In this episode, I talk about some genuinely exciting developments in transcranial magnetic stimulation, including new accelerated and even one-day TMS protocols that may outperform traditional antidepressant treatments, both in efficacy and cost. Conventional TMS usually takes nine weeks of daily treatment but new advances are making a full course of treatment possible in a single day, with surprisingly high remission rates.
I walk through how TMS works, why standard protocols have been so hard to scale, and what newer approaches like SAINT and one-day protocols using medication priming might mean for the future of mental health care. If these results hold up, they could dramatically change how we treat depression, anxiety, and possibly much more.
