In most patients, the clinical benefit of TMS Therapy was maintained through 6 months of follow-up study. For those who did see depression start to return, rescue or booster treatment works 85% of the time. Depression is known to commonly recur. After one episode of depression, the chance of a second in your lifetime is 50%. (That’s good for half the people, but not for the other half.) After 2 episodes, the risk increases to 75%, and after three the risk is 90%. With multiple episodes or years, depression requires a long term treatment plan. Studies have shown that after successful treatment with medication, staying on that medication reduces the risk of depression returning, and we keep people on their medications for maintenance purposes. With ECT, a highly effective treatment, the 6-month relapse rate is 40-50%, and maintenance treatment with ECT has become the standard of care. We are strong advocates for maintenance treatment with TMS having had patients in successful maintenance since 2010, however, insurance does not cover TMS as a maintenance treatment currently. We hope that insurers will adopt this in the future as we believe it to be a cost effective win-win for both patients and insurers. Talk to your doctor about your long-term treatment path as everyone’s prognosis is different.