Safe, Non-Invasive & FDA-Approved
TMS Maintenance
Stay Well. Stay Steady. Protect Your Progress.
Structured monthly TMS clusters designed to help you maintain remission and prevent relapse.
No systemic side effects
Supports long-term stability after an acute TMS course
5–10 session clusters over 3–5 days each month
Helps reduce the risk of depressive relapse
TMS Therapy
Relief Without Medication
Safe, Non-Invasive & FDA-Approved
No systemic side effects
Results can be experienced within 21 days
4.8 million treatments administered
81.6% improve, 65.3% reach remission
TMS Therapy
Relief Without Medication
- Safe, Non-Invasive & FDA-Approved
- No systemic side effects
- Results can be experienced within 21 days
- 4.8 million treatments administered
- 81.6% improve, 65.3% reach remission

What Is Maintenance TMS?
Maintenance Transcranial Magnetic Stimulation
Maintenance TMS is a structured, monthly approach designed to help you protect the improvements you achieved during your initial TMS treatment.
Depression is often episodic, and without ongoing support, symptoms can return. Maintenance TMS provides a predictable, non-medication strategy to keep you stable, supported, and feeling like yourself.
At
Integrative Mind Psychiatry & TMS, we offer
Clustered Monthly Maintenance TMS, a protocol backed by clinical studies and designed to fit real-life schedules.

Why People Choose Maintenance TMS
Simple Science. Powerful Results.
Maintenance TMS is ideal for people who:
- Responded well to an acute TMS course
- Have a history of recurring depressive episodes
- Want a non-pharmacologic relapse-prevention plan
- Prefer to minimize medication adjustments
- Need structured, ongoing care to stay well
How Maintenance TMS Works
Maintenance TMS is delivered in monthly clusters — brief, efficient treatment blocks that support brain stability without weekly visits.
Each monthly maintenance cycle includes:
- 5–10 sessions per month
- Completed over 3–5 consecutive days
- Repeats once per month
This model provides a strong “booster” effect that reinforces the neuroplastic gains from your initial treatment.


What to Expect Each Month
During each monthly cluster:
- You’ll receive the same or similar TMS protocol used during your acute course
- Sessions last 10–20 minutes depending on your mapping
- You’ll complete a brief clinical check-in
- You can return to normal activities immediately after
- Most patients incorporate maintenance easily into their work and family routines
The Evidence Behind Maintenance TMS
Clinical studies support the use of ongoing stimulation to prevent depressive relapse.
A randomized controlled trial by Wang et al., 2017 showed relapse rates of:
- 15.9% — rTMS + antidepressants
- 24.2% — rTMS alone
- 44.4% — antidepressants alone
Other studies support the effectiveness of clustered monthly maintenance, demonstrating sustained symptom relief and improved long-term outcomes.
- Clustered rTMS for the prevention of depressive relapse/recurrence (Wang et al., 2017)
- Open-Label Trial of Clustered Maintenance rTMS for Refractory Depression

Is Maintenance TMS Right for You?
Maintenance TMS may be a good fit if:
- You responded to TMS but want to prevent recurrence
- You’ve had depressive relapses in the past
- You feel subtle symptoms returning
- You prefer to avoid medication changes
- You want a proactive, long-term plan
If you’re unsure, our clinicians will help recommend whether maintenance makes sense based on your history, symptom pattern, and goals.
Your Treatment Includes
- A comprehensive evaluation to determine if TMS is right for you

- Personalized treatment planning based on your symptoms and needs
- Supervised sessions with trained clinicians to ensure safety and effectiveness
- Progress tracking to monitor improvements and adjust treatment if needed
Cost of Treatment
The total cost for accelerated TMS is $12,000.
Pricing & Insurance
Maintenance TMS Pricing:
- $250 per session
- 5–10 sessions per monthly cluster: $1,250–$2,500
- Motor threshold mapping: $400
- Intake evaluation: $250 (often covered by insurance)
We never want cost to prevent someone from accessing long-term support so we offer:
- Reduced-fee programs
- Flexible payment plans
- Financial assistance
Insurance coverage for maintenance TMS varies widely.
Most plans do not routinely cover maintenance unless a relapse occurs and a new acute series is approved.
Our team will:
- Verify benefits
- Submit prior authorizations when applicable
- Provide clinical documentation
- Appeal when possible
Why Choose Integrative Mind for Maintenance TMS?
At Integrative Mind, we provide:
- Experienced specialists trained in the latest TMS techniques
- Treatment plans customized to your specific needs
- A comfortable, welcoming environment
- Comprehensive support throughout your treatment journey

Ready to Maintain Your Progress?
If TMS helped you feel like yourself again, maintenance can help you stay that way.
Dr. Lewis is both super smart and on the cutting edge of research in the field, and a thoughtful compassionate listener. She is great at getting to the nut of any issue and makes thoughtful recommendations for how to move forward. I've sent her multiple patients who give her great reviews and the kids she's worked with think she is super-cool.
Laura R.
Integrative Options
Related Services
Why Integrative Mind Is Different
We treat the whole person - not just the symptoms. Combining advanced treatments, compassionate care, and personalized planning to help you heal, grow, and thrive.

Most Major Insurance Accepted

Holistic, Whole‑Person Care

All‑Inclusive 5‑Day Program

Personalized Treatment Plans

Evidence‑Based Treatments

Expert, Compassionate Team
Learn. Compare. Decide.
Your Questions, Answered.

Compare
Explore the differences between TMS, medication, therapy, and holistic strategies - side by side.

Pros & Cons
Understand the benefits and limitations of TMS therapy so you can make an informed decision.

Expectations
Learn what your care journey will look like - from your first visit to your personalized treatment plan.
Free Consultation
For more details or to schedule a 10 minute consultation, give us a call at 917-590-3727 or complete the form below.
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