Core treatment

Precision rTMS

Precision rTMS in Marylebone, London: a non-invasive, drug-free course of magnetic stimulation that targets the specific brain circuits driving your symptoms, with the target chosen by measurement rather than by a fixed scalp coordinate.

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Treatment room at the Naya clinic, UNTIL Marylebone

The short answer

What precision rTMS is

Repetitive transcranial magnetic stimulation uses brief magnetic pulses, delivered through a coil resting against your scalp, to change the activity of a targeted brain circuit. You stay awake. There is no anaesthetic, no medication and no recovery time. Most people describe a light tapping at the scalp and little else.

What differs here is what happens before the first pulse. We measure your motor threshold, so the strength used is calibrated to you rather than fixed. Then we test candidate sites and choose the one your own physiology responds to. Only then does a course begin.

A course is delivered over weeks, not in a single visit, because lasting change depends on repetition. Your clinician will tell you at consultation whether stimulation is appropriate for you at all, and will say so plainly if it is not.

Areas treated

Why the measurement comes first

Non-invasive and drug-free, with no anaesthetic and no recovery time
The dose is calibrated to your own motor threshold, not set to a standard figure
The target is chosen by measuring your response, rather than by a fixed scalp coordinate
You stay awake and can drive yourself home afterwards
Progress is measured session by session rather than assessed by recall
Delivered by clinicians who do this full time, in a room designed to be quiet

Patient journey

What a course of rTMS involves

Consultation & preparation

Eat and drink as normal, and take your usual medication unless your clinician has said otherwise. Avoid alcohol the night before a first session, since it lowers the seizure threshold. Tell us about any metal in your head, any implanted cardiac device, and any history of seizure, before your first appointment rather than on the day. Leave earrings and hair clips out, and skip heavy hair product, because the coil needs flat contact with the scalp.

During treatment

A free consultation first

Fifteen minutes with a clinician about what you are dealing with, what has already been tried, and whether stimulation could help. There is no obligation, and if it is not right for you they will tell you.

Measurement before treatment

Before a course starts we establish your baseline. That includes your motor threshold, which sets your individual dose, and a NayaScore assessment covering grip strength, heart rate variability and cognitive testing across twelve domains. It gives us a starting point to measure against.

Finding your target

Rather than fixing a scalp coordinate, we test candidate sites over the dorsolateral prefrontal cortex and watch how your heart responds to each. A brief slowing of heart rate indicates the network linking the front of the brain to the vagus nerve has engaged. We treat the site that produces the clearest response.

The course itself

Sessions run through the week. You sit upright, awake, in a low-lit room. The coil rests against your scalp and delivers pulses in short trains with rests between them. People read, listen to something, or simply sit.

Reassessment, then a decision

The NayaScore assessment is repeated during the course, so the question at the end is answered with data rather than impression. Some people finish a course and need nothing further. Others agree top-up sessions. Relapse can happen, and a second course is a normal part of the picture.

Aftercare

You can drive, work and exercise straight afterwards. Mild scalp tenderness or a dull headache is common early in a course and usually settles within a couple of hours; ordinary painkillers are fine. Tell your clinician if a headache is severe or persists, and contact the clinic immediately if you experience any loss of consciousness or seizure-like episode. The NayaScore assessment is repeated during the course, so progress is reviewed against your own baseline rather than from memory.

Pricing

rTMS prices in Marylebone

Getting started

Initial consultation Fifteen minutes with a clinician, no obligation

Free

Treatment

rTMS: single session

From £350

rTMS: block of ten sessions Ten sessions booked together, taken over several weeks

£3,000

pMS: single session Peripheral magnetic stimulation, where a body site rather than the head is treated

From £250

Written and medically reviewed byNaya, Precision neuromodulation clinic · NICE: interventional procedures guidance IPG542, repetitive transcranial magnetic stimulation for depression.

FAQ

rTMS questions

Does rTMS hurt?

Most people describe a light tapping against the scalp, and nothing worse. Some find the first session odd rather than painful. Mild scalp discomfort or a dull headache afterwards is the most common side effect, and it usually settles within an hour or two.

How many sessions will I need?

It depends entirely on what is being treated and on how you respond. Courses at this clinic have ranged from five sessions for cognitive work to thirty for complex chronic fatigue. Your clinician will give you a specific number after your assessment, not before it.

Is rTMS safe?

It is non-invasive and well established, having been used clinically for more than twenty five years. Seizure is the serious risk and it is rare. We screen for metal in the head, cardiac devices and seizure history before anyone is treated, which is why the assessment matters.

Will I be able to work and drive as normal?

Yes. There is no anaesthetic and no sedation, so you can drive yourself home and return to work straight afterwards. Sessions are deliberately scheduled around working days, and most people come in before work or over lunch. Mild scalp tenderness afterwards is common and settles quickly.

What does the evidence actually show?

The strongest evidence is in treatment-resistant depression, where several large sham-controlled trials support it and NICE has issued interventional procedures guidance. Evidence in chronic pain, fatigue and cognition is earlier and smaller. Your clinician will be specific about which category your own condition falls into.

What happens if it does not work for me?

Not everyone responds, and we would rather say that now than after you have paid for a course. Because we reassess with the same measures partway through, the answer arrives early rather than at the end. If the numbers are not moving, we will tell you and stop.

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Naya • 1 Orchard Street, London W1H 6HJ

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Appointments typically available within 1–2 weeks