A Drug-Free Treatment for Depression

TMS uses gentle magnetic pulses to treat depression without medication or sedation. 15-minute sessions, five days a week, and you drive yourself home.

Could TMS Be Right for You?

TMS is designed for people who haven't found adequate relief from antidepressant medications. You may want to talk to your provider about TMS if:

You've been diagnosed with major depressive disorder (MDD)

You've tried at least one antidepressant without adequate improvement

You're looking for a drug-free alternative or addition to your current treatment plan

You're an adult (18+) and able to attend daily sessions Monday through Friday

Wondering whether TMS is worth bringing up with your provider? Call us at (231) 829-7126. Our team can walk you through how TMS works and what your provider might want to know. Most patients come to us through a referral from their primary care doctor, therapist, or psychiatrist.

Want to prepare before you reach out? Walk through a few questions and print a one-page guide for your provider.

Build a guide for your provider

What Is TMS?

Transcranial Magnetic Stimulation (TMS) is an FDA-cleared, non-invasive treatment for depression. It uses focused magnetic pulses to stimulate nerve cells in the area of the brain most associated with mood regulation.

Unlike antidepressants that affect your entire body, TMS targets the left dorsolateral prefrontal cortex directly. This region is often underactive in people with depression, and TMS helps restore normal activity patterns.

At Harbors North, we use intermittent theta burst stimulation (iTBS), the latest advancement in TMS technology. iTBS delivers a full treatment in just 3 minutes of active stimulation, compared to 37 minutes with older TMS protocols. Your total appointment time is about 15 minutes.

There's no sedation, no anesthesia, and no recovery time. You sit in a comfortable chair, and most patients read, listen to music, or simply relax during treatment. Afterward, you go about your day normally.

Patient receiving TMS therapy with the AMPA device at Harbors North
FDA

Cleared

Backed by extensive clinical research and cleared by the FDA for treating depression

15 min

Per Session

Quick appointments that fit easily into your daily schedule

0

Medications

Completely drug-free. No sedation, no systemic side effects

How TMS Works

TMS is grounded in neuroscience. Here's how magnetic stimulation helps the brain recover from depression.

Targeted Stimulation

A magnetic coil placed against your scalp delivers brief pulses to the left prefrontal cortex, the brain region most associated with mood. The pulses feel like gentle tapping.

Activating Underactive Areas

In depression, certain brain regions become underactive. TMS restores normal nerve cell activity in these areas, helping to improve mood, energy, and motivation over the course of treatment.

Lasting Changes

TMS promotes neuroplasticity, the brain's ability to form new connections. The benefits often continue to build after treatment ends as the brain maintains its improved activity patterns.

Safe & Well-Tolerated

TMS has been studied extensively in clinical trials. The most common side effect is mild scalp discomfort during treatment, which typically resolves within the first week.

Proven Outcomes

TMS has been studied in large-scale clinical trials. The results speak for themselves.

50-60%
Response Rate

More than half of patients experience a significant reduction in depression symptoms

30-40%
Full Remission

Up to two in five patients achieve complete remission — full relief from symptoms

36
Sessions

A standard course of treatment over 6 to 9 weeks — daily sessions Mon–Fri, with the final 6 sessions spaced every other day

Based on published clinical research on TMS for treatment-resistant depression, including the THREE-D trial (Blumberger et al., The Lancet, 2018).

What to Expect

From referral to results, here's what the TMS treatment process looks like at Harbors North.

1

Referral

Ask your primary care doctor, psychiatrist, or nurse practitioner for a referral to Harbors North. Once we receive it, our team will review your history and reach out to let you know if we can move forward.

2

Assessment

You'll meet with our nurse practitioner for an initial evaluation. We'll review your treatment history, current medications, and determine if TMS is the right fit.

3

Brain Mapping

Before your first treatment, we'll perform a brain mapping session (45 minutes to 1 hour) to locate the precise treatment area and calibrate the device to your individual brain anatomy. Mapping sessions occur three times during your treatment course.

4

Daily Treatment

Sessions are about 15 minutes, Monday through Friday for the first 30 sessions. You'll sit comfortably while the device delivers magnetic pulses. No sedation, no downtime — go straight back to your day.

5

Progress & Results

A standard course is 36 sessions over 6 to 9 weeks. The first 30 sessions are daily (Mon–Fri), and the final 6 sessions are spaced every other day as treatment tapers. Most patients begin noticing improvement partway through treatment. We'll monitor your progress at regular checkpoints.

Advantages of TMS Therapy

No Medication

TMS is completely drug-free. No pills, no systemic side effects like weight gain, fatigue, or brain fog.

Quick Sessions

Just 15 minutes per session with our advanced iTBS protocol. Easy to fit into your morning or lunch break.

Non-Invasive

No surgery, no anesthesia, no sedation. You're awake and alert throughout every session.

No Downtime

Drive yourself to and from appointments. Return to work, errands, or daily activities immediately after.

Most Insurance Plans Accepted

Insurance Coverage

TMS is covered by most major insurance plans for treatment-resistant depression. Because it's FDA-cleared, many insurers cover TMS once you've demonstrated that antidepressant medications haven't been effective.

Our team handles the prior authorization process for you. We'll work with your insurance company to get approvals in place before you begin treatment.

BCBSM BCN Priority Health Medicare Medicaid Aetna UHC / Optum McLaren

What About Cost?

Your out-of-pocket cost depends on your specific insurance plan. For Medicaid and Molina plans, the copay is typically $0. For commercial plans like BCBSM, Priority Health, Aetna, and others, copays generally range from $10 to $70 per treatment.

We'll walk you through costs upfront so there are no surprises. Our team handles the prior authorization process and will check your benefits before your first session.

If you're paying out-of-pocket, we offer transparent private pay rates. Call us to learn more about your options.

Questions Patients Ask Us About TMS

A few of the most common ones, answered here. Full list on our FAQs page.

No — TMS and ECT (electroconvulsive therapy) are completely different treatments:

TMS: No seizures, no anesthesia, no memory loss, no downtime. You drive yourself home and return to normal activities immediately.

ECT: Uses electrical currents to intentionally induce a seizure. Requires general anesthesia, can cause memory effects, and requires downtime. You cannot drive the same day.

TMS is a gentle, outpatient procedure. ECT is a more intensive inpatient procedure. Both have their place in treating severe depression, but they're quite different experiences.

Most patients find TMS sessions straightforward and comfortable:

The Sensation: You'll feel a tapping or clicking sensation on your scalp during treatment — this is the magnetic pulse. It's not painful.

Comfort Level: The majority of patients tolerate TMS well and find it comfortable once they understand what to expect.

Session Duration: Standard sessions are about 15 minutes. Some specialized sessions (mapping sessions) take 45 minutes to 1 hour.

Awareness: You remain fully awake and alert throughout — you can talk to staff, listen to music, or relax in your comfortable chair.

Recovery: No recovery time. You can drive yourself and return to your day immediately.

The standard TMS treatment course is:

Duration: 36 treatment sessions over approximately 6–9 weeks.

Schedule: The first 30 sessions are Monday through Friday (5 days per week). The final 6 sessions are spaced every other day as treatment tapers. No treatments on weekends.

Session Types:

• Standard sessions: About 15 minutes each (most of your treatment days)

• Mapping sessions: 3 sessions during the course that take 45 minutes to 1 hour (these establish your individual treatment parameters)

Your treatment schedule is flexible, and we work with your schedule to make treatment convenient.

TMS has a solid track record of effectiveness:

Response Rate: Approximately 50-60% of patients experience significant improvement in symptoms.

Remission Rate: About 30-40% of patients achieve full remission (significant improvement or symptom-free status).

Timing: Many patients notice improvement starting mid-way through treatment, with full benefits often emerging after completing the full course.

Best Results: Completing the entire 36-session course is important for best outcomes. Partial treatment may provide some benefit but is less likely to result in full remission.

If you're not responding as well as hoped, our team can adjust your treatment approach.

TMS copays also vary by plan:

Medicaid: Typically $0 (most state Medicaid plans cover TMS with little to no patient cost).

Commercial Plans: Generally $10-$70 per treatment session, depending on your specific plan and deductible status.

Since TMS typically involves 36 sessions, we recommend calling us to discuss your total expected cost. We can provide a detailed estimate based on your plan.

See All FAQs →

Wondering About TMS?

Call us to review your treatment history and find out if TMS is the right next step. No cost, no obligation.

(231) 829-7126

Insurance Accepted

BCBSM · BCN · Priority Health · Medicare · Medicaid · Aetna · UHC/Optum · McLaren · and others

Call us (231) 829-7126 Mon–Fri9 am – 5 pm