TMS is a noninvasive, non-medication treatment for depression that uses brief magnetic pulses to stimulate specific brain regions involved in mood regulation. It is performed in the clinic while you are awake and does not need any anesthesia or sedation.

TMS delivers focused magnetic pulses to specific areas of the brain to optimize their activity. Over a series of sessions, this modulation supports neuroplasticity, strengthening healthier communication between brain cells, which in turn can improve long term recovery.

TMS is typically recommended for people who have not had adequate relief from medications and/or psychotherapy, or who prefer a non-pharmacologic option. Suitability depends on your history, current symptoms, and medical considerations, which we review during evaluation.

A standard TMS course is usually five sessions per week for 6 weeks, followed by a short taper or transition plan.

At your first visit we perform a detailed mapping to individualize your target and dosing. For each treatment, you sit comfortably while a small coil rests on your scalp; you may feel tapping sensations on the skin. Our team monitors comfort, dosing, and progress at every visit.

Yes. The two most common protocols are repetitive TMS (rTMS) and intermittent theta-burst stimulation (iTBS). rTMS has been used for many years and typically takes about 20 minutes per session. iTBS is a newer, FDA-cleared option that delivers treatment in just a few minutes per session, with similar effectiveness. Both are safe and effective, and our interventional psychiatrists will recommend the approach that is most appropriate for you.

Yes. TMS is FDA-cleared for both major depressive disorder (MDD) and obsessive-compulsive disorder (OCD). The treatment process is similar, but the targeted brain regions, magnetic coils and stimulation patterns differ between depression and OCD. At Rumi Mind Health, we treat patients with either condition using protocols tailored to their specific diagnosis.

Neuronavigation uses brain imaging data and advanced software to map out each person’s unique brain anatomy, then provides live tracking abilities that allow us to guide the magnetic coil with precision to the target area each and every time. Neuronavigation improves accuracy, personalization, and consistency, which can enhance treatment effectiveness compared to standard landmark-based targeting.

The most common effects are mild scalp discomfort or mild headaches, which typically lessen over time. Rare risks include seizures. TMS is contraindicated for some people including those with certain metallic or electronic implants in or near the head (for example some aneurysm clips, cochlear implants, or deep-brain stimulators).

Yes. TMS has been studied extensively, is FDA-cleared and has been in clinical use for decades. It does not involve systemic medications, anesthesia, does not cause memory impairment, and allows you to resume normal activities after each session.

Unlike some other treatments, TMS does not involve sedation, anesthesia, or medications that impair alertness. You can safely drive to and from appointments and return to work, school, or daily activities right after a session. The only limitations include avoiding major changes in sleep patterns, medications or dietary intake. Our team at Rumi Mind Health will review these limitations in detail with you.

Some patients notice improvement within the first week, while others improve later in the course. Benefits can be durable, and many patients maintain gains with ongoing psychotherapy and medications; when appropriate, maintenance TMS can be used at individualized intervals to support long-term wellness.

For major depressive disorder, TMS is usually covered by most commercial insurers and Medicare. Some insurers also cover TMS for OCD. Our insurance experts at Rumi Mind Health handle benefits checks, prior authorization, and paperwork for you to assure optimized coverage.

Standard TMS spreads treatments over several weeks; Accelerated TMS compresses many sessions into a few days. Spravato® (esketamine) is an FDA-approved nasal medication given in clinic under monitoring. All are evidence-based options, and available at Rumi Mind Health. Our interventional psychiatrists can help you choose the best option based on your goals, history and logistics.