Clinical

What TMS treats

Clearance, protocol and insurance pathways differ by diagnosis. Each guide below sets out where TMS stands for that condition in Oregon — what the FDA has cleared, how long a course runs, and what insurers ask for before they approve it.

Treatment-Resistant Depression

TMS is an FDA-cleared treatment option for major depressive disorder when previous treatment has not helped enough. In Oregon, directory listings are spread across several cities, so planning weekday visits and checking insurance requirements are important first steps.

MDD cleared in 2008
About 36 sessions; 6–9 weeks
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Obsessive-Compulsive Disorder

Deep TMS is an FDA-cleared treatment option for obsessive-compulsive disorder, but not every Oregon TMS clinic has the equipment or protocol to provide it. The directory lists 39 clinics statewide, and patients should confirm OCD treatment availability, insurance requirements and the daily schedule before committing.

Deep TMS: OCD, 2018
Typically 36 weekday sessions
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PTSD and Trauma

TMS for PTSD is off-label. In Oregon, directory listings are spread across Portland, Salem, Bend and other communities. Patients with co-occurring depression may have a different coverage pathway, while veterans can ask their VA mental health team about assessment and community care referrals.

Off-label for PTSD
Typically 36 weekday sessions
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Anxious Depression

Find TMS care for depression with anxiety in Oregon, with guidance on regional access, weekday travel, insurance review and questions to ask before starting treatment.

Depression with anxiety: 2021
About 36 sessions; 6–9 weeks
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Veterans

Oregon veterans can ask about TMS through their VA mental health team, authorised community care, or private clinics. Access depends on the condition being treated, clinical assessment, coverage approval and the practical demands of repeated weekday visits.

Depression cleared; PTSD off-label
About 36 sessions; 6–9 weeks
Read the guide

Adolescents and Young Adults

TMS may be an option for adolescents and young adults with depression when previous treatment has not brought enough improvement. In Oregon, the directory lists 39 clinics, with several locations in Portland, Salem, Bend and other cities. Families should confirm a clinic’s minimum age, insurance requirements and whether repeated weekday appointments will work with school, work and travel.

Depression adjunct, ages 15+
About 36 sessions; 6–9 weeks
Read the guide

Before you book

Cleared, off-label, and why the difference matters

The FDA has cleared TMS for major depressive disorder, depression with anxiety, OCD and smoking cessation, plus adolescent depression as an add-on treatment. Clinics may also offer it off-label for PTSD and other conditions. Off-label does not mean unsafe — it means the evidence has not gone through clearance, and insurers usually will not pay for it on its own.

If a clinic promises TMS will treat something outside those areas without explaining that it is off-label and self-pay, treat it as a warning sign.

Ask any clinic these four questions

  1. 1. Is TMS FDA-cleared for my specific diagnosis, or off-label?
  2. 2. Will you run the insurance authorisation, and what do you need from me?
  3. 3. Who supervises the sessions, and is a prescriber on site?
  4. 4. What happens if I do not respond by session twenty?
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