TMS for depression

Where the evidence stands

TMS is FDA cleared for major depressive disorder and backed by multiple randomized trials and large registries. Roughly half of patients respond and a third remit after a standard course, with durable benefit for a year or more in many. See the coverage hub, the TMS hub, and the coverage checker.

Who is a candidate

Adults with moderate to severe major depression who have not responded to at least one antidepressant (insurers typically require two to four) and who have no seizure disorder or ferromagnetic metal in the head. It is a good fit for people who want to avoid medication side effects or who cannot take medications.

What treatment looks like

A mapping visit, then daily 20 to 40 minute sessions five days a week for six weeks, followed by a taper. You stay awake, drive yourself, and work the same day. Scalp discomfort and headache in the first week are the usual side effects.

Coverage and cost

Most commercial plans, Medicare and many Medicaid programs cover TMS for depression with prior authorization. Insured cost runs $20 to $90 per session after deductible; cash courses run $6,000 to $14,000. See TMS coverage by insurer and TMS cost.