Repetitive Transcranial Magnetic Stimulation (rTMS)

Repetitive Transcranial Magnetic Stimulation (rTMS) is a non-invasive treatment for certain psychiatric conditions with best evidence for mood disorders.

During rTMS, a specialized device delivers rapidly changing magnetic pulses to targeted areas of the brain. These pulses are believed to help reset brain circuits that affect mood and cognition. rTMS is off-label and is offered on compassionate grounds for individuals who have not responded to standard therapies.

rTMS is used to treat neurological conditions (e.g. Parkinson’s disease) and mental illnesses (e.g. major depressive disorder, schizophrenia, post-traumatic stress disorder, obsessive-compulsive disorder).

Who We Help

This program supports those 18 and older who:

  • Are experiencing depressive symptoms in moderate range
  • Have not improved with several evidence-based psychoactive medications, counselling or other treatments

What to Expect

This outpatient program provides:

  • Personalized care plan:

    Developed collaboratively by an interprofessional team.

  • Most people require daily treatments, 5 times per week for several weeks.
  • A psychiatrist will determine the number of treatments you require based on your symptoms.

Key Benefits

  • Specialized care:

    Access to a multidisciplinary team providing coordinated, person-centered care.

  • Psychiatric follow-up and monitoring through the course of treatment

How to Access the Service

Speak with your healthcare provider about a referral to our program.

  • Be 16 years or older with a diagnosed mental health condition
  • Symptoms have not improved with other treatments

For questions about referrals or to confirm eligibility, contact our Central Intake team: 613-544-4900 ext. 52040.

Appointment Information

  • Appointments take place in an outpatient clinic at Providence Care Hospital. Report to Registration on level 1.
  • After registering, proceed to the Clinics waiting area, located to the right of the main lobby welcome desk. A staff member will take you to the clinic.

Treatments take place Monday to Friday. Each treatment lasts approximately 10 to 15 minutes. The number of treatments varies. Your doctor will determine the number of treatments you require based on your symptoms.

The Interventional Psychiatry Clinic (IVP) is committed to providing timely, compassionate care.  If you cannot come to your appointment, please call us as soon as possible. You can reach us Monday to Friday from 7 a.m. to 3 p.m. at 613-544-4900 ext. 53228.  

Letting us know early helps us offer the appointment to someone else on our waitlist. 

Cancellation and no-show guidelines 

Initial Appointments (Consults and First Treatments) 

  • If you cancel with at least 48 hours’ notice, we will offer a new appointment as availability allows. 
  • If you cancel late or do not attend, you will return to the waitlist. 
  • If we do not hear from you within 1 week of a missed appointment, we will close your file. A new referral is required to return.  
  • If you cancel two appointments in a row, we will close your file and you will need a new referral. You will be added to the bottom of the waitlist. 

Treatment Appointments 

  • If you cancel with at least 48 hours notice, we will reschedule your appointment as availability allows. 
  • One or more missed or cancelled treatment appointments may be rescheduled at the prescribing physician’s discretion and as availability allows. 

Follow-Up Appointments 

  • If you cancel with at least 48 hours’ notice, we will offer a new appointment as availability allows. 
  • After two missed or cancelled appointments in a row, we will close your file. A new referral is required to return. 

Important Notes: 

  • If you miss an appointment, it is your responsibility to call 613-544-4900 ext. 53228 to request a new one.    
    • We appreciate your understanding. Your commitment helps us support as many individuals as possible in their mental health journey. 

FAQs

The number of treatments varies. Your doctor will determine the number of treatments you require based on your symptoms.

People who have had a seizure, stroke or head injury or who have certain metal implants (e.g. surgical clips, cardiac pacemakers) may not be eligible.

Rapidly changing magnetic pulses causes the neurons in the brain to change patterns. It is believed that this change in brain activity is what helps to alleviate symptoms of illness. rTMS can ease symptoms of depression, anxiety, OCD and PTSD. It works by changing how certain brain circuits control mood, thoughts and behaviour. Not all patients respond to treatment the same; some recover quickly while others may not respond to treatment at all.

rTMS causes few side effects; however, potential side effects can include:
  • Pain and headaches
  • Dizziness and light-headedness
  •  Twitches in the facial muscles during treatment
  • Changes in cognition
  • Temporary hearing loss (very rare)
  • In rare cases, seizures
rTMS does not affect memory or orientation.
An rTMS coil will be placed on your scalp. Before starting, the clinician may check your motor threshold with a single TMS pulse. You may feel your thumb twitch.
 
Foam earplugs will be provided to wear during treatment to protect your hearing from the sounds of the stimulator.
 
The treatment taeam may ask you to rate your mood and other symptoms. You are encouraged to report any discomfort during the treatment. If you feel discomfort, the clinical will adjust the intensity right away.

You can continue your daily activities and taking your medications as prescribed. Treatments do not have an immediate effect. Do not be worried if you don’t feel better after the first few treatments. Talk to your doctor about any progress.

Contact Information

Providence Care Hospital

752 King St W, Kingston, ON K7L 4X3

613-544-4900


Hours of Operation

Our facilities operate 24/7, but building access and available services vary by location and time of day. Some entrances may be locked, and ID badge or intercom access may be required.

Clinic and outpatient service hours also differ. Please contact your specific care area or clinic for details.

Program Secretary

613-544-4900, ext. 53217

Program Manager

613-544-4900, ext. 53218

Regional Director

613-544-4900, ext. 34101

Vice President, Patient Care, Long-Term Care and Chief Nursing Executive

613-544-4900, ext. 53391

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