Psychotherapy Support for TMS Patients

At Smart TMS London, we’re proud to partner with The Mindful Practice, a nearby psychotherapy and mindfulness clinic, to offer clients a more holistic approach to mental health care. Located just minutes from our High Street Kensington clinic, The Mindful Practice offers specialist psychotherapy for those who wish to combine emotional support with their TMS treatment.

A Holistic, Evidence-Based Approach

TMS is a non-invasive, brain-based treatment that targets the neurological root of depression and related conditions. Psychotherapy, particularly mindfulness-based and relational therapy, offers a complementary pathway—supporting behavioural change, emotional insight, and resilience.

Emerging research suggests that combining TMS with psychotherapy can lead to higher response and remission rates than either treatment alone. An open-label study from neurocare found that combining standard TMS with psychotherapy was associated with:

• Response rate: 66%
• Remission rate: 56%

In comparison, TMS-only studies showed:

• Carpenter et al.: Response 53%, Remission 37%
• Fitzgerald et al.: Response 44%, Remission 31%

There was no difference between high- or low-frequency stimulation protocols.

This suggests a synergistic effect, where rTMS enhances the brain’s readiness to engage with therapy—and therapy helps apply the benefits of TMS to everyday life. A related meta-analysis further supports this, showing both TMS and psychotherapy may affect the same brain region: the rostral anterior cingulate cortex (rACC).

Whilst further research is needed, current evidence supports this combined approach as safe and potentially more effective than TMS or therapy alone.

Integrated Care, Personalised to You

Several therapists at The Mindful Practice have completed specialist training with Smart TMS. You can expect:

• Emotional support before, during, and after treatment
• Seamless communication between your therapy and clinical teams
• A personalised care plan tailored to your needs and progress

Whether you're already undergoing TMS or considering it, combined support can help you feel more grounded, confident, and in control throughout your recovery.