Inclusion Criteria:  18 years and older Unipolar Depression or Bipolar II depression based on the MINI - no psychotic features Pass the TMS safety screen on the brain stimulation consultation template Voluntary and Competent to consent to treatment  Exclusion Criteria:  Have a MINI confirmed diagnosis of a substance use disorder within the last month Have a concomitant major unstable medical illness, cardiac pacemaker or implanted mediation pump Have a lifetime MINI diagnosis of bipolar I, or schizophrenia, schizoaffective disorder, schizophreniform disorder, delusional disorder. Have any significant neurological disorder or insult including but not limited to: any condition likely to be associated with increased intracranial pressure, space occupying brain lesion, any history of seizure except those therapeutically induced by ECT, or a febrile seizure of infancy or single seizure related to a known drug related event, cerebral aneurysm, or significant head trauma with loss of consciousness for greater than 5 minutes Have an intracranial implant (e.g. aneurysm clips, shunts, stimulators, cochlear implants, or electrodes) or any other metal object within or near the head (excluding the mouth) that cannot be safely removed. Currently taking more than lorazepam 2mg daily (or equivalent) or any dose of an anticonvulsant due to the potential to limit rTMS efficacy.