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TMS Therapy

Satyen Madkaiker, MD, FAPA -  - Board Certified Psychiatrist

Satyen Madkaiker, MD, FAPA

Board Certified Psychiatrist located in Jacksonville, FL

If you’re struggling with depression, transcranial magnetic stimulation (TMS) therapy can provide a noninvasive solution without the use of medication. Satyen Madkaiker, MD, FAPA, in Jacksonville, Florida, is a board-certified psychiatrist with more than 20 years of experience treating mental health disorders like depression. To learn more about innovative and painless depression therapies like TMS, call Dr. Madkaiker or schedule an appointment online today.

TMS Therapy Q & A

Reasons to Choose Dr. Madkaiker's Office for Transcranial Magnetic Stimulation (TMS):

  1. Extensive Experience: Dr. Madkaiker brings decades of experience in managing severely ill psychiatric patients with various diagnoses, including depression, anxiety, OCD, PTSD, and treatment-resistant psychiatric conditions.

  2. Comprehensive Treatment Options: Our office offers a range of treatment options, including TMS, Ketamine Infusion Therapy, Electroconvulsive Therapy (available at a local hospital), and a wide selection of medication options. We tailor your management and discuss the best treatment options for your specific condition.

  3. Insurance Coverage: We accept all commercial insurances and Medicare, and we will assist you in obtaining insurance preauthorization for your TMS therapy, provided you meet the clinical criteria for treatment.

  4. Personalized Care: Dr. Madkaiker is dedicated to being available to his patients throughout their treatment. He ensures motor thresholds are checked, coil placements are accurate, and treatments are optimized. He also makes adjustments to protocols to maximize the benefits for patients.

  5. State-of-the-Art Equipment: We utilize the latest FDA-cleared TMS machine, which offers improved maneuverability and accurate coil placement. Accurate coil placement is crucial for achieving the best TMS results, and our computer-assisted technology enhances precision in locating the activating areas of the brain involved in depression. We employ proprietary methods for accurate coil placement.

  6. Advanced Treatment Protocols: We utilize Theta burst technology and adhere to current FDA-approved activation procedures to maximize the benefits of TMS treatment. Additionally, we employ specific protocols for treatment-resistant depression, posttraumatic stress disorder, and anxiety, tailoring the treatment to address individual needs.

  7. Collaborative Approach: We receive referrals from other psychiatrists and providers, and we strive to work closely with your provider to ensure the best post-TMS treatment options are identified and implemented.

Choose Dr. Madkaiker's office for TMS and experience the expertise, comprehensive treatment options, personalized care, advanced equipment, and collaborative approach that contribute to the best possible outcomes for patients.

What is TMS therapy?

Transcranial magnetic stimulation is an FDA-approved, noninvasive treatment for depression that stimulates the brain’s nerve cells. This therapy targets areas of the brain directly associated with mood control and depression that are believed to be less active in people with depression.

TMS provides long-term results when used to treat depression. You might be a good candidate for TMS therapy if you:

  • Want a medication-free treatment
  • Haven’t benefited from prescription therapy
  • Experience adverse side effects from antidepressants


How does TMS therapy work?

TMS is a painless procedure that doesn’t use any medication. To deliver short pulses of magnetic fields to your brain, Dr. Madkaiker places an electromagnetic coil near your forehead against your scalp. During your treatment, the repetitive magnetic pulse painlessly stimulates your nerve cells.

Transcranial magnetic stimulation shouldn’t be confused with electroconvulsive therapy (ECT), often referred to as shock therapy. While ECT is also a highly successful treatment for depression, it requires sedation and can cause short-term confusion and memory loss.

What can I expect during TMS therapy?

To confirm that you’re a good candidate for TMS therapy, Dr. Madkaiker might perform labs and a physical exam. He also performs a psychiatric evaluation and discusses your history of depression and symptoms.

During your treatment, you sit in a chair while watching television or listening to the radio. TMS therapy is painless, so anesthesia isn’t necessary. While the magnetic pulse is active, you might hear clicking sounds and feel a tapping sensation on your forehead.

TMS treatments take 20 minutes and there’s no downtime, so you can resume normal activities following your procedure, including driving. For best results, Dr. Madkaiker recommends TMS therapy five days a week for up to 4-6 weeks.

Following your treatment, you might experience discomfort where the electromagnetic coil was placed against your skin. This typically resolves within a week.

How long does it take to see results from TMS therapy?

If TMS therapy is an effective treatment for your depression, you can expect to see relief from your symptoms within a few weeks. Depending on your response, Dr. Madkaiker might recommend additional sessions in the future to help maintain the results.

To read more about TMS Therapy, click here to access our brochure. For alternative treatment options like TMS therapy to manage your depression, call Satyen Madkaiker, MD, FAPA, or schedule an appointment online today.