TMS for Tinnitus & Auditory Hallucinations

A careful assessment distinguishes the symptoms and helps determine whether TMS may be considered alongside your current care.

Tinnitus and hallucinations are different concerns

Tinnitus is the perception of sound, such as ringing, buzzing, or hissing, without an external sound source. Auditory hallucinations can involve voices or other sounds and require a separate assessment of their cause.

Evaluating tinnitus

Tinnitus may be associated with hearing loss, noise exposure, medications, or other medical conditions. Evaluation by an ear, nose, and throat specialist or hearing professional is often an important first step. Treatment may include addressing an underlying cause, hearing aids, or sound-based strategies.

If symptoms remain distressing, Dr. Drell can discuss TMS research and whether an individualized approach is appropriate. The evidence is mixed, and benefit is not assured.

Evaluating auditory hallucinations

Hallucinations can occur with psychiatric, neurological, medication-related, or other medical conditions. Identifying the cause is essential. Your current clinician may recommend additional assessment before considering TMS.

TMS may be discussed as an additional treatment for selected persistent symptoms. It should not replace the medication or other care needed for the underlying condition.

Off-label treatment and coverage

BrainsWay Deep TMS for tinnitus or auditory hallucinations is an off-label use. The proposed protocol, supporting evidence, limitations, risks, and costs should be reviewed during consultation. Insurance may not cover these treatments; self-pay options can be discussed.

Safety and expectations

TMS has risks, including scalp discomfort, headache, and a rare risk of seizure. Your team reviews medical conditions, medications, implants, and other precautions before treatment. Results vary, and TMS is not a replacement for ongoing medical or psychiatric care.