When antidepressants have not worked · FDA cleared · No anesthesia · No downtime
When medication is not enough, TMS often is.
TMS (Transcranial Magnetic Stimulation) is FDA cleared for depression that has not responded to medication. 20 minute sessions. No anesthesia. No downtime. You go back to your day.
Our team responds within one business day. No pre screening call required.
- FDA cleared since 2008Backed by thousands of clinical trials
- Insurance acceptedMedicare, Tricare, workers comp, most commercial plans
- 500+ patients treatedLong Island and Westchester since 2018
- Physician supervisedLed by Dr. Abrahams, MD and Dr. Mogan, PMHNP
- Accepting new patientsWe respond within one business day
You have tried medication. It has not worked. That does not mean you are out of options.
Many of our patients came to us after trying two, three, or more antidepressants, some for years. They were told to be patient, to try a different dose, to try a different drug. The frustration is real.
TMS is built for this moment. It works differently than medication, no pills, no systemic side effects, and it is FDA cleared for patients in exactly this situation.
From our clinicians
What patients tell us about TMS
“The patients who come to me for TMS have usually tried everything. What I tell them is that the brain responds to TMS even when it stopped responding to pills. Most patients notice the first change in sleep or energy within two to three weeks. That first sign is a big deal.”
Dr. John Abrahams, MD
Medical Director
“Almost every patient is nervous at the first session. We show them the chair, let them hold the coil, and walk through what they will feel. Ten minutes in, they are scrolling their phone. By the end of week four, most are telling us they feel like themselves again.”
Dr. Susan Mogan, PMHNP
Lead TMS Clinician
Trusted by 500+ patients across Long Island and Westchester since 2018
The most common question
What a TMS session actually feels like
You sit in a comfortable chair
No lying down, no hospital bed, no gown.
A coil is placed near your head
No needles, no cuts, no implants.
You feel a tapping sensation
Most patients describe it as light and rhythmic.
You stay fully awake
Read, scroll, listen to music, or just rest.
Session ends in 20 to 40 minutes
You walk out and drive yourself home.
The full journey
From first call to maintenance plan
Consultation
A comprehensive evaluation by Dr. Abrahams or Dr. Mogan to confirm you are a candidate for TMS and review your treatment history.
Insurance verification
Our team handles prior authorization with your insurance carrier. TMS is covered by Medicare and most commercial plans when other treatments have not been effective.
Treatment sessions begin
Sessions typically run 20 to 40 minutes. Most patients complete 5 sessions per week for 4 to 6 weeks. You remain awake and alert throughout.
Ongoing monitoring
Your clinical team monitors your response at each visit and adjusts the protocol as needed. Most patients notice improvements within 2 to 4 weeks.
Maintenance planning
After your initial course, we develop a personalized maintenance plan to protect your gains and prevent relapse.
What TMS is
What you should know about TMS
TMS uses brief magnetic pulses, similar in strength to an MRI machine, to stimulate regions of the prefrontal cortex involved in mood regulation. It is delivered in the office while you sit awake in a comfortable chair.
TMS received FDA clearance for treatment resistant depression in 2008. It has since been studied in thousands of clinical trials and is now covered by Medicare, workers compensation, and most commercial insurance plans.
Outcomes first
In real world clinical data across thousands of patients
- 58 to 78% response rate (significant symptom improvement) in real world clinical data
- 30 to 37% remission rate (symptoms fully resolve) in real world clinical data
- FDA cleared for depression, OCD, and anxious depression
- Non invasive — no surgery, no anesthesia
- No systemic medication side effects
- 20 to 40 minute sessions
- 5 sessions per week for 4 to 6 weeks
- Patients drive themselves to and from treatment
- Covered by Medicare, workers comp, and most commercial insurance
Myth breaker
TMS is not ECT. Here is the difference.
Many patients arrive worried that TMS is like the electroconvulsive therapy they have seen depicted in film. The two treatments are not related. TMS uses brief magnetic pulses, similar in strength to an MRI, to stimulate a specific region of the brain while you sit awake and alert.
| TMS | ECT | |
|---|---|---|
| Anesthesia required | No | Yes |
| Memory loss | No | Common side effect |
| Sedation | No | Yes |
| Downtime | None | Recovery time required |
| FDA cleared for depression | Yes | Yes |
| Drive after session | Yes | No |
TMS may be right for you if...
You have tried one or more antidepressants and have not felt better
Treatment resistant depression
Medication side effects have made it hard to stay on treatment
Medication intolerance
You want a treatment that does not involve more pills
Non medication path
You have depression and anxiety together
Anxious depression
You or your teenager has been diagnosed with depression and needs a non medication option
Adolescent TMS (ages 15 to 21)
Your depression is related to a workplace injury
Workers comp accepted
How is TMS delivered at Cognifica Health?
TMS at Cognifica Health is supervised by Dr. John Abrahams, MD, and Dr. Susan Mogan, PMHNP. Every patient receives a thorough psychiatric and neurological evaluation before starting treatment to confirm candidacy and establish a personalized protocol.
We monitor your progress at every session and adjust the treatment parameters based on your response. Most patients complete treatment without interruption and return to all normal daily activities immediately after each session.
Insurance and locations
TMS is covered by Medicare, workers compensation, no fault insurance, United Healthcare, and most commercial insurance plans. Workers comp has approved TMS for Cognifica Health patients, a rare distinction for a psychiatric treatment. Our team handles prior authorization on your behalf.
- Aquebogue, NY — (631) 388 7624
- West Harrison, NY — (914) 948 3008
Frequently asked questions
Book your consultation
Ready to see if TMS is right for you?
Fill out the form and our team will contact you within one business day to discuss your treatment options and verify your insurance.
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Medically reviewed by Dr. Susan Mogan, PMHNP, DNP, Board certified Psychiatric Mental Health Nurse Practitioner
Last reviewed: March 2026
Sources and References
- FDA 510(k) Clearance for NeuroStar TMS Therapy System (2008)
- Utilization and outcomes of TMS and usual care for MDD in a large group psychiatric practice — PMC11234753
- Clinical TMS Society Consensus Review and Treatment Recommendations for TMS Therapy for Major Depressive Disorder — PMC5612370
- NIMH: Brain Stimulation Therapies
- American Psychiatric Association: What is TMS?
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Questions about TMS therapy?
Call (914) 948 3008