Depression
TMS targets neural circuits involved in depression and is an established treatment option for treatment-resistant depression.
Transcranial magnetic stimulation
Modern, non-invasive treatment—grounded in careful assessment.
TMS is available in the Cape Winelands as a safe, effective and non-invasive treatment option that can significantly improve symptoms of depression and other mental health conditions.
TMS uses targeted magnetic stimulation to influence neural circuits involved in various conditions. It does not require surgery or anaesthesia, and treatment is delivered while the patient is awake.
Non-invasiveNo surgery or anaesthesia
TargetedProtocol selected for the individual
StructuredDelivered as a course of sessions
IntegratedCan complement other care
Assessment comes first
The assessment reviews diagnosis, previous treatment, medical history, potential contraindications and the likely benefits, limitations and costs. TMS does not automatically replace medication, psychotherapy or other appropriate treatment.
Conditions treated with TMS
Targeted treatment for different clinical needs.
TMS is best established for treatment-resistant depression. Evidence, regulatory approval and suitability vary across other conditions, and each treatment plan begins with an individual assessment.
Anxiety and PTSD
Emerging research suggests possible benefit for generalised anxiety disorder and post-traumatic stress disorder, although TMS is not a standard treatment for all anxiety disorders.
OCD
Research supports TMS as a treatment option for obsessive-compulsive disorder, using protocols that target relevant brain circuits.
Addictions
Studies in nicotine, gambling and substance-use disorders suggest potential benefit, but this remains an evolving area of treatment.
Stroke rehabilitation
Research has explored TMS as an adjunct to rehabilitation after stroke, with protocols selected according to the clinical difficulty being treated.
Chronic pain
TMS may be used as an add-on treatment for selected chronic pain conditions, including neuropathic pain and fibromyalgia.
Chronic tinnitus
Studies have investigated TMS for reducing tinnitus severity, although response and suitability vary between individuals.
Frequently asked questions
Clear answers before treatment begins.
What is TMS?
Transcranial magnetic stimulation is a non-invasive treatment that uses magnetic pulses to stimulate targeted brain regions. It is an established treatment option for treatment-resistant depression.
How long is treatment?
Protocols are individualised. Sessions may range from approximately 3 to 40 minutes, and a full course commonly involves 30 to 50 sessions.
Who provides treatment?
A psychiatrist performs the assessment, determines suitability and selects the protocol. Trained TMS technicians deliver treatment under clinical oversight.
Do I need a referral?
You may be referred by a psychiatrist, psychologist or general practitioner, or self-refer for an assessment with Dr Eksteen.
What are the common side effects?
The most commonly reported effects are temporary headache, mild scalp discomfort and fatigue. Suitability, risks and alternatives are discussed during assessment.
Appointments
Book a TMS assessment.
Appointments are booked securely through the existing MyGC patient portal.