Understanding Your Treatment Options: A Comparison Guide
Compare TMS, medication, and therapy: how each works, who they help, timelines, and how comprehensive care combines approaches.
Clinically Reviewed: Board-Certified Psychiatrist |Next Review: October 2025
Key Takeaways
- Three main treatment approaches: TMS, medication, therapy—each with strong evidence
- Many people benefit from combining approaches (comprehensive care)
- Choice depends on severity, treatment history, preferences, and practical factors
- All three can be used together for optimal outcomes
- Treatment is individualized based on your unique needs and goals
Three Main Treatment Approaches
TMS (Transcranial Magnetic Stimulation)
Magnetic pulses stimulate underactive brain regions
Best for: Treatment-resistant depression, medication intolerance, prefer non-medication approach
Medication Management
Psychiatric medications adjust brain chemistry
Best for: Moderate-severe symptoms, when therapy alone insufficient, long-term maintenance
Therapy & Counseling
Evidence-based talk therapy teaches coping skills
Best for: Mild-moderate symptoms, learning skills, addressing root causes, maintaining gains
Comprehensive Care Approach
At Tasel Health, we specialize in comprehensive care—combining TMS, medication, and therapy for optimal outcomes. Research shows integrated treatment often works better than any single approach.
Learn more: Comprehensive Mental Health Care
Frequently Asked Questions
How do I know which treatment is right for me?
Discuss with a psychiatrist or therapist. They'll consider: severity of symptoms, what you've tried before, your preferences, practical factors (time, cost), and clinical recommendations. Often the best approach combines multiple treatments.
Can I try therapy first before medication?
For mild-moderate depression/anxiety, yes—therapy is often effective alone. For moderate-severe symptoms or when functioning is significantly impaired, combining therapy with medication or TMS may be recommended from the start.
What is comprehensive care?
Comprehensive care means combining multiple evidence-based treatments: TMS for brain stimulation, medication for chemical balance, therapy for skills and coping, all coordinated by one treatment team. Research shows combined approaches often work better than any single treatment.
How long do different treatments take to work?
Therapy: 6-12 weeks for noticeable improvement. Medications: 4-8 weeks for full effect. TMS: 2-6 weeks of daily treatment. All require patience and consistency.
What if one treatment doesn't work?
You have options. If therapy alone isn't enough, add medication or TMS. If medication doesn't work, try different medications, add therapy, or consider TMS. Treatment resistant doesn't mean untreatable—it means we need a different approach.
Can I switch treatments if I don't like one?
Yes, but discuss with your provider first. Some transitions need to be gradual (tapering medication, completing TMS course). Your care team will help you safely try different approaches.