Phil Tyson PhD, Psychotherapist

tDCS for Depression in Manchester:
Gentle Brain Stimulation at Home, With Support

Last updated 15 October 2026

Half an hour, sitting down, at home. Two pads resting on the forehead. A current of two milliamps.

That’s tDCS treatment for depression with the Flow headset.

I’m a psychotherapist and Chartered Psychologist based in Manchester, and a registered clinician with Flow Neuroscience. I offer clinician-led Flow treatment from Manchester for all suitable clients with depression. I work with Flow treatment alongside our normal therapy sessions.

What is tDCS, in plain English?

tDCS stands for transcranial direct current stimulation. A very weak electrical current passes through the front of the head, between two pads.

Its target is a region towards the front left of the brain, the dorsolateral prefrontal cortex. In depression this area is often less active than usual. The current makes the nerve cells there slightly more ready to fire.

It’s given as a course, because like working out at the gym, the changes build up over repeated sessions.

“Isn’t that like ECT?”

It’s a reasonable worry, and the answer is no. ECT is given under general anaesthetic and deliberately causes a brief seizure. tDCS uses a far weaker current, so you stay awake. In fact you can engage in relaxing activities like reading, watching TV or surfing the web.

How much effort does it take?

“I haven’t got the energy for anything else right now.”

Fair enough. Here’s exactly what’s involved.

You fit fresh pads, put the headset on, start the session from an app on your phone, and sit or lie down for 30 minutes. That’s it. (It shouldn’t be used while driving, or anywhere where the headset could drop off!)

How to wear the Flow headset: clean, bare forehead with no make-up or hair products; hair tied back off the forehead; fresh pads on both electrodes every session; the arch rests on the back of the head.

The course runs for ten weeks – and if it works, can be extended. The first three weeks are five sessions a week. From week four, a self-bought headset drops to two sessions a week. With me, it’s three, which I explain below.

Once a week, the app asks nine short questions about how you’ve been feeling so we can chart progress.

Four steps of a Flow session: fit fresh pads, put the headset on, start it in the app, then sit or lie down for 30 minutes. Once a week, nine questions in the app track progress.

According to Flow, people who respond often notice a difference at around three weeks. Where it helps, Flow advises staying with it for six months or more, to lower the chance of the depression returning.

Will tDCS actually help?

Flow is well tolerated, side effects are usually mild, and research has been published on its effectiveness. It has been widely available in Europe for a while and has been recently approved in the USA.

The largest trial so far was published in Nature Medicine in 2024. It gave 174 adults with depression either a working Flow headset or a dummy one for ten weeks. Neither they nor the researchers rating them knew which was which.

At ten weeks, 57.5% of people with the working headset had few or no symptoms left on a standard depression scale. With the dummy headset, it was 29.4%. That’s roughly twice as many.

For treatments for depression, that’s pretty impressive.

In the main Flow trial, 57.5% of people using the working headset had few or no symptoms after ten weeks, compared with 29.4% using a dummy headset.

It also means plenty of people didn’t reach that point. Which is understandable. Depression is a complex issue, and most clients need a multiple suite of interventions. That’s why I don’t supervise treatment with clients who are not also in therapy.

Is it safe, and does it hurt?

In the UK, NICE guidance from 2015 found no major safety concerns and some evidence that tDCS works for depression.

In the main trial discussed above, no one had a serious problem caused by the headset.

The most common side effect was redness of the skin under the pads, which about two in three people using the working headset reported. Some people also notice tingling, itching, a headache or trouble concentrating. These usually settle within hours or a few days.

Flow says the headset doesn’t interfere with medication, so it can be used alongside antidepressants.

Is Flow right for me?

Flow is for adults aged 18 and over with a diagnosis of depression. It can sit alongside antidepressants and talking therapy.

Some people need a doctor’s go-ahead first. That includes anyone who is pregnant, or who has epilepsy, seizures or bipolar disorder. It also applies to metal in or near the head, a cochlear implant, an implanted device such as a pacemaker, or a skin problem on the forehead. And it includes anyone having thoughts of suicide or self-harm right now.

The evidence is thinner where two or more antidepressants haven’t helped. In that situation TMS, a clinic-based treatment using magnetic pulses, has a longer track record and is worth discussing.

We go through all of this together before anything starts.

Why use Flow with me rather than alone?

You can buy Flow and use it on your own. Here’s what’s different when you use it with me.

The schedule used in the main trial. The first three weeks are the same however you get Flow: five sessions a week. From week four, a self-bought headset is set to two sessions a week. Clients using Flow with me continue at three sessions a week, which is the schedule the main clinical trial tested.

Ten-week Flow schedule: five sessions a week in weeks 1 to 3 for everyone. From week 4, two a week with a self-bought headset, 29 sessions in total, or three a week working with Phil, 36 sessions in total, as in the main trial.

If you buy the headset through me, you get a 25% discount on the headset reducing it from £399 to £299. You get to keep the headset after treatment, so should you need it again, it’s always there for you.

Your progress is also automatically shared on my dashboard. Once you link your app to my clinic, I can see your weekly scores and every session you complete. So when we talk, we’re looking at the real record. And if things start heading the wrong way, I’ll see it early.

Someone alongside you. At ten weeks we look at your scores together and decide whether to carry on. Because Flow runs alongside our therapy, the two can be planned as one piece of work.

No commission. I receive no payment of any kind from Flow Neuroscience for recommending the headset, whether commission, referral fee or a share of the sale. The discount goes to you in full. What you pay me covers my clinical time and nothing else.

My experience of using Flow with clients

I have been impressed by the Flow treatment and have recommended it to all clients with depression for years now. I only became a clinical partner with Flow when I realised I could secure a discount for clients and monitor their progress online.

This is purely anecdotal, and does not reflect established fact, but my impression is that clients that use the headset recover quicker than those who don’t. Furthermore, the headset can also be effective for those who have a long history of recurring depression. This is only my opinion, it is not a promise of an outcome and does not detract that some clients gain no benefit from the treatment. Everybody’s experience is different and just reinforces that your treatment should ideally be discussed with an experienced professional who has at their disposal a wide range of options.

What happens next?

First, a free consultation. We meet over Zoom and talk through whether Flow suits you, and the alternatives. There’s no obligation.

Then you order the headset with my clinician discount link. Flow offers a 30-day money-back guarantee.

Finally, you link the Flow app to my dashboard and begin. Flow then runs alongside our therapy sessions, where we review your progress and how it fits into the broader strategy to address your difficulties.

Common questions

How much does Flow cost?

At the time of writing, £399 less my clinician discount. My fees are separate and cover my clinical time.

Can I keep taking antidepressants?

Yes. Around 63% of people in the main trial were taking one.

Is tDCS available on the NHS?

It isn’t routinely prescribed on the NHS, even though some of the trials were conducted within the NHS, so most people buy the headset directly.

Do I have to live in Manchester?

No. I see clients in person in Manchester and over Zoom across the UK. The headset is posted to you directly from Flow Neuroscience, and your progress reaches me through the app.

Contact me now

If you’d like to know whether tDCS could help, book a free initial consultation. We’ll look at the evidence and the alternatives together, and there’s no obligation to start.

Contact me now to book your free consultation

You can read what clients say about working with me on my testimonials page.

Phil Tyson PhD · Senior Accredited Psychotherapist (BACP, registered number 18697) · Chartered Psychologist (British Psychological Society) · Registered Flow clinician · In private practice since 1995

References

  1. Woodham RD, Selvaraj S, Lajmi N, et al. Home-based transcranial direct current stimulation treatment for major depressive disorder: a fully remote phase 2 randomized sham-controlled trial. Nature Medicine 2025; 31: 87–95. Published online 21 October 2024.
  2. Moshfeghinia R, Bordbar S, Roointanpour Y, et al. Efficacy and safety of home-based transcranial direct current stimulation (tDCS) on patients with depressive disorders: a systematic review and meta-analysis of randomized clinical trials. Scientific Reports 2025; 15: 43850.
  3. National Institute for Health and Care Excellence. Transcranial direct current stimulation (tDCS) for depression (IPG530). August 2015.
  4. National Institute for Health and Care Excellence. Repetitive transcranial magnetic stimulation for depression (IPG542). December 2015.
  5. Flow Neuroscience. Safety and precautions and pricing. Accessed October 2026.

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