Step 1 · Position
The treatment coil
An insulated coil is positioned against the scalp over the area selected for treatment. The position and treatment intensity are tailored following an individual assessment and mapping procedure.
Consultant-led treatment in Hove
rTMS treatment for depression in Hove
Repetitive transcranial magnetic stimulation is a non-invasive treatment that uses carefully targeted magnetic pulses to stimulate brain networks involved in mood. It does not require an anaesthetic and is delivered while you are awake.
Evidence-based treatmentRecognised in NICE guidance
Consultant psychiatrist oversight
Non-invasive outpatient treatment
No general anaesthetic
The science, made simple
How does rTMS work?
Explore the three stages. Select each step to see how the treatment moves from coil to magnetic pulse to a targeted effect in the brain.
Step 2 · Stimulate
Precisely controlled magnetic pulses
The coil produces brief, repeated magnetic pulses. These pass through the skull and induce a small electrical current in the targeted cortical tissue without surgery or an implanted device.
Step 3 · Repeat
A targeted effect on brain activity
Repeating the pulses in a planned pattern can influence activity in networks involved in depression. The effect develops across a course of treatment and varies from person to person.
A different treatment approach
Why might someone consider rTMS?
rTMS may be considered when depression has not improved sufficiently with usual treatments, medication side effects are difficult, or a non-medication option is preferred.
Non-invasive
No surgery, needles or implanted device are required.
Outpatient
Treatment is delivered at the clinic while you remain awake.
Individually planned
Target, intensity and treatment pattern are selected for the individual.
Clinically monitored
Symptoms, tolerability and progress are reviewed during the course.
Suitability
Who may benefit from rTMS for depression?
rTMS is most often considered for adults with an established diagnosis of depression following a specialist assessment.
- Depression that has not improved enough with antidepressant medication or psychological therapy
- Medication side effects that make treatment difficult to continue
- A preference to explore a non-invasive, non-medication treatment
- Depression during the perinatal period, when considered appropriate after an individual risk–benefit assessment
Your treatment journey
What happens at Onemed?
Your programme is planned and monitored by clinicians experienced in mental health and rTMS.
Assessment
A psychiatric review confirms the diagnosis, treatment goals and whether rTMS is appropriate.
Safety and mapping
We complete the implant and seizure-risk screen, then establish an individual treatment threshold.
Treatment course
You attend scheduled outpatient sessions. You are awake and can relax or listen to music.
Review
Symptoms and tolerability are monitored, with a consultant review of progress and next steps.
The treatment experience
What does rTMS feel like?
You will hear clicking sounds and may feel tapping or tingling where the coil rests. Some people notice temporary scalp discomfort or movement in facial muscles, particularly during early sessions.
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You remain awake throughout treatment.
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Hearing protection is provided during stimulation.
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Most people can return to usual activities, including driving, unless advised otherwise.
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Do not alter prescribed medication unless your clinician advises you to do so.
Safety information
Side effects and screening
rTMS is generally well tolerated, but it is a medical treatment. We discuss expected effects, uncommon risks and individual safety considerations before treatment begins.
More common effects
- Temporary headache
- Scalp discomfort or tenderness
- Tapping, tingling or facial muscle twitching
- Discomfort from the clicking sound
Rare but important
A seizure is a rare potential complication. Treatment follows established safety guidance, and individual risk factors are reviewed before starting.
Please tell us about
- Any history of seizures, stroke, brain injury or neurosurgery
- Metal or electronic implants, especially in or near the head
- Cochlear implants, aneurysm clips or implanted stimulators
- Pregnancy, medication changes, alcohol or substance use
Practical questions
Frequently asked questions
How many rTMS sessions will I need?
A typical course is delivered on weekdays over 4–6 weeks. The exact number and frequency of sessions may vary depending on your presentation, the treatment protocol, tolerability and clinical response. Your individual schedule will be explained before treatment starts.
Can I continue taking antidepressant medication?
Many people receive rTMS while continuing prescribed medication. Your medicines form part of the safety assessment. Do not stop or change them without advice from your prescribing clinician.
Can I work or drive after treatment?
Most people can resume their normal activities, including driving, after a routine session. Your clinician will advise you if your individual circumstances require anything different.
Is rTMS the same as ECT?
No. rTMS uses magnetic pulses applied through a coil on the scalp and does not require a general anaesthetic or intentionally induce a seizure. ECT is a different treatment with different indications, including situations where a more urgent response may be needed.
Does rTMS work for everyone?
No treatment works for everyone. Some people experience substantial improvement, some experience a partial response, and others may not benefit. Progress is monitored so that the plan can be reviewed.
How do I find out whether I am suitable?
Contact Onemed Medical Centre to arrange an initial discussion or assessment. We will review your symptoms, diagnosis, previous treatments, medical history, medicines and relevant safety factors.
Could rTMS be right for you?
Speak with Onemed Medical Centre in Hove about a specialist assessment.
Clinically reviewed by Dr Nik Gkampranis, Consultant Psychiatrist · Last reviewed September 2026