Brain stimulation encompasses a family of techniques that modulate neural activity by delivering energy — electrical, magnetic, acoustic, or optical — to brain tissue. These methods range from non-invasive transcranial approaches like TMS, tdcs, and tacs to invasive techniques including dbs and intracortical microstimulation, each offering different spatial precision, depth of penetration, and temporal control.

The therapeutic applications of brain stimulation span neurology and psychiatry, with established treatments for Parkinson’s disease (DBS), major depression (tms), and epilepsy (responsive stimulation-and-neuromodulation). Investigational applications include treatment of chronic pain, obsessive-compulsive disorder, addiction, traumatic brain injury, and disorders of consciousness. The field is moving from open-loop stimulation with fixed parameters toward adaptive, closed-loop paradigms that adjust stimulation based on real-time neural biomarkers.

Understanding the mechanisms by which different forms of brain stimulation alter neural circuit function remains a fundamental research challenge. Computational modeling of electric field distributions, systematic dose-response characterization, and the identification of neural biomarkers that predict therapeutic response are priorities for advancing brain stimulation from empirical observation toward mechanistically grounded, personalized interventions.