Backed by science

20+ medical trials, 300 studies

25 years of clinical research

tDCS has been used in clinics for over 25 years to treat depression. There are multiple sources of evidence that show it is effective and there are no serious side effects. These range from placebo-controlled clinical trials, to NHS studies and open label trials. We have gathered the most prominent research papers in the tDCS community and listed them below.

Placebo-controlled randomised clinical trial

Woodham, R.D., Selvaraj, S., Lajmi, N. et al | October 2024
"Beneficial effects in cases of depression that doesn't respond to drugs or therapy."

Published in the authoritative Nature Medicine, the design of this trial is considered the gold standard method for evaluating efficacy and took place at Kings College London, UTHealth Houston and the University of East London.

The clinical trial, which lasted 10 weeks, was the largest of its kind and involved patients in the US and UK. Results showed that 57.5% of patients in the treatment group went into remission (meaning that they are no longer considered to be depressed), whilst 64.2% were measured to have an improvement in symptoms of at least 50%. Patients who took a 10-week course of the treatment were about twice as likely to see their depression go into remission than those in a control group who performed the same procedure with the current switched off.

No serious side effects associated with using the device were reported from the treatment group.

Published in Nature

Feel better in 3 weeks

77% report improvement

Over 65,000 people are the Flow headset across Europe. Most people report positive results after 3 weeks.

77% see their depression score improve by at least 3 points: Flow real-world data (n=14,383, Apr 2025).

Sleep better in less than 1 month

1/2 of users experiencing depression notice sleep improvements in 3 weeks


A retrospective-study with over 6,000 people showed that: 1/3 of users reported they no longer had insomnia after just 1 week and 2/3 reported being insomnia free by 10 weeks.

Reinforcing the importance and link between sleep and depression.

See study

Focus that returns,

week by week

A retrospective analysis of 10,888 Flow users with depression and concentration problems found that improvement grew with continued use over 10 weeks.

Among those who kept to the protocol, 29.3% no longer reported concentration problems after one week, rising to 57.4% by ten weeks.

See study

Tackle more than just your low mood

66% feel an improvement with their anxiety

Anxiety and depression can be intertwined. 2/3’s of our users felt an improvement of their anxiety after just 3 weeks of treating their depression with Flow.

Flow real-world data, based on question 2 on the MADRSs. Over 18,800 sample of real-world data

Independently published NHS studies

15 NHS services have been using Flow, several of these have independently published their results.

NHS Perinatal Mental Health Mother and Baby Units (MBUs) | June 2026
"Can reduce overall reliance on medication."
Read more
Crisis Team, NHS Leicestershire | October 2024
80% of patients reported a decrease in their depression symptoms
Read more
Community Mental Health, NHS Northamptonshire | February 2024
Flow has been successfully integrated into a CMHT depression treatment
Read more
Postnatal depression, NHS Northamptonshire | August 2024
Improvements in depressive symptoms, mood, sleep quality, and overall well-being
Read more
GP Services, NHS Northamptonshire | November 2023
Most participants described a positive impact on depressive symptoms, sleep, and functioning
Read more
GP Services, NHS Northamptonshire | May 2024
Flow tDCS can be delivered through a primary healthcare general practice service
Read more

Clinical research into tDCS

The Flow brain stimulation treatment is based on decades of clinical research with the most recent meta-analyses showing that tDCS has similar efficacy to other treatments but with fewer side effects.

Across 20+ randomised controlled trials, tDCS has been shown to be superior to placebo/sham and no serious adverse events have been observed. tDCS provides an alternative to medication that is effective, safe and accessible.

Nikolin et al. | March 2023
tDCS effect sizes reached a peak at around 6 weeks
Read more
Griffiths et al. | June 2026
Study of 10,888 Flow users with depression identifies fewer concentration problems with continued use
Read more
Frengi et al. | August 2020
tDCS for depression is definitely effective (level A evidence)
Read more
Moffa et al. | April 2020
A meta analysis: tDCS was an effective intervention at reducing depressive symptoms
Read more
Razza et al. | February 2020
An analysis of 23 clinical trials with 1092 patients, showing that tDCS is superior to placebo/ sham
Read more
Chhabara et al. | April 2020
Side effects from tDCS are mild, transient and well tolerated
Read more
Sharafi et al. | July 2019
tDCS is efficient in cases where antidepressants don't work
Read more
Wang et al. | June 2019
A meta-analysis; the intervention of tDCS was superior to the use of sham tDCS
Read more
Mutz et al. | March 2019
tDCS was found to be efficacious and comparable to TMS
Read more
Pavlova et al. | March 2018
30-minute tDCS sessions lead to better outcomes than 20-minute sessions
Read more
Bikson et al. | February 2018
Low-energy brain stimulation is safe to use
Read more
Brunoni et al. | June 2017
Study including 245 patients, comparing tDCS with a common antidepressant
Read more
Bikson et al. | June 2016
No serious adverse effects were found across 33,000 tDCS sessions with 1000 users
Read more
Valiengo et al. | July 2013
tDCS is a safe long-term follow-up treatment
Read more
Brunoni et al. | April 2013
Combining tDCS and a common antidepressant increases the efficacy of each treatment
Read more
Loo et al. | January 2011
tDCS is safe and effective for treating depression
Read more

Meet the scientists

behind Flow

Daniel Månsson
Founder, Clinical Psychologist
Erik Rehn
Founder, Engineer
Kultar Garcha
Chief Medical Officer, GP
Hannah Nearney
UK Medical Director, Consultant Psychiatrist
Hanna Silva
Clinical Lead, Clinical Psychologist