Transcranial Magnetic Stimulation (TMS) therapy is a non-invasive, drug-free treatment for depression and other mental health conditions. But many people wonder: Can TMS therapy be combined with other treatments like medication or talk therapy? The short answer is yes—and in many cases, a combined approach offers even better results.
TMS Combination Therapy: Can It Be Safely Paired with Other Treatments?
TMS therapy works by stimulating specific areas of the brain linked to mood regulation. While effective on its own, research and clinical practice show that pairing TMS with other treatments can support faster, longer-lasting improvements in mental health.
At NorTex Psychiatry, we often recommend a customized mental health treatment with TMS as part of a holistic plan. This may include:
- Antidepressant medication
- Cognitive Behavioral Therapy (CBT)
- Talk therapy
- Lifestyle changes like exercise or sleep management
Dr. Clayton L. Allison, M.D., explains, “We look at the whole person—not just symptoms. TMS can be a strong foundation, but integrating psychotherapy or medication often leads to more stable progress for our patients.”
Combining TMS with Antidepressants
One common question is whether TMS and antidepressants can be used together. The answer is yes, and often they are.
Some patients may already be taking medication when they begin TMS. Others may start medication after beginning TMS or taper down while transitioning to a drug-free approach. Each plan depends on the individual’s needs and medical history.
What to expect:
- Your care team will review your current medications
- A combined TMS and antidepressant evaluation helps determine the safest and most effective plan
- Adjustments are made over time based on your response
TMS and Therapy Together: How Integrative Mental Health Approaches Work
Pairing TMS with talk therapy or CBT (Cognitive Behavioral Therapy) can help patients work through the emotional and behavioral patterns contributing to their condition. TMS improves brain function, while therapy strengthens coping skills and supports long-term healing.
According to Psychiatric Nurse Practitioner Brittany Huckaby, PHNP, “When patients receive both TMS and therapy, they often gain insight and motivation more quickly. It’s a powerful combination that supports lasting change.”
Benefits of combining TMS with therapy:
- Improved mood and brain regulation through TMS
- Better communication and emotional processing in therapy
- Faster symptom relief for depression, anxiety, and PTSD
Is TMS More Effective When Combined with Other Treatments?
Studies and clinical experience support the idea that integrated TMS treatment—especially with medication and psychotherapy—can improve outcomes for many people. It’s especially helpful for treatment-resistant depression.
Examples of effective combinations:
- TMS and CBT therapy: Targets both biological and behavioral patterns
- TMS with low-dose medication: Offers symptom relief with fewer side effects
- TMS and trauma-focused therapy: Helps patients process deep-rooted emotional pain
At NorTex Psychiatry, we create customized TMS treatment plans that fit each person’s needs, history, and goals.
What to Expect in a Combined Treatment Plan
If you’re considering integrative mental health care with TMS, here’s what your path may look like:
- Initial assessment: A psychiatrist or nurse practitioner will evaluate your history and current symptoms
- Treatment planning: Together, we create a plan that may include TMS, therapy, and/or medication
- Weekly check-ins: We track your mood, sleep, and energy levels to adjust as needed
- Therapy sessions: You may have therapy before, during, or after your TMS sessions
- Ongoing care: Support continues after TMS ends to help you maintain progress
When to Consider a Combined Approach
You may benefit from combining TMS with other treatments if:
- You’ve tried antidepressants but haven’t seen enough relief
- You want a more natural or non-medication option, but still need extra support
- You experience anxiety, trauma, or thought patterns that would benefit from talk therapy
- You’re ready to build a stronger, long-term plan for your mental health
Take the Next Step Toward a Personalized TMS Program
At NorTex Psychiatry, serving Allen, McKinney, Frisco, and Dallas, we offer integrated depression treatment with TMS that’s personalized, effective, and compassionate. Whether you’re exploring TMS therapy for the first time or looking to combine it with therapy or medication, we’re here to help. Your mental health journey is personal. We’re here to walk it with you—step by step.
