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The Clinical Evidence Behind TMS Therapy

TMS is one of the most extensively studied treatments in psychiatry. Here is a clinically accurate summary of the evidence base supporting TMS for Major Depressive Disorder, PTSD, OCD, and related conditions.

Evidence Base

15+ years of post-clearance data. Millions of real-world treatments. Consistent outcomes.

NeuroStar TMS received FDA clearance for Major Depressive Disorder in 2008 — the culmination of a pivotal randomized controlled trial demonstrating statistically significant superiority over sham TMS in treatment-resistant patients. Since that clearance, more than 5.5 million treatments have been delivered, producing one of the largest real-world outcomes databases in psychiatry.

Key findings from the NeuroStar post-marketing outcomes registry and published clinical literature are summarized below. High Peaks TMS uses NeuroStar exclusively — ensuring that the outcomes data described here directly corresponds to the equipment and protocols used in our clinic.

Key Clinical Findings
  • 01
    58% response rate in treatment-resistant depressionThe FDA pivotal trial and subsequent registry data demonstrate approximately 58% of TRD patients achieve clinically meaningful response — defined as ≥50% reduction in depression severity scores.
  • 02
    30% full remission rateApproximately 30% of patients who complete a TMS course achieve full remission — complete resolution of depressive symptoms meeting diagnostic thresholds.
  • 03
    12+ months average maintained improvementRegistry data shows that TMS responders maintain their clinical improvement for an average of 12 or more months following the completion of their treatment course.
  • 04
    Durable retreatment responsePatients who respond to an initial TMS course and subsequently require retreatment demonstrate similar or higher response rates on subsequent courses — evidence that the underlying neuroplastic changes are retrievable.
58%Response rate — treatment-resistant depressionFDA Pivotal Trial + Registry
30%Full remission ratePublished Clinical Literature
5.5M+Real-world treatments — largest TMS outcomes datasetNeuroStar Registry
FDA Clearance Timeline
2008 — MDD (adults, treatment-resistant)
2013 — MDD (adjunctive treatment)
2015 — MDD with anxious depression
2018 — OCD (NeuroStar deep TMS)
2020 — MDD accelerated TMS protocol
2024 — Adolescent MDD (ages 15+)
Research Transparency

High Peaks TMS does not make outcome guarantees. Individual results vary. The statistics cited on this page reflect published clinical literature and NeuroStar registry data — not claims specific to our clinic outcomes.

Evidence-based care for treatment-resistant depression.

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