Information for the Health Care Provider

Primary Indications for rTMS at BrainStim Healthcare

  • Major Depressive Disorder, including during pregnancy and in the post-partum period
  • Bipolar I or II Mood Disorder, current episode depressed
  • Post-traumatic Stress Disorder
  • Pain-related conditions limited to:

    • fibromyalgia
    • neuropathic facial pain/trigeminal neuralgia
    • neuropathic limb pain including Complex Regional Pain Syndrome (CRPS)
    • migraines
    • post-concussion or post-traumatic headaches
    • chronic myofascial pain syndromes including from whiplash injuries
  • We will also consider a trial of rTMS in patients with Chronic Fatigue Syndrome or Systemic Exertion Intolerance Disease, although the clinical evidence base for this is quite modest at this time

Absolute Contraindications to recommending rTMS at BrainStim Healthcare

  • Presence of ferromagnetic (eg: iron) material anywhere in the head that is not fixed to bone, excluding the mouth. This includes, but not limited to, cochlear implants, implanted brain stimulators or electrodes, aneurysm clips, and loose plates or screws.
  • Poorly controlled seizure disorder
  • Presence of increased intracranial pressure
  • Intense, persistent suicidal ideation
  • Medically-unstable Eating Disorder
  • Children (less than 16 years old)

Factors Which MAY Exclude a Person from rTMS
(BrainStim Healthcare to determine eligibility)

  • History of seizure disorder
  • Certain cardiac pacemakers and implantable cardioverter defibrillator (ICD)
  • Recent large stroke
  • Brain tumour
  • Active suicidal ideation
  • Dysthymia or Adjustment Disorders
  • Psychotic symptoms associated with depression, PTSD, or unrelated conditions such as schizophrenia or delusional disorder
  • Active concurrent substance use disorder
  • Moderate to severe Dementia (Major Neurocognitive Disorder)
  • History of being refractory to ECT
  • Primary or Associated Borderline personality disorder

Mental or Physical Conditions that BrainStim Healthcare is NOT currently providing rTMS services for:

  • OCD, Panic Disorder, GAD
  • Tinnitus
  • Motor symptoms associated with Parkinson’s Disease or Stroke
  • Cognitive symptoms associated with a Cognitive disorder
  • Substance use disorders or substance withdrawal

Additional Information

BrainStim Healthcare Associates

Request Appointment

Appointment requests can be made for any of our specialists.
New patient bookings with our specialists must be via referral from a medical doctor or nurse practitioner.

Appointment times will be arranged with your patient,
and the referring source will be notified promptly that this request is received.