Call us directly: 1-516-243-8660
131 Sunnyside Boulevard, Suite 100, Plainview, N.Y. 11803

State-of-the-Art Integrated Treatment Center

Transcranial Magnetic Stimulation

What is TMS?

Transcranial Magnetic Stimulation (TMS) is a drug-free, painless, non-invasive therapy that uses magnetic pulses to stimulate your brain. It is FDA approved for patients who are suffering from Depression that have had poor results from antidepressants.

How does TMS work?

TMS works by sending magnetic pulses into your brain. It is non-invasive and doesn’t involve any drugs or sedatives. During Depression, there is an area of your brain (Dorsal lateral prefrontal cortex, a.k.a. DLPFC) that is electrically under-active. By stimulating the nerves of the DLPFC, one may experience improvements in both mood and Depression symptoms. These improvements have the potential to lift one out of Depression and decrease one’s reliance on antidepressants or other mood-related medications.

Is TMS covered by Insurance?

Insurance companies will consider covering TMS Therapy for Depression if:

  • You are diagnosed with Major Depressive Disorder


  • You’ve tried at least 2 different antidepressants along with psychotherapy and haven’t had success

Medicare will cover TMS Therapy if you meet the above criteria.

Other insurance companies can be very specific when covering TMS Therapy. If our doctors think you are a potential candidate for TMS, we will contact your insurance company to verify that they will cover your TMS treatment. Coverage varies per insurance company and it can take some time (days to weeks) to receive approval. We suggest making an appointment as soon as possible so that the process can get a head start. Call us at 516-243-8660 to make an appointment or learn more about TMS.

We also offer TMS Therapy for other conditions such as Anxiety, Traumatic Brain Injury (TBI), Concussions, Obsessive Compulsive Disorder (OCD), and Post Traumatic Stress Disorder (PTSD). However, treatment for conditions other than Depression is considered off-label and insurance will normally not cover the cost. As a result, payment will likely be out-of-pocket. However, we do offer payment plans with discounted rates. Please call us at 516-243-8660 to discuss or to make an appointment with a doctor.

How long does TMS Therapy last?

Your first session of TMS will last about 60 minutes: 20-30 minutes of preparation and 20-30 minutes of actual treatment. Subsequent sessions will be streamlined and should normally last 20 minutes, though the length of your session may vary depending on the doctor’s orders and the conditions we’re treating.

In order for the treatment to be effective, we ask patients to be available for 5 days a week (3 days minimum) for at least 6 weeks. When streamlined, each session usually lasts only 20-25 minutes per day. A full TMS course typically consists of 36 treatments, with the final 6 treatments spaced out.

What can I expect during TMS?

Your first session of TMS will involve a technician taking measurements for your personal TMS cap and asking questions pertaining to your health. After the measurements are done, the technician will take a motor threshold (MT). The MT is used to determine the intensity of your treatment, based on an involuntary motor reflex. After preparations are done, you will sit in an adjustable chair and be able to watch TV during treatment. The coil will then be placed against your head and treatment will begin. The machine will provide a “heads-up” beep before each pulse. Some patients report that the pulses feel like someone “tapping” on your head rapidly while others report involuntary facial twitches. The treatment will continue to run for its prescribed time, after which the technician will remove the coil and your cap and you will be free to continue your day.

What are the Side Effects of TMS?

TMS Therapy has very mild side effects. The most common side effect of TMS therapy involves facial twitches during the treatment. These twitches only occur during treatment and will not occur after a TMS session. Other patients sometimes report a mild headache or some mild discomfort at the application site.

Are there any special instructions after a TMS session?

There are no special instructions after you receive a TMS session. TMS doesn’t involve anesthesia and does not inhibit you from carrying on with your day. You are able to continue your day immediately after receiving a TMS session.

Is TMS right for me?

TMS Therapy may be right for you if you’ve tried multiple forms of antidepressants and psychotherapy with little or no improvement in your Depression symptoms. It is offered as a non-invasive, medication-free treatment for Depression. If you satisfy the basic criteria below, insurance will usually cover the cost.

Insurance companies will consider covering TMS Therapy for Depression if:

  • You are diagnosed with Major Depressive Disorder


  • You’ve tried at least 2 different antidepressants along with psychotherapy and haven’t had success


What is the success rate of TMS Therapy?

As with any medical treatment/therapy, there is no guarantee of results. However, TMS therapy has very few side effects compared to anti-depressants and should definitely be considered before pursuing more intensive treatments such as Electroconvulsive Therapy (ECT), which has moderate-severe side effects. Ongoing research has shown that at least 50% of TMS patients have shown symptom improvement after a full TMS course. Of the patients we’ve treated here at the CIIT Center, about 70% of them have shown significant improvements in their symptoms.

What happens after I finish the 36 treatments?

After you complete your 36 treatments, a follow-up appointment will be scheduled with our Psychiatrist, Dr. James Halper. He will evaluate and interpret the data gathered during the treatments with you. Depending on how effective the treatment was, some patients may return for “touch-up” TMS treatments once every few weeks/months. If TMS was not effective, Dr. Halper will discuss other options, such as a change in medications or other therapies.

What are the first steps to begin TMS Therapy?

The first step is to call us at 516-243-8660 to make an appointment with a doctor. Tell the doctor about your condition and what you’ve done to treat it. If the doctor thinks you’re a candidate for TMS Therapy, he/she may ask that you receive a Brain Map while we call your insurance company to verify whether TMS is covered. Once we communicate with your insurance, we can make an appointment for your first TMS.