TMS

About Transcranial Magnetic Stimulation (TMS)

The 2-minute video above provides a demonstration of the NeuroStar TMS Therapy® system 

rTMS (repetitive Transcranial Magnetic Stimulation)

The NeuroStar TMS Therapy®
device shown in the video above is approved by the FDA for “treatment of Major Depressive Disorder in adult patients who have failed to achieve satisfactory improvement from one prior antidepressant medication at or above the minimal effective dose and duration in the current episode”.  It has an MRI-type magnetic coil to send a pulsed magnetic field to the part of the brain that controls mood. It provides precise targeted stimulation, minimizing the stimulation of brain tissue not involved in mood.  These magnetic pulses produce very small electrical currents that can activate the neurons (brain cells) and lead to the release of neurotransmitters (the brain’s chemical messengers).  The amount of electrical signals generated in the brain is very small and cannot be felt by the patient, who remains alert and sits comfortably in the chair during the procedure.  Repeated stimulation of this part of the brain improves symptoms of depression and can lead to full remission in some cases.  A typical treatment course consists of 5 treatment sessions performed per week over 4-6 weeks for a total of 20-30 reatments.  AFTER completing the acute course of 5 treatments per week it is recommended that you get a 6-treatment taper which is performed over 3 weeks as follows:

3 treatments for 1 week, 2 treatments the next week and 1 treatment in the final week.

For more information about TMS please visit the device manufacturer’s website by clicking

Payment and Insurance Information

Your healthcare insurance company may cover the cost of TMS Therapy on a case-by-case basis. 
In our experience, it’s best not to wait for your insurance company to authorize payment for TMS before starting treatment because of the amount of time it takes most insurance companies to reach a decision, during which your depression may get significantly worse.  Once we receive payment from you, we can help you file a claim for reimbursement with your insurance company.  If your claim is denied, we will be happy to write a letter to your insurance company to help you appeal the insurance company’s decision.

For ongoing TMS sessions, advance payment for 20 sessions is required in full since that is the minimum number of sessions required for full benefit.  Your progress will be assessed weekly and if you need more sessions than are covered by your initial deposit, payment for 5 sessions per week will be collected at the beginning of each week after your initial deposit is used up.  If you are unable to pay for the full course of treatment and your insurance company refuses to cover the cost, you can find out about financing TMS therapy through Clark Behavioral Health Financing by clicking here

Who should not receive TMS Therapy

NeuroStar TMS Therapy should not be used (is contraindicated) in atients with implanted metallic devices or non-removable metallic objects in or around the head.  NeuroStar TMS Therapy should be used with caution in patients with implanted devices that are controlled by physiological signals.  This includes pacemakers and implantable cardioverter defibrillators (ICDs).  It should be used in caution with patients using wearable cardioverter defibrillators.

For more information about TMS please visit the device manufacturer’s website by clicking here