TMS for depression
The non-invasive ExoTMS® treatment, scientifically validated in depression, including treatment-resistant depression. A clinical, therapeutic option when antidepressants are not enough or side effects are hard to tolerate.
Treatment depends on eligibility and a medical prescription, following the TMS Assessment Consultation.
Results in published studies.
Response means a clear improvement in symptoms. Remission means the absence of significant symptoms.
75%
response rate
Clear improvement in depressive symptoms (HAMD-17 scale).
44%
remission rate
Absence of significant symptoms at the end of treatment.
Noda Y. et al. Impact of Comorbid Generalized Anxiety Disorder on rTMS/iTBS Clinical Outcomes in Major Depression. Journal of Personalized Medicine, 2026. Registry study of 108 patients; results of the 72 with major depression without an anxiety disorder.
58%
response rate
In 307 patients with depression that had not responded to antidepressants, across 42 centres.
37%
remission rate
Results in real-world clinical practice, outside a controlled trial.
Carpenter L. L. et al. Transcranial magnetic stimulation (TMS) for major depression: a multisite, naturalistic, observational study of acute treatment outcomes in clinical practice. Depression and Anxiety, 2012.
Studies use different transcranial magnetic stimulation devices and protocols. Results vary from person to person and are assessed by the doctor throughout treatment.
Who it may be suitable for.
Eligibility is assessed by the clinical director, Dr. Bruno Gomes, at the TMS Assessment Consultation: review of previous tests and clinical history, analysis of contraindications and, if in doubt, ordering of tests.
Contraindications and side effects- Major depression, medically diagnosed.
- Depression that has not responded sufficiently to one or more antidepressants.
- Medication side effects that are hard to tolerate.
- Aged 18 and over, after the TMS Assessment Consultation.
Non-invasive, no anaesthesia, outpatient.
You resume your routine straight after each session. You are followed by our clinical team, session after session.
Sessions per cycle
6 to 30
As medically prescribed.
Length of each session
18.5 to 24.5 min
According to the indicated protocol.
Times per week
2 to 5
With medical reassessment throughout the course.
From your arrival at AlmaraClinic to your treatment.
NeuroCheck, free of charge
Information session with our Patient Care team: the treatment, the options, the fees and the best schedule.
TMS Assessment Consultation
The eligibility of your clinical case for TMS is assessed with the clinical director.
Personalised plan
With the medical prescription: protocol, number of sessions and frequency.
Follow-up
You are followed by our clinical team, session after session.
Fees and terms.
TMS Assessment Consultation
100 €
With the clinical director, Dr. Bruno Gomes.
Standard protocol
24.5 minute sessions
As part of a treatment protocol, from€200 per session
- Single session
- 350 €
Intensive protocol
18.5 minute sessions
As part of a treatment protocol, from€100 per session
- Single session
- 200 €
The protocol and the fee per session are defined in the plan, after the TMS Assessment Consultation. Payment in up to 12 interest-free instalments with Cofidis Pay. See terms
TMS for depression
Depression: signs, assessment and options All about transcranial magnetic stimulationDo I have to stop my antidepressants?
No. TMS is carried out without stopping your usual medication. Any change should be decided together with your doctor.
When will I notice a difference?
It varies from person to person. In many cases, the first improvements appear after a few weeks of treatment. Progress is reassessed by the doctor throughout the course.
I have already had TMS at another clinic. Can I continue here?
Yes. Bring the report from your previous treatment to the TMS Assessment Consultation.
Does insurance provide reimbursement?
Reimbursement depends on your insurer and your policy. Check with your insurer; if needed, we can help with the paperwork.
Can I pay in instalments?
Yes. Up to 12 interest-free instalments with Cofidis Pay.
See terms