Patient receiving personalized mental health care

TMS Therapy: When Antidepressants Aren't Enough

If you've been through one antidepressant after another and still don't feel like yourself, you're not failing — and you're not out of options. About one in three people with depression don't respond fully to medication. That's exactly who TMS therapy was built for.

We use focused magnetic pulses to stimulate the areas of the brain that regulate mood — areas that tend to be underactive in depression. Because TMS treatment works directly on the brain rather than circulating through your body, there's no medication to add and nothing systemic to tolerate — no sedation, and no recovery time. You sit in a chair, awake and comfortable, and walk out and back into your day. And TMS therapy fits right alongside the treatment you're already on.

Why TMS Therapy Works When Antidepressants Don't

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FDA-cleared for depression.

TMS has been FDA-cleared for depression since 2008 — used at major academic medical centers and backed by years of clinical evidence, not experimental protocols.

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TMS insurance coverage is widespread.

Because it's FDA-cleared, TMS therapy is covered by most major insurance plans, including Medicare and Tricare — typically once other antidepressants haven't given you full relief.

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Drug-free and non-invasive.

No systemic medication, no sedation, no downtime. You stay awake and alert during TMS sessions and drive yourself home afterward.

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TMS works alongside your current treatment.

TMS therapy doesn't require you to stop your antidepressant. Most people continue their current treatment throughout — TMS layers on top.

    How TMS Therapy Works: Gentle Pulses, Real Science

    TMS therapy delivers brief magnetic pulses — similar in strength to an MRI — through a device placed against your scalp. Those pulses reach the mood-regulating circuits of the brain and help reactivate them over a series of sessions. Transcranial magnetic stimulation is the same technology used at major academic medical centers, FDA-cleared for depression since 2008.

    What to Expect During Spravato Treatment

    You relax in a comfortable chair, fully awake and alert.

    What to Expect During Spravato Treatment

    A trained member of our team positions the device and starts your TMS session.

    Step 3 of the Marpa Minds treatment process

    Most sessions take about 20 minutes. You can read, listen to music, or just rest.

    Step 4 of the Marpa Minds treatment journey

    When it's done, you drive yourself home and go about your day — no recovery time.

    The mood circuit, mapped

    Depression is associated with underactivity in the prefrontal circuits that regulate mood. We measure and map your target before your first session.

    Magnetic pulses, not medication

    A coil at the scalp induces gentle currents in that circuit. Nothing enters your bloodstream, so there is nothing systemic to tolerate.

    WHY MARPA MINDS

    Why Choose TMS Therapy at Marpa Minds

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    Prescribed and overseen by our clinical team.

    Our TMS therapy isn't a standalone TMS storefront. It's delivered by the Marpa Minds clinical team, who evaluate whether TMS therapy is the right fit and oversee your full mental-health picture — not just the device.

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    We handle TMS insurance coverage for you.

    Because TMS is often covered, we verify your specific benefits and manage the prior-authorization process up front — so you'll know your costs before your first session..

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    Part of a complete depression toolkit.

    We also offer Spravato® and ketamine therapy, so if TMS isn't the right starting point, we have other proven paths — and can combine or sequence them as needed.

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    A gentle TMS side-effect profile.

    No systemic medication side effects. The most common TMS side effects are mild scalp discomfort or a brief headache that typically fades after the first sessions.

    Who It’s For

    TMS Therapy May Be Right for You If…

    • You've tried one or more antidepressants and still struggle with depression
    • Medication side effects have been hard to tolerate
    • You'd prefer a non-medication depression treatment, or want to add TMS to what you're already doing
    • You want an evidence-based treatment with no downtime and no ride home required
    • You're looking for an option backed by years of clinical use

    A consultation is the only way to know for sure. TMS therapy isn't right for everyone — certain medical conditions and implanted metallic or electronic devices need review first — which is why we always start with an evaluation.

    Two routes, one goal.

    TMS therapy and Spravato® & ketamine therapy are two evidence-based ways through depression — and they're not either/or. Many people do one; some combine them. We'll help you find the right fit.

    esketamine nasal spray for anxiety

    Spravato®

    FDA-approved esketamine nasal spray. The route most often covered by insurance.

    Explore Spravato →
    Three-step treatment process illustration – Step 2

    TMS Therapy

    A targeted, drug-free path that layers onto your current treatment. No downtime, and TMS is usually covered by insurance.

    Get Started →

    TMS Insurance Coverage — Verified Before You Start

    TMS therapy is often covered by major insurers for treatment-resistant depression after medication fails; we verify benefits upfront.

    Accepted Insurance Plans

    Don’t see your plan? Reach out here.

    Questions about getting started

    Does TMS therapy hurt?

     No. Most people feel a tapping sensation on the scalp during the TMS session. Some have mild scalp discomfort or a light headache early on, which usually eases after the first few sessions.

    What are the side effects of TMS therapy?

    TMS side effects are generally mild and localized — most commonly scalp discomfort or a light headache during or shortly after sessions, easing after the first week. No systemic side effects like weight gain or sexual dysfunction that can accompany antidepressants.

    Will I be sedated? Can I drive after TMS?

    You stay fully awake and alert. There's no sedation and no recovery time — you can drive yourself home from your TMS appointment and return to your normal day.

    How long is a TMS treatment course?

    A standard TMS therapy course runs about six weeks, with sessions on most weekdays. We'll map your exact schedule at your consultation, and we can discuss accelerated TMS options where appropriate.

    Is TMS therapy covered by insurance?

    Yes — TMS insurance coverage is available through most major commercial plans, Medicare, and Tricare for treatment-resistant depression. We verify your specific benefits before you start.

    Do I have to stop my antidepressant to start TMS?

    No. Most people continue their current medication during TMS therapy. Your clinician will guide any changes.

    Is TMS therapy safe?

    TMS has been FDA-cleared for depression since 2008 and is used at major medical centers. Serious side effects are rare. We screen carefully at your evaluation to make sure TMS therapy is safe for you.

    Do I need a referral for TMS?

    No referral needed — just book a consultation to get started with TMS therapy at Marpa Minds.

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    Depression Doesn't Get the Last Word

    Book a free consultation for TMS therapy at our White Plains or Suffern location. We'll check whether TMS therapy is right for you — and whether TMS insurance coverage applies — in one call.