What is TMS?

Transcranial Magnetic Stimulation

Transcranial Magnetic Stimulation (TMS) has FDA clearance for treating depression, OCD, and smoking cessation with growing evidence supporting its effectiveness for numerous other mental health and neurological conditions. We offer customized protocols to target specific brain areas based on individual symptoms and needs.

What TMS Can Treat

TMS has FDA approval for treating depression with growing evidence supporting its effectiveness for numerous other mental health and neurological conditions, with treatments customized to target specific brain areas based on individual symptoms and needs.

Mental Health

Major depression (FDA Cleared)
OCD (FDA Cleared)
PTSD
Postpartum depression
Bipolar depression
Schizophrenia
Addiction

Physical Health

Smoking cessation (FDA Cleared)
Migraines
Chronic pain
Parkinson's Disease
Stroke recovery

Results

TMS delivers measurable results for a wide range of conditions- especially when other treatments have disappointed.

86%

Sustained improvement or remission in depression after one year.

60–80%

Complete remission from depression following TMS.

58%

Response in OCD after completing TMS.

Validated for OCD

TMS is one of the most effective and cost-efficient OCD treatments available.

Safe for Bipolar

Helps reduce depressive symptoms with a lower risk of triggering mania.

Insurance & Cost

Most insurance plans cover traditional TMS, and some may also cover newer forms like accelerated TMS if certain criteria are met.

Insurance typically covers TMS for individuals with major depressive disorder who haven’t responded to multiple antidepressants. Coverage varies, but common requirements include:

A diagnosis of major depression
Failure to improve after trying 2–4 antidepressants
Evidence of psychotherapy, either completed or ongoing
No history of seizures or certain neurological conditions

Some insurers now consider covering accelerated if traditional treatment was unsuccessful, but this depends on the specific plan and medical necessity.

Types of TMS

TMS can be delivered in different ways depending on your needs. Traditional TMS is the most common. Accelerated TMS condenses treatment for faster and often stronger results—especially in treatment-resistant depression.

Accelerated TMS
Traditional TMS
Frequency
The most robust protocol available with multiple sessions per day (typically 5-10 per day).
Typically 1-2 session per day.
Duration
Condensed into a few days (5 or 10 days based on patient schedule), for 50 total sessions.
Lasts 3 to 4 weeks, for 36 total sessions.
Session time
Shorter bursts, often under 10 minutes per session
Shorter bursts, often under 10 minutes per session
Use case
Aimed at providing incredibly rapid symptom relief, also particularly effective in severe cases such as treatment-resistant depression and anxiety.
Designed for a slower, gradual therapeutic effect and for individuals with less schedule flexibility.
Insurance
Most insurances cover only a portion of accelerated TMS, so hybrid or self pay is the most common arrangement.
Most insurances cover a full course of Traditional TMS.

Frequently Asked Questions

How does TMS work?

TMS uses magnetic fields to create small electric currents in the brain. These currents target areas of the brain involved in depression, helping to adjust neural activity and improve mood over time.

Who is a candidate for TMS?

TMS is typically recommended for individuals with depression who have not responded to other treatments, such as antidepressant medications or psychotherapy. It can also be beneficial for people who experience unwanted side effects from medication.

What are the side effects?

Most people experience minimal side effects from TMS, with the most common being mild headaches or scalp discomfort at the site of the magnetic pulses. These side effects are usually temporary and subside shortly after treatment.

Is any special preparation needed?

There’s no special preparation needed. You can eat normally, take your medications, and won't be put to sleep during TMS . You can drive yourself to and from the clinic, and many patients return to work or school right after

How long does a TMS session take?

A typical TMS session lasts about 8–10 minutes, and Accelerated TMS typically consists of 50 sessions over the span of 5 days. Traditional TMS treatment is delivered in 8–22 minute increments, one or two times a day, over the course of 6–10 weeks, depending on your specific diagnosis, protocol, and schedule. We will personalize your treatment plan according to multiple factors, including schedule availability.

How soon will I see results from TMS?

Many patients begin to notice improvements in their mood after several sessions, though the timeline can vary. Some individuals may experience relief sooner, while others may take a little longer to see significant changes.

Will I need to continue TMS indefinitely?

Most people do not need to continue TMS long-term once they complete their initial course of treatment. However, follow-up sessions or maintenance therapy may be recommended if symptoms of depression return.

How much does TMS cost?

We accept insurance and other self-pay options, including a generous financial hardship program based on demonstrated need and subject to income verification. Visit our Cost & Insurance page to learn more.

Resources

A conversation with Radial clinicians Dr. Carlene MacMillan and Dr. Owen Muir about how TMS fits into a modern, patient-centered approach to treating depression.

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