Treatment of Depression Post-SCI

This study is testing whether repetitive transcranial magnetic stimulation (rTMS) — a non-invasive brain stimulation technique — can treat depression in people who have had a spinal cord injury (SCI), using the same FDA-approved approach used for the general population. **You may be eligible if:** - You are between 18 and 70 years old - You have had an incomplete cervical or thoracic spinal cord injury at least 6 months ago - You have been diagnosed with major depressive disorder - You have at least partial thumb movement (needed for calibrating the TMS device) - You have been stable on (or off) antidepressants for at least 4–6 weeks **You may NOT be eligible if:** - You have other neurological diseases or dementia - You have significant cognitive impairment - You have a history of major head trauma - You have a pacemaker, implanted brain or spinal stimulator, or defibrillator Talk to your doctor to see if this trial is right for you.