TMS for anxious depression
When depression comes with persistent anxiety. ExoTMS® acts non-invasively on areas of the brain involved in mood and emotional regulation, with similar results in patients with and without associated anxiety.
Treatment depends on eligibility and a medical prescription, following the TMS Assessment Consultation.
Results in published studies.
Response means a clear improvement in symptoms. Remission means the absence of significant symptoms.
72%
response rate
Clear improvement in depressive symptoms (HAMD-17 scale) in patients with depression and generalised anxiety disorder.
42%
remission rate
Absence of significant symptoms at the end of treatment.
Noda Y. et al. Impact of Comorbid Generalized Anxiety Disorder on rTMS/iTBS Clinical Outcomes in Major Depression. Journal of Personalized Medicine, 2026. 36 patients with depression and generalised anxiety; no significant difference compared with patients with depression alone (75% and 44%).
Studies use different transcranial magnetic stimulation devices and protocols. Results vary from person to person and are assessed by the doctor throughout treatment.
Who it may be suitable for.
Eligibility is assessed by the clinical director, Dr. Bruno Gomes, at the TMS Assessment Consultation: review of previous tests and clinical history, analysis of contraindications and, if in doubt, ordering of tests.
Contraindications and side effects- Depression with persistent anxiety: constant worry, tension, restlessness.
- Symptoms that persist despite medication or psychotherapy.
- Medication side effects that are hard to tolerate.
- Aged 18 and over, after the TMS Assessment Consultation.
Non-invasive, no anaesthesia, outpatient.
You resume your routine straight after each session. You are followed by our clinical team, session after session.
Sessions per cycle
6 to 30
As medically prescribed.
Length of each session
18.5 to 24.5 min
According to the indicated protocol.
Times per week
2 to 5
With medical reassessment throughout the course.
From your arrival at AlmaraClinic to your treatment.
NeuroCheck, free of charge
Information session with our Patient Care team: the treatment, the options, the fees and the best schedule.
TMS Assessment Consultation
The eligibility of your clinical case for TMS is assessed with the clinical director.
Personalised plan
With the medical prescription: protocol, number of sessions and frequency.
Follow-up
You are followed by our clinical team, session after session.
Fees and terms.
TMS Assessment Consultation
100 €
With the clinical director, Dr. Bruno Gomes.
Standard protocol
24.5 minute sessions
As part of a treatment protocol, from€200 per session
- Single session
- 350 €
Intensive protocol
18.5 minute sessions
As part of a treatment protocol, from€100 per session
- Single session
- 200 €
The protocol and the fee per session are defined in the plan, after the TMS Assessment Consultation. Payment in up to 12 interest-free instalments with Cofidis Pay. See terms
TMS for anxious depression
Anxiety: signs, assessment and options All about transcranial magnetic stimulationDoes TMS treat anxiety only?
Suitability is assessed at the TMS Assessment Consultation. The studies cited refer to patients with depression and associated anxiety.
Can I continue psychotherapy?
Yes. TMS can be combined with psychotherapy, as part of multidisciplinary clinical follow-up.
Do I have to stop my medication?
No. TMS is carried out without stopping your usual medication. Any change should be decided together with your doctor.
Does insurance provide reimbursement?
Reimbursement depends on your insurer and your policy. Check with your insurer; if needed, we can help with the paperwork.
Can I pay in instalments?
Yes. Up to 12 interest-free instalments with Cofidis Pay.
See terms