic stimulation.

While at-home brain stimulation with low-level electric energy doesn’t come with the same risks as regular, full-scale ECT, it’s also not as powerful, precise, or individualized as TMS therapy.

The human brain is a complicated place, and TMS therapy takes that fact into full account by finding, measuring, and calibrating thespecificarea ofyourbrain that’s most affected by your mental health condition. Placing two electrodes on your temples at home simply doesn’t have the same targeted effect.

In addition, TMS therapy is constantly adjusted to meet your brain’s changing needs as you advance through your prescribed treatment cycle. Continual monitoring means we can actuallyseehow your brain is improving over time, and we can take steps to optimize your treatment along the way. As a one-size-fits-all treatment, at-home brain stimulation just can’t compare.

Here at TMS & Brain Health, we specialize in intermittent theta burst stimulation, also known as Express TMS. Because Express TMS recalibrates your brain 10 times faster than regular TMS, your daily session takes just three minutes to complete.

To learn more about the benefits of TMS therapy, call your nearest TMS & Brain Health office in Los Angeles or Santa Monica, California, today, orclick onlineto schedule an appointment with one of our experienced specialists any time.

TMS Therapy Vs. Fisher Wallace - TMS & Brain Health (2024)

FAQs

Is the Fisher Wallace stimulator the same as TMS? ›

One might confuse TMS therapy with Fisher Wallace Stimulator as both are directed towards stimulating the brain, causing neuromodulation. However, one thing remains a fact; a Fisher Wallace Stimulator is not TMS therapy. Instead, it is a device for tDCS, just like you would find other tDCS equipment in the market.

Is the Fisher Wallace stimulator legitimate? ›

The Fisher Wallace Stimulator been shown effective in many studies including one in the Journal of Affective Disorders. The results of a pilot study for the treatment of bipolar disorder was published last year.

Is the Fisher Wallace stimulator FDA approved? ›

Our flagship medical device, the Fisher Wallace Stimulator®, has been cleared by the FDA for the treatment of depression, anxiety and/or insomnia.

What are the side effects of the Fisher Wallace stimulator? ›

Furthermore, seven adverse reactions were reported during or following the use of a Fisher Wallace CES device, including for disorientation, vestibular problems (balance, coordination, dizziness, vertigo), headaches, tinnitus, anxiety, depression, fatigue, brain hemorrhage, and death.

What are the three types of TMS? ›

Each different method of delivering TMS offers distinct advantages and drawbacks that researchers should be aware of when planning their research.
  • Single Pulse TMS.
  • Paired-Pulse TMS (ppTMS)
  • Repetitive Transcranial Magnetic Stimulation (rTMS)
  • Theta-Burst Stimulation (TBS)
  • Quadripulse Stimulation (QPS)

What is the new type of TMS therapy? ›

The investigators from Stanford University and nearby Palo Alto University made use of a new form of TMS known as intermittent theta-burst stimulation, which can deliver therapeutic doses of magnetic energy in as little as three minutes. With this reduced time, the researchers could set up multiple sessions in one day.

How much does a Fisher Wallace stimulator cost? ›

How Much Does The Fisher Wallace Stimulator Cost? The device retails for $499, but it may sometimes be on offer. This is a fraction of the annual cost of pharmaceutical drugs that treat the same symptoms.

What is the disadvantage of electrical muscle stimulator? ›

Cons of Electrical Muscle Stimulation Machine to Lose Weight

For instance, it has the potential for skin allergies because it has electrical pads. Moreover, there is a risk of muscular atrophy and degeneration. However, these scenarios can be prevented when users are armed with expert knowledge.

Does Fisher Wallace stimulator increase serotonin levels? ›

Like other at-home brain stimulation devices, the Fisher Wallace Stimulator uses a mild electric current — not magnetic energy — to trigger the production of serotonin and generate renewed activity in the area of your brain that controls and regulates your mood.

Does Fisher Wallace increase dopamine? ›

Research suggests that the electrical current from the Fisher Wallace device targets the limbic system, which contains brain structures linked to the experiencing of emotions, and that it stimulates the release of the feel-good neurotransmitters dopamine and serotonin.

Does Medicare pay for Fisher Wallace stimulator? ›

Medicaid in Maine (MaineCare) fully covers the purchase of the device (visit our MaineCare site here). Medicare does not currently cover the purchase of the device.

What age is Fisher Wallace stimulator for? ›

The Fisher Wallace Stimulator provides cranial electrotherapy stimulation and is an active device. The indicated use in adults (ages 21-65 years) is for 20 minutes twice daily, upon waking for the day and at bedtime.

What are the disadvantages of brain electrical stimulation? ›

Risks may include:
  • 1% risk of brain hemorrhage, including stroke.
  • Infection.
  • Device malfunction.
  • Lack of benefit for certain symptoms.
  • Headache.
  • Worsening mental or emotional status.

Is magnetic stimulation safe? ›

Yes. The TMS therapies we use are FDA-approved, safe and well-tolerated, with no long-term side effects. Some people may experience involuntary eye blinking or facial muscle contraction during treatment. Others report minor headaches or mild pain at the stimulation site following treatment.

How often do you need to replace Fisher Wallace sponges? ›

If you use the device daily, you should replace the electrode sponges every two weeks for optimal performance.

How much does a TMS unit cost? ›

Although the price will vary depending on where it is administered, one TMS therapy session typically costs approximately $300. Due to the necessity of having multiple sessions over several weeks, the total cost for a course of TMS therapy is roughly between $6,000 and $12,000.

How does TMS rewire the brain? ›

These electrical currents activate cells within the brain which are thought to release neurotransmitters like serotonin, norepinephrine, and dopamine. Since depression is thought to be the result of an imbalance of these chemicals in the brain, TMS can restore that balance and, thus, relieve depression.

How many TMS treatments can you have? ›

During a typical course, you'll receive around 36 treatments over a nine week period. You'll undergo five treatment sessions per week for the first six weeks, and then taper down the remaining six sessions over the following three weeks.

Why is TMS so expensive? ›

Historically, TMS was initially so expensive for a number of reasons. First, the cost of the machine was so exorbitant that most doctors could not afford to treat people for cheaper. Secondly, the first devices available to the public would charge the doctors between $60 – $100 per treatment.

What is the success rate of TMS therapy? ›

Based on the data available from most TMS providers, the success rate stands between 70% and 80%, meaning that most people who undergo treatment experience relief after the treatment. Approximately 50% of patients go into full remission, meaning they become completely asymptomatic after one treatment routine.

Is TMS therapy a last resort? ›

While many people use TMS as a last resort, only engaging a TMS therapist after other avenues have been exhausted, its low-risk process could be an ideal alternative for individuals who are sensitive to standard medication or seemingly inoculated against traditional talk therapy.

How often should I use Fisher Wallace? ›

Patients should use the Fisher Wallace Stimulator® twice a day for 20 minutes on Level 2, once after waking up for the day and again before bed. It is important to create a consistent routine of daily usage. There are no withdrawal effects associated with decreasing or stopping use of the device.

What kind of stimulator is Fisher Wallace? ›

Fisher Wallace Stimulator®, a patented cranial electrotherapy stimulation device that was cleared by the FDA in 1991 for the treatment of depression, anxiety and insomnia.

What is the difference between Alpha-Stim and Fisher Wallace? ›

The Alpha-Stim device is applied to the ear lobes and delivers a current between 10 μA and 500 μA at 0.5 Hz frequency (Bystritsky et al., 2008). The Fisher Wallace CES device delivers an alternating current of 5, 500, or 15,000 Hz through electrodes placed on the temples with 1–4 mA of current.

Is using an electric muscle stimulator actually worth it? ›

Adding electric stimulation to your training engages a higher percentage of muscle fibers, essentially maximizing your muscle effort to get the most out of every single repetition and movement. That ultimately equates to a more efficient, well-balanced workout.

Can electrical stimulation damage nerves? ›

In addition, although short-term electrical stimulation is not damaging to nervous tissue, chronic electrical stimulation can damage nerve structure. After the ultrastructure of neurons is altered, neuronal function may be disturbed.

Where not to put muscle stimulator? ›

Never place the pads over:
  • the front or sides of your neck.
  • your temples.
  • your mouth or eyes.
  • your chest and upper back at the same time.
  • irritated, infected or broken skin.
  • varicose veins.
  • numb areas.

Does Fisher Wallace help with anxiety? ›

Fisher Wallace Wearable Technology Treats Depression, Anxiety, And Insomnia.

What are the complications of nerve stimulator? ›

These include:
  • Risk of infection. ...
  • Leads moving out of position. ...
  • Leads breaking or malfunctioning. ...
  • Injuries from broken or displaced leads. ...
  • Pulse generator malfunction or failure. ...
  • Gradual loss of pain relief.
  • Possible side effects, depending on the type of stimulator and location.
Oct 3, 2022

What gives the brain the most dopamine? ›

You can increase your dopamine levels naturally by eating a healthy diet, including foods rich in L-Tyrosine (the protein needed to make dopamine). These include almonds, avocados, bananas, beef, chicken and eggs. Turmeric, vitamin D, magnesium and omega-3 supplements are also claimed to increase dopamine levels.

What are 5 habits to boost dopamine? ›

Getting enough sleep, exercising, listening to music, meditating, and spending time in the sun can all boost dopamine levels. Overall, a balanced diet and lifestyle can go a long way in increasing your body's natural production of dopamine and helping your brain function at its best.

Can TMS make things worse? ›

While TMS does not worsen symptoms for patients who are correctly diagnosed with a condition that TMS is known to treat (such as depression, anxiety, OCD, and PTSD), TMS may possibly worsen symptoms for patients with conditions that TMS are not know to treat, such as schizophrenia or bipolar disorder.

Can you use the Fisher Wallace stimulator more than twice a day? ›

FISHER WALLACE STIMULATOR

Patients typically use the device at home, once (before bed) or twice a day for 20 minutes.

Where do you put the Fisher Wallace stimulator pad? ›

To use the device to treat depression, insomnia, and anxiety, take the head band and place it above your ears with the front of the band resting just above your eyebrows. The sponge applicators are then placed securely under the head band, just above the side burns.

Where do you put a Fisher Wallace stimulator? ›

Place the velcro headband so that it sits above the eyebrows. Make sure it fits snugly. Slide the wet sponge electrodes beneath the headband, one above each sideburn on either side of the head. The bottom of the electrode should not be lower than the top of the ear.

What time of day should I use Fisher Wallace? ›

Patients should use the Fisher Wallace Stimulator® twice a day for 20 minutes on Level 2, once after waking up for the day and again before bed. To treat insomnia only, patients should use the device for 20 minutes on Level 2 before bed. It is important to create a consistent routine of daily usage.

Does the Fisher Wallace stimulator help ADHD? ›

The Fisher Wallace Stimulator

The device is not cleared to treat ADHD, but mood disorders and anxiety often co-occur with the disorder and can exacerbate its symptoms. The mechanism of action is similar to electroconvulsive therapy (ECT) but at just a fraction of the strength.

At what age can you start TMS therapy? ›

TMS is authorized by the FDA for adults 18-70 years of age, and is considered an "off-label" procedure for persons under 18 years. The prescription of off-label medications is a very common practice, particularly in psychiatry and pediatrics.

Who is not a good candidate for deep brain stimulation? ›

Although there is no age limit for consideration for DBS surgery, younger patients may have better results and may tolerate the procedure better. Elderly patients or patients with significant dementia may not be good candidates for DBS surgery.

What is one disadvantage of transcranial magnetic stimulation? ›

Facial twitching during the treatment. Skin redness at site of coil placement. Anxiety before and during treatment.

Does electric stimulation improve memory? ›

The brain normally functions by sending and receiving tiny electrical signals between nerve cells. Stimulating specific regions of the brain with low levels of electricity might improve focus or memory, mood, or even dementia, according to tDCS advocates.

Who should not use magnetic therapy? ›

Risks. Young children and pregnant women should not use magnetic field therapy because the safety of this therapy is not proved. People who have medical devices or implants with a magnetic field, such as a pacemaker, should not use magnet therapy, because it could interfere with the function of the implant.

Can TMS cause memory loss? ›

Numerous clinical trials have proven that TMS therapy does not have any negative impact on cognition or concentration, nor does it cause memory loss.

Is Fisher Wallace effective? ›

The Fisher Wallace Stimulator been shown effective in many studies including one in the Journal of Affective Disorders. The results of a pilot study for the treatment of bipolar disorder was published last year.

Is Fisher Wallace FDA approved? ›

Our flagship medical device, the Fisher Wallace Stimulator®, has been cleared by the FDA for the treatment of depression, anxiety and/or insomnia.

What is the cost of the Fisher Wallace stimulator? ›

How Much Does The Fisher Wallace Stimulator Cost? The device retails for $499, but it may sometimes be on offer. This is a fraction of the annual cost of pharmaceutical drugs that treat the same symptoms.

Is PEMF the same as TMS? ›

PEMF isn't the same as transcranial magnetic stimulation or TMS although PEMF can be directed to specific areas of the brain with certain PEMF devices such as the one we use at our Connecticut neurofeedback center.

What is the difference between PEMF and TMS? ›

Finally, the temporal variation (stimulating frequency) of T-PEMF is higher than in most other NIBS techniques: T-PEMF uses relatively high, pulsating frequencies of around 50 Hz. In contrast, repetitive TMS (1–20 Hz) and tACS (10–20 Hz) studies have induced electrical currents in the brain at much lower frequencies.

What is difference between TMS and tDCS? ›

TMS uses repeated electromagnetic pulses while tDCS uses a constant, weak electrical current. TMS is a neuro-stimulator while tDCS is a neuro-modulator. tDCS equipment is small, battery-powered, and portable; while TMS devices are wall-powered, larger, and heavier.

How long do you use the Fisher Wallace? ›

According to Fisher Wallace Laboratories, the device must be used at least five times, for 20 minutes at a time, before it can begin to produce real results.

What are the two types of TMS? ›

There are 3 basic types of TMS: single-pulse, paired pulse, or repetitive TMS (rTMS).

Are there different types of TMS therapy? ›

At present, there are two major kinds of TMS therapy publicly available to treat mental health conditions: the above-mentioned Traditional rTMS; and the more advanced Deep TMS™.

Are all TMS treatments the same? ›

There are two main types of TMS treatment – both fall under the rTMS, or repetitive TMS category – the first is simply called TMS, while the second is deep TMS. While both can, and are, used for Major Depressive Disorder treatment, research literature indicates a few crucial differences between the two.

Who should not use PEMF? ›

Anyone from the very young to the elderly can use PEMF safely and without negative side effects. The only contraindications are for those individuals with pacemakers, insulin pumps, or other electrical implants, and pregnancy.

Is PEMF good for brain? ›

Research has shown that PEMF therapy is an entirely safe way to encourage the brains to mimic the external signals provided by a device,” explains Kadunc. “Our whole bodies are electrochemical organs and the electrical activity emanating from the brain is displayed in a form of brainwaves.

Are PEMF machines worth it? ›

Does PEMF therapy really work? Many studies suggest that PEMF therapy does work, although further medical research will help establish the long-term effects and how it may benefit an individual's quality of life. A person may not experience results until they have used the device for some time.

How long does it take for the Fisher Wallace stimulator to work? ›

If you don't experience some degree of symptom relief after 14 days of use at level two, you're advised to try level three or four for another two weeks. Either way, the makers of the device suggest using it for at least one full month (ideally twice a day) before you assess how well the treatment is working for you.

Does TMS increase dopamine? ›

Repetitive transcranial magnetic stimulation of the human prefrontal cortex induces dopamine release in the caudate nucleus.

Is TMS the same as vagus nerve stimulation? ›

Repetitive TMS is a noninvasive form of brain stimulation. Unlike vagus nerve stimulation or deep brain stimulation, rTMS does not require surgery or implanting electrodes. And, unlike electroconvulsive therapy (ECT), rTMS doesn't cause seizures or memory loss.

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