State Street TMS | Montpelier, Vermont

What it is
Focused magnetic pulses gently stimulate the brain circuits associated with various mood disorders. It's a non-medication and FDA-cleared treatment for depression, anxious-depression and OCD.
What happens
TMS is safely administered in our office. You are positioned comfortably in the treatment chair, fully awake, no sedation or anesthesia required. You can drive yourself home after the session.
Who it's for
Our device and treatment protocols are cleared for adults and for adolescents age 15 and up. While insurance may require previous medication trials, our custom treatment protocols may not.
What it costs
The standard depression treatment protocol is covered by major Vermont insurers. We also offer custom treatment protocols with self-pay options. You will know your estimated cost before starting treatment. We offer interest-free flexible financing through CareCredit.

TREATMENT

Standard TMS

The established, insurance-covered course for depression, where most people start.

Explore standard TMS →

TREATMENT

Accelerated TMS

A six-day option that condenses the full course, practical if weeks of daily visits aren't workable.

See the 6-day protocol →

CONDITIONS

Conditions we treat

Depression and OCD are FDA-cleared; other conditions we consider individually at an evaluation.

See what we treat →

LEARN

How TMS works

A plain-English guide to what the treatment is, what a session feels like, and what to expect.

Read the guide →

NOT SURE YET?

Is TMS right for me?

A short self-check that gives you a sense of whether TMS looks like a fit before you get in touch.

Take the self-check →

COST

Pricing & insurance

How coverage works, what self-pay looks like, and how you'll know your cost up front.

Check the cost →

State Street TMS offers a comprehensive approach to your health and wellness. As an independent, clinician-owned, and community-based practice, we set ourselves apart by moving beyond standard treatment to deliver highly customized, personalized care in a welcoming, comfortable environment.

What truly distinguishes our practice is the combined, multidisciplinary expertise of Dr. Jada Turco-Khosla, MD, and Dr. Maya Carlet, DNP. Together, we blend integrative psychiatry, specialized medicine, metaphysics, and advanced precision neuro-interventions. Rather than a one-size-fits-all approach, your evaluation and treatment are tailored to support you as a whole being, with thorough, compassionate guidance at every step of your care.

At age 67, after requiring medicine for depression for about 35 years, I feel blessed to have discovered State Street TMS. I had taken just about every SSRI and SNRI available and ALWAYS at some point I felt like my brain would become reticent to the effect of the drug… I was done with this pharmaceutical merry-go-round and THANKFULLY transcranial magnetic therapy worked!

Every single day I am grateful to all the staff at State Street TMS. The atmosphere felt warm, inviting, and comfortable and the staff always did their best to accommodate any scheduling changes I needed. The best testimonial I received was from a lifetime friend whom I haven't physically seen for 6 years… she told me that my voice sounded “brighter” when we telephoned over the holidays!

Lallie M · Google review

Clinical referrals can be made directly through the Referral Form. Individuals seeking treatment for themselves or a family member can Request an Appointment to fill out a brief Intake Form. After the Referral or Intake Form is submitted, we'll reach out to you within 24 business hours with next steps.

Following the Intake Screening, individuals meeting criteria will be scheduled for a comprehensive and personalized clinical evaluation with either Dr. Jada Turco-Khosla, MD or Dr. Maya Carlet, DNP. As a part of the evaluation process we will discuss your individual verified insurance coverage and any potential out-of-pocket costs including deductible, copay or coinsurance.

During your first session we establish your treatment "dose" by stimulating your motor threshold. We use neuronavigation (MRI, fMRI, or MNI coordinates) or modified beam calculations to locate your exact coil position, and you receive your first treatment. Sessions run five days a week, Monday-Friday. Treatments last anywhere from 3 to 19 minutes.

Following your treatment protocol, you will continue to notice improvements and changes over the next 12 weeks. During that time, your team may recommend additional treatments or services aimed at improving neuroplasticity and optimizing your outcome. Your team will also track your response through outcome measures and clinical follow-up. Considerations for maintenance treatment sessions are ongoing with your treatment team.