TMS Therapy

TMS Therapy for Anxiety

Anxiety disorders involve hyperactivity in the amygdala and imbalanced activity in the prefrontal cortex, leading to excessive worry, physical tension, and avoidance behavior. TMS applies inhibitory low-frequency pulses to the right DLPFC to calm overactive fear circuits, or excitatory pulses to strengthen the regulatory control of the left prefrontal cortex. This targeted neuromodulation can significantly reduce anxiety severity in patients who have not found relief from medications or therapy alone.

Get Started About TMS

Is This Right for You?

Signs TMS May Help Your Anxiety

Many patients who come to us for TMS have tried medications or therapy with limited results. If you recognize these patterns, a TMS evaluation may be worth exploring.

Excessive worry that is difficult to control
Physical symptoms: racing heart, sweating, trembling, shortness of breath
Sleep disruption due to racing thoughts
Avoidance of situations that trigger fear
Panic attacks or sudden intense fear episodes
Anxiety that persists despite medication or therapy

Only a qualified provider can determine whether TMS is appropriate for you. Schedule a free consultation to discuss your options.

TMS therapy session for Anxiety treatment

What to Expect

Your TMS Treatment Plan for Anxiety

TMS for anxiety typically uses right-side inhibitory (1 Hz) protocols or left-side excitatory (10 Hz) protocols, depending on your specific anxiety subtype. We use qEEG brain mapping to identify your dominant anxiety pattern and individualize the stimulation parameters. Most patients complete a 4–6 week course with daily sessions.

FDA-approved or cleared, backed by rigorous clinical research

No medication side effects: no weight gain, nausea, or sedation

Non-invasive: no anesthesia, no surgery, no downtime

Outpatient procedure: drive yourself to and from each session

Can be combined with therapy and medication management

Available only at our Mill Valley, California office

The TMS Process

What Happens Step by Step

From your first call to your final session, here is what to expect when starting TMS for Anxiety at Segal Telepsychiatry Network.

Initial Evaluation

A board-certified provider conducts a comprehensive psychiatric evaluation to confirm you are a good candidate for TMS and determine the right protocol for your condition.

qEEG Brain Mapping

We use quantitative EEG to map your brain activity and identify the precise neural circuits to target, personalizing your stimulation parameters for better outcomes.

Insurance Verification

Our team verifies your TMS benefits before your first session at no charge, so you know exactly what to expect financially.

Treatment Course

Daily 20–40 minute sessions, Monday through Friday, for 4–6 weeks. You remain fully awake and alert, and can drive yourself home immediately after each session.