TMS for Veterans Attending a 2-week Intensive Outpatient Program for PTSD

Who can take part

• Veterans or service members between the ages of 18 and 65 who are attending the 2- week Intensive Outpatient Program at the Road Home Program and have not had significant PTSD symptom change based on the PCL-5 during the first week of treatment
• Participants with an HDRS-21 score ≤ 26 at screening visit

Who cannot take part

• Individuals with implants and non-removable metals which prevent them from safely receiving TMS, including:; Aneurysm clips or coils; Stents in the head, neck, or brain; Deep brain stimulators; Metallic implants in the head, neck, or brain (braces and dental implants do not interfere and are safe for TMS); Shrapnel or bullet fragments in or near the head; Facial tattoos with metallic or magnetic-sensitive ink; Other metal devices or ferromagnetic objects implanted in or near the head; Pacemakers, intra-cardiac lines, or implanted medical pumps
• Individuals currently on Benzodiazepine at a dose higher than 3mg or Lorazepam or equivalent
• Individuals with previous TMS treatment
• Individuals with a history of seizures or epilepsy (except those therapeutically induced by ECT)
• Individuals diagnosed with major, chronic mental health illnesses such as Psychotic Disorders, Bipolar Disorders, and Obsessive Compulsive Disorder
• Individuals with a history of substance abuse within the past six months
• Individuals with significant neurological disorders such as Parkinson's disease, Huntington's chorea, and Multiple sclerosis
• Individuals with unstable physical disease, such as unstable cardiac diseases
• Women who are breastfeeding or pregnant