TMS for Treatment-Resistant Depression


Managing treatment-resistant depression can be especially challenging when your usual routines shift. Whether it's due to travel, school breaks, job transitions, or life changes, maintaining consistent mental health care becomes even more essential. For patients with treatment-resistant depression, Transcranial Magnetic Stimulation (TMS) can offer reliable, non-invasive support—even when life feels unpredictable.

At APG Health, with clinics in Orlando, we provide evidence-based TMS therapy that helps people stay grounded, regardless of season or schedule. Here’s what to know about keeping your progress going when life gets busy.

Understanding TMS and Its Benefits

TMS treatment involves using magnetic pulses to stimulate specific areas of the brain associated with mood regulation, particularly the left dorsolateral prefrontal cortex—an area of the brain shown to be underactive in people with depression.

There are different types of TMS, including repetitive Transcranial Magnetic Stimulation (rTMS) and Intermittent Theta Burst Stimulation (iTBS). Both target similar brain regions, but iTBS can be completed in as little as three minutes per session, offering flexibility for people on the go.

Studies show that TMS not only alleviates depressive symptoms in many patients but also significantly reduces the risk of relapse when used consistently and supported by maintenance sessions.

How Routines Impact Mental Health

Structure plays a major role in mood management. When routines shift—during summer, holidays, or life transitions—it can be harder to maintain sleep, exercise, nutrition, and regular care appointments. For those undergoing or considering TMS sessions, this change in routine can feel like a hurdle.

But staying consistent with your TMS therapy doesn’t have to be difficult. With a bit of planning and support, you can maintain your momentum and continue benefiting from brain stimulation treatment.

Strategies to Stay on Track with TMS

Here are some practical ways to keep your treatment plan stable, even when life gets hectic:

1. Schedule Ahead

When you anticipate changes to your routine, proactively schedule your treatment sessions. If you’re planning a vacation or a work trip, coordinate your appointments in advance to avoid gaps that could disrupt progress.

2. Discuss Flexibility with Your Provider

At APG Health, we understand that life happens. Our team works with you to create a schedule that fits your needs, whether you’re using standard rTMS or shorter iTBS options. Flexibility helps ensure consistent care without added stress.

3. Track the Effects of TMS

Keeping a simple journal or mood tracker can help you understand the effects of TMS over time. Document how you feel before and after sessions, and note any shifts in mood, energy, or sleep. This can help you and your provider fine-tune your care.

4. Build a Supportive Routine Around Sessions

Incorporate other stabilizing habits around your TMS sessions:

  • Prioritize sleep hygiene
  • Maintain consistent meal times
  • Integrate light physical activity
  • Limit alcohol and high-sugar foods

These routines can amplify the impact of TMS treatment and help regulate your nervous system.

5. Plan for Maintenance Sessions

For many individuals, the benefits of TMS therapy are long-lasting but may require maintenance sessions periodically. Scheduling these proactively during transitions can help reinforce the positive changes and provide peace of mind.

TMS During Summer and Seasonal Shifts

The summer months often bring both freedom and disruption. Kids are home from school, vacations ramp up, and sleep schedules shift. While these changes can offer a welcome break, they can also increase stress for those managing mental health conditions.

TMS can serve as a stabilizing force during these transitions. By stimulating targeted brain regions involved in mood regulation, TMS helps patients manage depressive symptoms more effectively and remain functional in daily life.

Whether you're a college student home for break, a working professional adjusting to a lighter summer schedule, or a parent juggling changing routines, TMS treatment can anchor your wellness plan.

When to Consider TMS

TMS may be right for you if:

  • You have tried at least one antidepressant with limited success
  • You want a non-pharmacological option with fewer side effects
  • You experience seasonal or routine-related depressive episodes
  • You need treatment that accommodates a busy lifestyle

At APG Health, we evaluate everyone to determine if TMS therapy is an appropriate next step. We offer both rTMS and iTBS depending on your goals and availability.

Final Thoughts

Routines change. Life gets busy. But that doesn’t mean your mental health should take a back seat. With flexible scheduling, ongoing support, and innovative options like TMS therapy, it’s possible to keep moving forward, even when life shifts.

If you’re interested in learning more about TMS for treatment-resistant depression, reach out to APG Health today. We proudly serve the communities of Orlando, and we’re here to help you build a sustainable path toward long-term wellness.