04/09/2026
There are two very different ways to reach the brain from outside the skull, and they get confused for each other constantly.
Transcranial magnetic stimulation, TMS, uses a coil held against the scalp to create pulsed magnetic fields. Those fields are strong enough to directly make neurons in that part of the brain fire. It’s typically delivered in a clinic, under supervision, in sessions of 20 to 40 minutes, often daily for several weeks.
Transcranial direct current stimulation, tDCS, works completely differently. It sends a very weak, steady electrical current through electrodes on the scalp, what we’ll call electrical brain stimulation from here on. It doesn’t force neurons to fire. It shifts how easily they fire in response to everything else already happening in the brain. That signal is weak enough to be self-administered, including at home.
The evidence base for both is real, and both are moving forward. TMS has FDA clearance for major depressive disorder in adults, OCD, and smoking cessation, and in 2024 that clearance extended to adolescent depression as an add-on treatment (Srivastava et al., 2026). In 2025, the FDA cleared the first at-home electrical brain stimulation device for adult depression, the first clearance of its kind in the US, based on a randomized, sham-controlled trial published in Brain Stimulation.
Both have strong safety records. TMS’s most common side effects are scalp discomfort and headache, with a rare seizure risk in certain people. Electrical brain stimulation’s most common side effects are mild tingling, redness, or a headache at the electrode site.
Different signals, different settings, same underlying idea: working with the brain directly. Electrical brain stimulation is the category The Samphire Headband belongs to.