Transform Your Mood with MRI-Guided rTMS for Depression

At Neural Effects, we offer a powerful, non-invasive treatment for depression using repetitive transcranial magnetic stimulation (rTMS) with personalized targeting based on your own brain anatomy.

Schedule A Consultation

What is rTMS?

Repetitive transcranial magnetic stimulation or rTMS, is a non-invasive, FDA-approved treatment for depression. It uses gentle magnetic pulses to stimulate the part of the brain involved in mood regulation.

Most clinics attempt to target this brain region by estimating the correct location on your scalp. Research shows that this targeting method misses the correct part of the brain in up to two-thirds of patients!¹

At Neural Effects, we have chosen to use a more individualized targeting method to increase your chances of successful depression remission.

MRI-Guided Precision. Life Changing Results

Unlike standard rTMS protocols that use general landmarks to guide treatment, a one-size-fits all method, Neural Effects utilizes advanced neuronavigation and your individual structural MRI scan to offer more precise treatment.²

Each patient receives a structural MRI, which shows the exact shape and position of their brain. We use this scan to guide the placement of the treatment coil so that we can directly target the part of the brain that regulates mood.

Standard rTMS is delivered on TMS machines that require manual positioning of the treatment coil at the start of each session, and if you move your head in the slightest your treatment site may no longer be in the target area. At Neural Effects, our advanced TMS machine with neuronavigation automatically targets and adjusts with your movements, keeping your treatments consistent.

This customized approach ensures stimulation is delivered exactly where it’s needed, maximizing the impact of each session.

Frequently Asked Questions

What does TMS feel like?

During treatment, you’ll feel a series of tapping or clicking sensations on your scalp where the magnetic pulses are delivered. Some people describe it as a light tapping or tingling sensation. Most patients adjust to the feeling quickly. Discomfort is typically mild, but let us know if it becomes bothersome—settings can often be adjusted to improve comfort.

How much is the MRI going to cost?

A structural MRI is included as part of your treatment at no additional charge. We use this scan solely to precisely target the area of your brain involved in mood regulation. Please note: the MRI is not a diagnostic scan and will not be interpreted by a radiologist or produce a report.

Does insurance cover rTMS treatment?

rTMS is covered by many insurance plans, but prior authorization and approval are required before treatment begins. Our team will guide you through the insurance process and obtain authorization on your behalf.

Why does my insurance need to authorize and approve my treatment?

Most insurance companies require that you have tried at least 2 medications to treat your depression before doing TMS. While some companies may only want proof of having tried the medications, others will ask for documentation from your other doctors stating that those medications failed.

Will I have out-of-pocket costs?

Possibly. Your out-of-pocket cost depends on your specific insurance plan, including your deductible, co-pay, and coverage limits. We’ll verify your benefits before treatment begins and review an estimate of any expected costs with you.

How long does rTMS treatment take?

Most patients receive treatment 5 days a week for several weeks, depending on their treatment plan. Each day’s treatment session can last up to 40 minutes.

Is there downtime after treatment?

No. You can resume normal activities right after each session. You will not have any sedation or invasive procedure to recover from.

Where can I learn more about TMS in general?

We suggest visiting the CognitiveFX blog for informative posts from Neuroscientist, Dr. Mark Allen about depression and transcranial magnetic stimulation therapy.

One Part of A Comprehensive Depression Care Plan

At Neural Effects, we know that MRI-guided rTMS can be a powerful tool in your journey toward feeling better. To get the most out of treatment, it’s important to take a comprehensive approach to managing depression—one that includes support from your mental health provider before, during, and after rTMS.

While we specialize in delivering personalized rTMS therapy, we do not provide ongoing mental health care or medication management. That’s why we work in partnership with your therapist, psychologist, or psychiatrist to ensure you have the support and guidance you need throughout the process. In some cases, we may require their clearance before beginning treatment to ensure rTMS is the right fit for you.

Are you a provider who would like to refer a patient for rTMS?

Neuronavigation maximizes accuracy and precision in TMS positioning: Evidence from 11,230 distance, angle, and electric field modeling measurements
Caulfield, Kevin A. et al. ↩︎
Repetitive Transcranial Magnetic Stimulation Target Location Methods for Depression
Zhang, Min et al.
Frontiers in Neuroscience, Volume 15, 2021 ↩︎