I had two rounds of 3 weeks each 2 yrs ago. It was extremely expensive and not covered by insurance. Round 1 seemed great at the time, but in retrospect it made me hypomanic. We didn't realize I was bp ii at the time.
I crashed about 4 months later. Round 2 didn't work at all, so I resumed some medication. I was trying to be med free so I could get pregnant which is why I messed with tms in the first place. (Happy ending: took a little Lamictal, got pregnant, have a great son).
My decision-making process might have been different if I had known I was bp. I haven't found any articles on bp and tms, but I'm quite sure it flipped me into hypomania. I think it is worth a shot if you don't have to pay thousands for it, but I wouldn't pay out of pocket.
Best,
EJ
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