TMS vs. Medication: What Patients Are Choosing in 2025

When it comes to treating depression, anxiety, and other mood disorders, patients in Spokane are faced with more options than ever before. For decades, prescription medication was the standard first-line approach. But in recent years, an innovative treatment called Transcranial Magnetic Stimulation (TMS) has been changing the way people think about mental health care.

As we step into 2025, more patients are asking a crucial question: TMS vs medication—which is the better option for me? While there’s no one-size-fits-all answer, understanding the differences can help you make an informed decision.

Understanding How Each Works: TMS vs medication

Medication works by altering the chemical balance in the brain. Antidepressants like SSRIs, SNRIs, and atypical antidepressants increase the availability of certain neurotransmitters that regulate mood. For some people, this change leads to noticeable relief, often within several weeks.

TMS therapy, on the other hand, uses magnetic pulses to stimulate targeted areas of the brain associated with mood regulation. Unlike medication, which circulates through the whole body, TMS delivers treatment directly to specific brain regions, helping restore healthier patterns of brainwave activity.

The Pros of Medication

1. Accessibility – Medications are widely available and usually the first option offered by providers.

2. Convenience – Taking a pill daily may feel easier than committing to a series of in-office treatments.

3. Insurance Coverage – Most medications are covered by insurance and often come with affordable generic versions.

4. Versatility – Medications can address multiple symptoms at once, such as depression, anxiety, and insomnia.

The Cons of Medication

While medication can be life-changing for some, it isn’t the right fit for everyone. Common challenges include:

• Side Effects such as weight changes, fatigue, nausea, and sexual dysfunction.

• Trial and Error – It often takes several attempts to find the right medication and dosage.

• Incomplete Relief – Roughly one-third of patients do not achieve full remission with medication alone.

• Long-Term Dependency – Some patients remain on medication indefinitely, raising concerns about cost, tolerance, or long-term impact on health.

The Pros of TMS Therapy

1. Non-Invasive and Drug-Free – TMS doesn’t require anesthesia, surgery, or chemicals entering the body.

2. Few Side Effects – The most common side effect is mild scalp discomfort during treatment, which typically fades quickly.

3. High Success Rate – Many patients who haven’t improved with medication see lasting relief with TMS.

4. Durable Results – Studies show TMS can lead to long-term changes in brain activity, reducing the likelihood of relapse.

5. Improves Quality of Life – Patients often report not only reduced symptoms but also better sleep, energy, and focus.

The Cons of TMS Therapy

• Time Commitment – A standard TMS course involves daily sessions (about 20 minutes each) for 4–6 weeks.

• Availability – Not every clinic offers TMS, although Spokane has growing access in 2025.

• Insurance Approval – Coverage usually requires documentation showing that multiple medications have been tried without success.

What Spokane Patients Are Choosing in 2025

Here in Spokane, we’re seeing a clear trend: more patients are exploring TMS vs medication as part of their treatment journey. For individuals just beginning treatment, medication may still be the first step. But for patients who’ve tried two or more antidepressants without success, TMS is increasingly becoming the preferred next step.

What’s driving this shift?

• Awareness – Patients are more informed about alternatives beyond medication.

• Evidence – Clinical research continues to show TMS is safe, effective, and lasting.

• Personal Stories – Word of mouth is powerful. When people see friends or family members find relief with TMS after years of struggling with medication, they’re inspired to try it themselves.

Which One Should You Choose?

Ultimately, the decision between TMS vs medication depends on your unique situation. Ask yourself:

• Have I tried more than one medication without meaningful improvement?

• Am I struggling with medication side effects that affect my daily life?

• Do I want a treatment option that works differently from traditional prescriptions?

• Am I open to a structured program that requires daily sessions for a few weeks?

If the answer to these questions leans toward frustration with medication, TMS could be the

breakthrough you’ve been waiting for.

A Collaborative Approach

It’s important to remember that TMS and medication are not always competing treatments. Many patients use both together, finding that TMS enhances the effectiveness of their current prescription or allows them to reduce the dosage. Working closely with a provider ensures that your treatment plan is tailored to your needs.

Final Thoughts

For Spokane patients in 2025, the choice of TMS vs medication is no longer about “either/or.” Instead, it’s about having access to more personalized, effective care. Medication may be the right fit for some, while TMS offers hope and healing for those who haven’t found relief through traditional routes.

If you’re weighing your options, take time to speak with a trusted provider who can guide you through the process. Whether you choose medication, TMS, or a combination of both, the most important step is seeking help—and knowing you don’t have to navigate depression alone.

Goodwin Health Cafe | Treatment-Resistant Depression5625 N Wall St Suite 100, Spokane, WA 99205, USA