PRECISION BRAIN HEALTH · LONDON
rTMS: A Precise Way to Reach the Brain · London
The brain is plastic. Its circuits can be measured, strengthened and recalibrated.
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precision rTMS in london
At Naya Health, we use precision rTMS to restore, regulate and optimise neural circuits
rTMS, or repetitive transcranial magnetic stimulation, is a non-invasive, drug-free treatment that works with the brain’s own capacity for change. Through gentle, precisely targeted magnetic stimulation, it reaches the neural pathways that shape mood, focus, pain and clarity, and helps them settle into steadier, healthier patterns. rTMS is NICE-approved, grounded in decades of clinical research, and used the world over across both clinical and performance settings.
The treatment is gentle. You remain awake and at ease throughout, with no anaesthesia, no medication and no recovery time. Most people describe a light tapping at the scalp, and little more. A session lasts up to around thirty minutes, and you leave as you arrived, free to carry on with your day.
Non-invasive, drug-free, and guided by objective measurement throughout.
For those who have lived with chronic pain or fibromyalgia without finding lasting relief, Naya offers something different: precision neuromodulation, rewiring the brain at its root.
Discuss rtms at £0 cost to you
Book your complimentary discovery call with one of our clinicians
A 15-minute conversation with our consultant about what you're dealing with, what's been tried, and whether rTMS could help. No obligation, and if it's not right for you, he'll tell you.
HOW IT WORKS
Working at the Root, Where Change Begins
Mood, focus, pain, energy: each rests on the activity of specific neural pathways. When those pathways fall out of balance, or settle into patterns that no longer serve, the effects are felt across daily life.
rTMS works on a principle called neuroplasticity, the brain’s capacity to reshape itself. Delivered to carefully chosen regions, magnetic stimulation drives gradual change in how the underlying pathways fire, building steadier and more durable patterns over a course of sessions. The change accumulates and holds, which is why rTMS treatment is given as a course rather than a single visit.
Each brain carries its own signature, and no single target serves everyone. Where we stimulate is determined by your presentation, your goals, and how your brain is functioning at the outset. Everything we do is built around getting your target right.
rTMS is supported by a growing and compelling clinical evidence base. Non-invasive, drug-free, and with minimal side effects.
Your rTMS Treatment: What to Expect
Step 1: Initial Consultation and Assessment
Your treatment journey at Naya begins with a NayaScore™ assessment, an objective, multi-domain measure of your brain health and regulatory capacity. This gives us a precise neurological baseline that reflects how your brain is currently operating, forming the foundation from which your entire protocol is designed.
Step 2: Your Personalised rTMS Programme
You will complete a series of sessions at our London clinic in Marylebone, each lasting around 30 minutes. You remain comfortable and awake throughout, with no anaesthesia or recovery time needed. Your protocol is custom-designed around your NayaScore™ baseline, guided by your biology at every stage. Before each session, NayaState™ preparation primes your brain and nervous system to receive treatment, optimising the conditions for neuroplastic change
Step 3: Ongoing Measurement and Next Steps
Your NayaScore™ builds a clear, longitudinal picture of how your brain is restoring and recalibrating throughout your programme. At the close of treatment, your clinician reviews your progress with you and recommends a path forward. For many patients, the brain continues to consolidate change long after the final session.
EVIDENCE AND SAFETY
Grounded in Evidence, Gentle by Design
rTMS is NICE-approved and held up by a substantial and growing body of clinical research. Its strength varies from one condition to the next, and we are always clear about what is well established and what is still emerging. Each of our condition pages sets out the evidence in full.
It is also very well tolerated. Where side effects arise they are mild and passing, most often a light headache or some tiredness on the day. The only clinically significant risk is seizure, which occurs in fewer than 0.0016% of treatments and has never happened at Naya Health. Careful screening before treatment ensures any susceptibility is identified from the outset.
NAYASCORE™ IS PROPRIETARY TO NAYA HEALTH AND UNAVAILABLE AT ANY OTHER CLINIC
NayaScore™: Objective Measurement at Every Stage of Your Treatment
Most pain assessments rely on self-reported measures. These have value, but they capture how pain feels rather than the neurological patterns generating it.
NayaScore™ brings an objective layer to this picture. Drawing on heart rate variability, cognitive function, metabolic markers and clinical assessment, it builds a precise neurological baseline that reflects your brain’s regulatory capacity, a measurable foundation from which to restore, regulate and recalibrate.
Throughout your chronic pain treatment, NayaScore™ gives you and your clinical team a clear, longitudinal view of how your brain is restoring and rewiring, where it is heading, and what is shifting beneath the surface.
the role of precision rtms in treatment outcomes
NayaScore™: what objective measurement makes possible
1. Precision targeting. Your rTMS protocol is mapped to the specific circuits involved in your pain presentation, ensuring stimulation reaches exactly where it is needed.
2. Objective evidence of change. As your fibromyalgia or chronic pain treatment progresses, NayaScore™ tracks how your brain is restoring and recalibrating, giving you a clear, measurable picture of what is shifting across your programme.
3. A shared clinical picture. Your NayaScore™ data is visible to your wider clinical team, whether that is your GP, pain specialist or therapist, creating a joined-up view of your neurological health.
4. A longitudinal record of your brain health. NayaScore™ builds over time, tracking your neurological baseline across months and years, so that changes are identified early and responded to with precision.
The Evidence
THE EVIDENCE FOR RTMS IS GROWING AND COMPELLING
Depression: 85.7% response rate
(SAINT trial) - Cole, E. J. et al. (2022) ‘Stanford Neuromodulation Therapy (SNT): A Double-Blind Randomized Controlled Trial’, American Journal of Psychiatry, 179(2), pp. 132–141.
Anxiety: 69% response rate
Croarkin, P. E., Dojnov, A., Middleton, V. J., Bowman, J., Kriske, J., Donachie, N., Siddiqi, S. H. and Downar, J. (2024) 'Accelerated 1 Hz dorsomedial prefrontal transcranial magnetic stimulation for generalized anxiety disorder in adolescents and young adults: A case series', Brain Stimulation, 17(2), pp. 384-388
Chronic pain / Fibromyalgia: 86% response rate
Real world data" - Nation, E., et al. (2025) 'Repetitive transcranial magnetic stimulation at low frequency for the treatment of fibromyalgia: results from the first treatment cohort at the brainwave clinic', Frontiers in Pain Research, 6
Cognitive Performance: working memory accuracy (3-back task) improved from 43.6% to 73.2% in the theta-burst group, significantly greater than the sham group's change.
Wu, X., Wang, L., Geng, Z., Wei, L., Yan, Y., Xie, C., Chen, X., Ji, G-J., Tian, Y. and Wang, K. (2021) 'Improved cognitive promotion through accelerated magnetic stimulation', eNeuro, 8(1)
Chronic Fatigue Syndrome: 67% response rate
Miwa, K. and Inoue, Y., 2023. Repetitive transcranial magnetic stimulation ameliorates symptoms in patients with myalgic encephalomyelitis (chronic fatigue syndrome). IBRO Neuroscience Reports, 15, pp.312-316.
For presentations involving autonomic dysregulation, our neurocardiac-guided approach further personalises treatment, selecting targets based on each individual's measurable physiological response.
heart-brain coupling for personalised rtms
The heart-brain connection: personalised rTMS guided by your biology
The neural pathways that govern functions like pain perception, stress and emotional regulation are closely connected to cardiac function.
At Naya, we use this connection to guide precision rTMS where it is clinically appropriate. By measuring heart rate response across multiple stimulation sites, we identify the precise target that most effectively engages each individual’s regulatory brain network. Specific treatment targets vary depending on your presentation: neurocardiac guidance is most relevant for conditions involving autonomic dysregulation, and your protocol is designed accordingly.
Naya is currently the only clinic in the UK offering neurocardiac-guided rTMS.
FAQ
What does rTMS feel like?
Most people describe a light tapping at the scalp, where the coil rests. It can feel unfamiliar for a minute or two, but it is not painful, and almost everyone settles quickly. You stay awake and comfortable throughout, free to read, talk or simply rest.
How many sessions will I need?
It depends on what you are being treated for. Restore courses usually run to between 10 and 20 sessions. Optimise protocols can show meaningful change from as few as five. Because several sessions can often be given in a day, some people complete a course within a week or two, while others prefer to spread it over a longer stretch. Your clinical team will shape the right course for you.
How long is each session?
On the restore journey, sessions last around thirty minutes. On the optimise journey, they are shorter (around 15 minutes), delivering targeted stimulation in a compact window designed to sit easily within a demanding day.
Is rTMS safe?
rTMS is extremely safe and well tolerated. It is non-invasive, needs no anaesthesia, and asks for no recovery time. Side effects, where they occur, are mild and passing. The only clinically significant risk is seizure, occurring in fewer than 0.0016% of treatments, and it has never occurred at Naya Health.
Will I have to stop my medication?
No. rTMS can be delivered safely alongside ongoing medication, and many patients continue their usual treatment throughout. Any decision to adjust it is always made with your prescribing doctor.
How do I know if rTMS is right for me?
The best place to begin is a complimentary discovery call. It is a short, no-obligation conversation with one of our clinicians about what you are living with, what you are hoping for, and whether rTMS is likely to help. If it is not the right fit, we will tell you.
Do I need a referral?
No referral is needed. You can book a discovery call directly, and if you choose to go ahead, we will guide you through every step from there.
How do I book an rTMS treatment consultation in London?
Start with a free 15-minute discovery call via the Naya website, no referral needed, and no formal diagnosis required. If rTMS seems right for you, you'll be invited to a full NayaScore™ assessment before treatment begins. The clinical team will review your case individually and guide you from there.
What questions should I ask a clinic about rTMS treatment?
The right questions are: How is treatment personalised? How are outcomes measured? What's the evidence base? What happens if it doesn't work? At Naya, we welcome all of these, and a free 15-minute discovery call is exactly the right place to ask them.