Foundational
What Is TMS? Transcranial Magnetic Stimulation Explained
Transcranial magnetic stimulation explained by a physician. TMS vs TPS, FDA clearance, session protocols, and why I rank TPS as the top neuromodulation tool in my practice.
Neuromodulation
Strong EvidenceTranscranial Magnetic Stimulation (TMS)
FDA-cleared non-invasive brain stimulation for depression, OCD, and emerging indications.
01
02
At-Home Brain Stimulation for Depression: ProlivRx and Flow FL-100 — What the 2025–2026 FDA Approvals Mean for Patients
Two FDA-approved at-home brain stimulation devices for depression are now available. Here is what the clinical evidence says and when they are — or are not — the right choice.
03
CRP and Depression: What Inflammation Testing Reveals Before You Start TMS
CRP and cytokine testing before TMS for depression identifies the inflamed subtype, predicts response, and guides whether inflammation must be treated first.
04
Ketamine as a Bridge to TMS: The Induction Protocol for Treatment-Resistant Depression
When TMS for depression takes weeks to build effect, IV ketamine can bridge the gap — acute relief while circuits remodel. Protocol, evidence, and patient selection.
05
Accelerated TMS in 2026: SWIFT, 5×5 rTMS, and Faster Routes to Depression Remission
SWIFT deep TMS and 5×5 accelerated rTMS compress depression treatment to 5–6 days. What the 2026 evidence shows, who qualifies, and how Julian positions these protocols.
06
Treatment-Resistant Depression: The Cause-First Workup Before TMS
Before treating TRD, investigate the cause: qEEG brain mapping, CRP inflammation testing, Lyme/viral infections, and toxic relationships. Julian's clinical protocol.
07
TMS for Chronic Pain: rTMS Protocols, Evidence, and Patient Selection
How repetitive TMS targets the motor cortex and prefrontal regions to reduce chronic neuropathic pain, fibromyalgia, and CRPS — protocols, evidence levels, and who qualifies.
08
TMS for Tinnitus: rTMS Protocols, Evidence, and Who Responds Best
A physician's guide to repetitive TMS for chronic tinnitus — auditory cortex targets, 1 Hz protocols, multisite approaches, what the evidence shows, and who responds best.
09
ECT Must Be Banned: A Treatment With No Going Back
A physician's case for banning electroconvulsive therapy: permanent memory loss, falling brain metabolism on PET and SPECT, high relapse, thin consent, and the targeted alternatives.
10
TMS for OCD: Deep TMS Protocols, FDA Clearance, and What the Evidence Shows
Dr. med. univ. Julian Douwes reviews TMS and deep TMS for OCD — the CSTC circuit target, H7 coil protocol with symptom provocation, clinical response rates, and patient selection.
11
Brain Aging and Cognitive Reserve: What Is Established, What Is Emerging
What protects the aging brain? Risk factors and lifestyle trials vs zoster-vaccine signals and neuromodulation, each graded by strength of evidence.
12
TMS for PTSD: Clinical Evidence, Protocols, and What to Expect
Transcranial magnetic stimulation for PTSD — how it works, what the clinical evidence shows, who qualifies, and how it differs from TMS for depression.
13
TMS for Anxiety: How Transcranial Magnetic Stimulation Targets GAD, Social Anxiety, and OCD-Spectrum Disorders
Evidence-based guide to TMS therapy for anxiety disorders. Learn how repetitive TMS protocols differ from depression treatment and what outcomes to expect.
14
TMS for Depression: What 20 Years of Evidence Shows
TMS depression treatment explained by a physician. FDA clearance history, rTMS protocols, theta burst stimulation, response rates, and who responds best.
