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TMS / rTMS / eTMS

Device · adjunct

What it is

Repetitive transcranial magnetic stimulation. FDA-cleared for depression. Used off-label and in trials for PTSD. Some clinics market EEG-guided or “MeRT / eTMS.”

Evidence

Depression clearance is not the same as a PTSD indication. Extra EEG-guided branding is not the same evidence package as standard rTMS.

Access for veterans

Some VA and civilian clinics, including state-level eTMS practices.

Cautions

Adjunct. Not a replacement for trauma-focused therapy when PTSD is the main problem.

Evidence reviewed September 2026. Named sources are being added room by room; start with VA/DoD PTSD guideline (2023) for first-line care.

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