TMS therapy, planned from your brain map
Transcranial magnetic stimulation is a non-invasive treatment that uses magnetic pulses to change activity in specific parts of the brain. At Reign-Bow, every course of TMS starts with a qEEG, so the plan fits the brain in front of us.
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What TMS is
A TMS coil creates a brief, focused magnetic field, similar in strength to an MRI scanner. Held against the scalp, it induces a small electrical current in the brain tissue just beneath it. Repeated over a session, and over a course of sessions, those pulses can raise or lower the activity of the targeted region and the networks connected to it.
There is no surgery, no anesthesia and no medication. You are awake the entire time.
At Reign-Bow we use an FDA-cleared MagVenture TMS system.
What TMS is cleared for
| Use | FDA status |
|---|---|
| Major depression in adults | Cleared since 2008 |
| OCD in adults | Cleared on specific systems since 2018 |
| Anxiety symptoms with depression | Cleared on specific systems since 2021 |
| Depression in ages 15 to 21, as an add-on | Cleared on specific systems since 2024 |
| Autism, ADHD, and anxiety disorders on their own | Off-label |
“Cleared” is the FDA’s term for devices such as TMS systems. Clearance applies to specific devices, so ask us which applies to your treatment. Off-label use is legal and common in medicine, and it is backed by less research.
What a session is like
You sit in a comfortable chair. We give you earplugs, because the coil clicks loudly, and rest it against your head. You’ll feel tapping on your scalp. Some people find it odd for the first session or two and then stop noticing it.
A session takes well under an hour. Afterward you can go straight back to school, work or the drive home.
How the brain map guides treatment
Before your first session we record a qEEG. It shows which regions and rhythms are running above or below the typical range, and we use it, along with your symptoms and history, to choose the stimulation site and settings. Our medical director reviews every treatment plan before the first session.
We repeat the map during care. If your brain and your symptoms are both moving in the right direction, we continue. If they aren’t, we change the plan or tell you it isn’t working.
Side effects and who shouldn’t have TMS
TMS has been used in clinics since 2008. The common side effects are mild: scalp discomfort where the coil rests, a headache, or tiredness after a session. They usually ease within the first week or two.
Seizures are rare. TMS isn’t suitable for people with metal or an implanted device in or near the head, such as an aneurysm clip or a cochlear implant. Dental fillings and braces are fine. We review your full history before recommending treatment.
Cost and insurance
Many insurance plans cover TMS for major depression, and some cover it for OCD. Off-label uses are covered less often. We verify your benefits before treatment and give you the numbers up front. See insurance and cost.
Last updated October 2026.
Conditions we treat with TMS
- AutismSupport for regulation, sleep, attention and communication in autistic children, teens and adults.Off-label use
- DepressionFor depression that hasn’t lifted with medication or therapy.FDA-cleared use
- AnxietyFor anxiety that comes with depression, and for worry that hasn’t eased with other care.Cleared for anxious depression
- ADHDA non-drug option for attention and impulse control.Off-label use
- OCDFor obsessions and compulsions that persist despite medication and ERP.FDA-cleared use
- PTSDFor trauma symptoms that persist after therapy.Off-label use
- TBIFor focus, mood and sleep problems that linger after a concussion or brain injury.Off-label use
Common questions
Does TMS hurt?
Most people describe a tapping or knocking feeling on the scalp. It can be uncomfortable for the first few sessions and usually gets easier. We can adjust the intensity and coil position to help.
Can I drive after a session?
Yes. There is no sedation, so adults can drive themselves home or back to work.
How many sessions will I need?
It depends on the condition and on how you respond. A typical course for depression is five sessions a week for four to six weeks. We set your schedule after the brain map and review it when we re-map.
Is TMS the same as ECT?
No. ECT uses an electrical current under general anesthesia to induce a brief seizure. TMS uses focused magnetic pulses while you’re awake and doesn’t require anesthesia or recovery time.
Who shouldn’t have TMS?
People with metal or implanted devices in or near the head, such as aneurysm clips, cochlear implants or deep brain stimulators, generally can’t have TMS. A history of seizures needs careful review. We go through your medical history before recommending treatment.
Is this the same as MeRT?
No. MeRT is a trademarked system offered only by licensed clinics, and Reign-Bow doesn’t offer it. Our qEEG-guided TMS is planned by our own clinical team and reviewed by our medical director. Why families choose Reign-Bow.
Call our office
We’ll answer your questions, check your insurance benefits and help you decide whether a brain map is the right next step. Our team answers the phone during clinic hours.
Prefer to write? Request a consultation or verify your insurance.