As someone who's met the clinical criteria for MDD at various points but later discovered the cause lied in a severely traumatic upbringing, I'm not sure about

As someone who's met the clinical criteria for MDD at various points but later discovered the cause lied in a severely traumatic upbringing, I'm not sure about pushing TMS on folks when the state of psychiatric care is so poor. Were I the client going thru this treatment, I might have a psychiatrist say I'm a great candidate for effectiveness, but it wouldn't treat the actual underlying causes and may expose me to harm potentially. I am very glad I decided against taking that route. TMS has a lot of side effects (Seizures, cognitive effects, permanent increases in auditory threshold, tinnitus, headaches) and the overall neurological mechanisms are not, to my knowledge, well known - my interpretation is that its a bit like degaussing a brain. If you have secret sauce, its in studies that aren't public. Assuming its based around studies like this: https://www.sciencedirect.com/science/article/abs/pii/S0165178123005589?via%3Dihub https://www.sciencedirect.com/science/article/abs/pii/S01651... Is it a viable GTM strategy? Maybe - but you may find yourself having every incentive to hype up a procedure that may cause harm, even if legal, which seems like an ethical minefield if not a significant source of liability. If the effects of TMS across the whole nervous system were more well known and side effects could be more easily predicted, perhaps that would be another story.