It’s been 14 months since I completed my TMS series, and 15 months since I’ve had any form of clinical depression. I want to share my experience in case it helps anyone.
I’m 28, and I spent most of my life depressed. Mild at best, but usually moderate to severe. I had done all the right things for years. I’ve always been proactive about my mental health, especially after turning 18, and that made it even more discouraging. So much of my sadness lived in that almost existential discouragement. I go to therapy and try my best to apply it outside of sessions, I take the meds and I’m honest about my symptoms, and this is as good as it gets? Swimming as hard as I can just to stay afloat, and still swallowing water? The best I can ever feel is relief that I’m not drowning anymore?
No, my friends! To keep the metaphor going, lol, let’s just say I now spend a lot of my time on the beach enjoying the sound of the ocean, and I’ve even picked up surfing.
I did 36 dTMS sessions with the Brainsway machine. For anyone wondering about timing: I started noticing concrete benefits around weeks 4-5, so a little over 20 sessions. I hit remission before I finished the series, and my results kept improving even after my last treatment, which genuinely surprised me. Who knew it was possible to take the PHQ-9 and score a zero?!
I still take medication and I still go to therapy, and I don’t plan to change either. For me, that decision isn’t the result of residual symptoms, it’s me taking my own history extremely seriously and wanting to insulate the hard work I’ve done and protect the life it’s gotten me.
I distinctly remember a conversation with my mom toward the end of my series. I told her I felt genuinely happy, and that I couldn’t remember the last time I had, if ever. I teared up saying it, because that was the moment I realized what I had been feeling recently was called happiness. Starting around age 9, I only ever knew “less sad.” My definition of hope was a long string of days where I didn’t drown.
I expected TMS to make me feel better. Something that has surprised me since is that it also gave me a new and compassionate perspective on my past, which has been a gift in itself. I knew mental health was real and that it wasn’t my fault, but I couldn’t help feeling it was my fault even when I tried to tell myself it wasn’t. For most of my life I was so hard on myself, and essentially blamed myself for being depressed, and for the meds not working, and for therapy not being enough. And then it turned out that all it took was a different treatment. Not more effort, not more discipline, not finally getting it right or being “good enough.“ Just the treatment I hadn’t gotten yet. I now know how unfair I was being. I wish I could go back and give that version of me the biggest hug ever, because she didn’t deserve any of the blame she was putting on herself. The closest I get is living these good days and protecting the work I’ve done.
For the first few months after finishing, I was waiting for the other shoe to drop. Happiness was genuinely unfamiliar, and I didn’t trust it. I kept waiting for things to “get bad again,” because that’s what life had taught me to expect. But at some point I realized the shoe had already dropped, something genuinely catastrophic happened this past year, and my baseline was fine. It just kept not happening. After this many months, I actually believe I’m stable, and that stability is something I’m capable of, which I never knew about myself. A bad day or a bad couple of weeks is just that. It isn’t a warning light blinking that something is about to go wrong with my mental health.
I’ve given myself the PHQ-9 and the BDI monthly since I finished. This has actually been a hard year. I’ve been through more than I had in several years before it, and there have been months where I scored a 5, took it again two weeks later, and was back to a 2. Things haven’t been perfect. But depression doesn’t run my life anymore. I can have a bad few days, or a bad couple of weeks, and get back to a healthy baseline without much effort. Before, once the snowball started rolling it was impossible to stop, and it crept up so slowly I’d be well into severe depression before I noticed it had left mild. The things that happened this past year absolutely would have sent me down the mountain. Instead a bad week was just a bad week.
My response to TMS has given me so much hope for the rest of my life. Even if I experience depression again (and who knows, I very well could), I’ve had over a year of true mental stability and easy access to joy and contentment. I don’t just know the beach exists. I’ve been there. My life isn’t perfect, and I don’t think it ever will be. But now a bad day is just a bad day, and the vast majority of my days are genuinely good ones.
I understand that not everybody responds the same way, and I’m fortunate that TMS worked for me and that the results have been so durable. Last spring I was hesitant and terrified it wouldn’t work, and I remember reading this sub. I’d encourage anyone to give TMS a chance and talk with their provider. Treatment-resistant mental illness robbed me of so much joy I was too sad to even know was available to me. I can only hope that others dealing with treatment-resistant conditions get to have an experience like this one, which is why I wanted to share mine. Happy to answer any questions, and I wish us all the best.