Before Treatment
dTMS may not be appropriate for everyone. Your provider will review medical history, smoking history, medications, and treatment goals.
Insurance coverage is currently limited, and most plans do not cover this treatment. Our team can verify your benefits and explain self-pay options.
In the pivotal randomized H4 study, active treatment increased the likelihood of achieving four consecutive smoke-free weeks through week 18:
These analyses involved different participant groups and should not be compared directly. H4 dTMS is FDA-cleared as an aid to short-term smoking cessation; individual results vary.
Sources: FDA 510(k) summary (2020); Zangen et al. (2021).
Individual results and coverage vary. A clinical evaluation is required.
Questions?
Our team can review treatment fit, scheduling, and next steps.
Motivation helps, but nicotine dependence is not simply a matter of willpower. Cravings and withdrawal may still occur, and common treatment effects include temporary headache or scalp, facial, or jaw discomfort. H4 dTMS is FDA-cleared as an aid for short-term smoking cessation in adults; its effectiveness for vaping, nicotine pouches, and chewing tobacco has not been established.
Compassionate care. Science-backed results.
For Cigarette Smoking Cessation
If quitting cigarettes remains difficult despite medication or other support, it does not mean you have failed. Reviewing past attempts can identify added medical, behavioral, and practical support.
Deep transcranial magnetic stimulation (dTMS) with the H4 Coil is an FDA-cleared, non-invasive office treatment that aids short-term smoking cessation in adults.
BioMental brings nearly a decade of TMS experience and more than 20 years of psychiatric and addiction care to each structured quit plan. You are not alone; we can help.
A comprehensive evaluation can identify medical, behavioral, and practical factors that may make quitting more difficult. Together, we determine whether dTMS fits a coordinated plan that may include counseling, trigger-management strategies, and medication when appropriate.
dTMS is a non-invasive treatment that uses magnetic pulses to stimulate areas of the brain involved in addiction and impulse control.
BrainsWay's FDA-cleared H4 Coil stimulates the prefrontal cortex and insula, brain regions involved in addiction. It is an aid to quitting rather than a guarantee or replacement for a structured quit plan.
Possibly. When clinically appropriate, dTMS may be combined with nicotine replacement, bupropion, varenicline, counseling, or behavioral support such as contingency management.
Contingency management uses small, immediate rewards to reinforce verified progress, such as attending treatment or reaching smoke-free milestones.
At BioMental Clinic, you may choose a quit date and complete brief breath tests. Verified milestones may earn an agreed-upon reward, such as a gift card. A lapse does not end treatment; support continues and the plan resumes. dTMS targets circuits involved in craving, while contingency management reinforces daily choices. Contingency management is optional and is not part of the FDA-cleared H4 protocol.
A 2026 retrospective report followed 33 patients with psychiatric comorbidities treated with five-day accelerated H4 dTMS, varenicline, and motivational therapy. By day 5, 24 reported nicotine-dependence scores at least 50% lower.
Source: Kumar et al. (2026).
Before stimulation, staff guide a brief smoking-cue exercise. This may include holding your usual cigarette and lighter and imagining a situation in which you would normally smoke.
dTMS stimulation lasts about 18 minutes. No anesthesia or sedation is required, and most patients return to their usual activities afterward.
dTMS may be considered for adults who smoke more than 10 cigarettes per day, have smoked for more than one year, and want additional help with a quit attempt.
What happens if I slip or smoke? A slip does not automatically mean treatment has failed. The team reviews triggers, cravings, and next steps so the quit plan remains practical.