TMS Therapy in Saratoga Springs, NY

For more than two decades, Manuel Astruc, M.D. & Associates has helped people suffering from depression and other mental health problems get back to feeling like themselves. If you are struggling with depression and have failed to find relief from standard medication treatment options, TMS Therapy may be the answer.

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TMS Therapy Is


When the FDA offers its stamp of approval, you can rest assured that the benefits outweigh the risks. Research supports TMS’s efficacy and safety.


No medications, no medication-related side effects—all you get is relief from symptoms and. anew path forward.


Unlike other brain stimulation treatments, TMS is completely noninvasive and pain-free.


Even people who have failed to gain relief from meds achieve a 60% to 70% response rate.

What Is TMS and How Does It Work?

Transcranial magnetic stimulation (TMS) includes rTMS (Repetitive TMS) and theta bursts, which are “protocols” for how pulses are delivered. The terms TMS and rTMS are used interchangeably. It involves delivering repetitive magnetic pulses in targeted areas of the brain to change brain function and relieve feelings of sadness, hopelessness, lethargy, and other depression symptoms. 


Are You a Good Candidate for TMS?

Complete the patient health questionnaire to find out if you are a good candidate for TMS Therapy. 

TMS could be a good treatment option if you fall into one of three categories:


Failed to respond to multiple trials of medications.


Experienced side effects from antidepressants, such as sleepiness, sexual dysfuction, or weight gain.


Disinterested in trying an antidepressant, even though symtoms of depression are present.

Cost and Insurance Coverage of TMS Therapy

Many insurance companies pay for TMS if you have tried at least two to three medications without success. Depending on your policy, you may or may not be eligible for insurance benefits for TMS Therapy. If you are eligible, each visit requires a copayment, which is generally the same amount you would pay to see your psychiatrist.

Insurances Accepted

The following insurances are accepted for TMS Therapy:


CDPHP Commercial & Medicaid Plans


MVP Commercial & Medicaid Plans


Cigna Commercial Plans


Highmark Insurance

If you don’t see your insurance company listed above, we often work on receiving a “single case agreement” with insurance companies to help you receive the best treatment possible.

You can also receive TMS Therapy by paying out of pocket if you:


Do not have an accepted insurance listed above and we are unable to obtain a "single case agreement" with your insurance company


Fail to meet your insurance companies' criteria for eligibility


Have Medicare

What to Expect with TMS Therapy

We understand that considering new therapies may seem daunting. Our team of compassionate, experienced experts is here to answer any questions and help you find your way back to feeling energetic, creative, and confident.

We determine patients’ brain network activation patterns before, during, and after treatment to monitor how the brain is changing.


The process begins with phone screening. When you call the office to inquire about TMS, we will discuss your symptoms, diagnosis, and treatment history before scheduling an evaluation. This in-depth psychiatric assessment lasts about one hour.

We want to help lift the burden of depression. First, we need to take a little time to get to know you and determine if TMS will be a good match for you. During a TMS consultation, we will review your medical history, symptoms, and past and current treatments.

TMS has a proven response rate of 50% to 70% in patients who failed to respond to medications.

First Appointment: Mapping Location and Motor Threshold

Your first appointment will last a little longer than typical sessions because we need to calibrate the device. During the first treatment session, we will ask you to remove anything that might interfere with the magnet, such as jewelry.

From there, we will determine the best possible placement of the device, so it can send magnetic pulses to precise locations in the brain. The tool is like a helmet that contains magnetic coils.

As we proceed, we will work to determine the threshold of stimulation that works best for you. To accomplish this, we send multiple pulses to the device, using increasing intensity. Once your fingers or hand start twitching, we know the appropriate threshold and can begin treatment.

Ongoing TMS Treatment

Each TMS treatment lasts an average of 30 minutes, although individual sessions can range from 20 to 40 minutes. The magnetic pulses are delivered in short bursts with rest periods in between.

While receiving treatment, you may hear clicking or tapping, but we provide earplugs to help muffle the sounds. You may also feel a tapping sensation on your head that may be a bit uncomfortable; however, you should not feel any pain.

This noninvasive modality doesn’t cause seizures or require any electrodes or anesthesia. You will safely remain awake and alert throughout the process, and you can drive immediately afterward.

Ongoing Care

Many patients receive treatments five times per week for a period of three to nine weeks. A medical professional will be there with you throughout the process, joining forces to help create an ongoing plan to get you back to feeling better and staying that way.

TMS Therapy Frequently Asked Questions

Is TMS new?

Although it’s new to many people, TMS has been around for decades. It was invented in 1985 and has been FDA-approved for major depression since 2008.

Is TMS therapy safe?

Although there is a slight risk of mild side effects, TMS has proven to be safe and effective. During the initial consultation, we will go over your history and symptoms to ensure you’re a good match for treatment. We will also determine if any precautions are necessary before or during treatment sessions.

Is TMS only for depression?

Currently, TMS is FDA-approved for treatment-resistant depression. However, growing evidence shows that it may be effective in relieving other conditions too. Off-label use of TMS is typically not covered by insurance.

How long does TMS last?

Manuel Astruc, M.D. & Associates, provides a personalized approach to treatment, with most patients prescribed daily treatments for three to nine weeks. For many people, results last for one year or longer.

Does TMS work on all types of depression?

Researchers are still uncovering all the possible uses for FDA-approved TMS treatment. It has been shown to have positive effects on treatment-resistant depression, which is defined as failing to achieve results from one or more antidepressant medications.

When does relief from depression begin with TMS?

No single treatment works for every patient, and no treatment works the same for everyone. The American Journal of Psychiatry recently published impressive results from a randomized control TMS trial. Many participants achieved significant results within five days, and nearly 80% of patients became symptom-free in one month.

Why do some patients need more TMS therapy sessions than others?

You’re unique. Although you aren’t alone in your depression, the way your brain operates and what you need differs from other patients. Factors, including the severity of the depression and your health history, may determine how long results last and whether you’ll need more than one course of treatment over time.

Can I still take my meds?

TMS won’t interfere with most medications. You can also opt for TMS in combination with antidepressants — it may even increase their effectiveness. During your consultation and evaluation, Dr. Astruc will evaluate any prescription and over-the-counter drugs you take.

TMS Patient Testimonials

“I highly recommend Dr. Manuel Astruc for his exceptional work in providing TMS treatments. His expertise, compassion, and dedication to his patients make him an outstanding physician in his field.”

Craig F.

Want to know more about TMS?

We’d love to discuss TMS Therapy as a treatment option and determine if it may be a good fit for you. Fill out the form below to schedule your TMS consultation with Manuel Astruc, M.D.

Give us a call or fill out the form below to schedule your TMS consultation with Manuel Astruc, M.D.

Contact Us

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