Multisite rTMS for Mood, Cognitive Impairment and Other Symptoms of Depression

This study tests repetitive transcranial magnetic stimulation (rTMS) — a non-invasive brain stimulation treatment — applied to multiple brain areas to treat moderate-to-severe depression that also involves sleep problems, memory difficulties, and concentration issues. **You may be eligible if...** - You have a moderate-to-severe depressive episode (without psychotic features) - Your depression score is between 20 and 35 on the Hamilton Depression Rating Scale - You have significant sleep problems (Athens Insomnia Scale score ≥8) - You have noticeable memory and concentration problems related to your depression **You may NOT be eligible if...** - You have metal implants in your head, are pregnant, or have epilepsy (these are contraindications to brain magnetic stimulation) - You have psychotic symptoms - You had suicidal thoughts or attempts in the past 3 months Talk to your doctor to see if this trial is right for you.