Personalized Repetitive Transcranial Magnetic Stimulation (PrTMS)

Eligibility Criteria

• * Military health care beneficiary for enrollment.
• * Over the age of 18 years.
• * Presence of chronic neck pain for at least 3 months.
• * History of seizure, bipolar disorder, or schizophrenia.
• * Unstable heart or pulmonary disease.
• * Brain tumor, active brain infection, history of cerebral vascular accident (CVA), or penetrating brain injury.
• * Use of medications that potentially lower seizure threshold without concomitant administration of anticonvulsant drugs that may protect against seizure occurrence.
• 1. Antiviral medications and antipsychotic medications
• 2. Recent withdrawal from sedatives
• 3. Substance abuse of phencyclidine, amphetamines, ketamine, and gammahydroxybutyrate
• * Not a suitable candidate for the study as determined by the PI.
• * Pregnancy, breastfeeding, or plans to become pregnant during the course of the study.
• * Presence of metallic hardware in close contact to the discharging coil (e.g. cochlear implants, internal pulse generator).
• * Presence of implanted brain electrodes (cortical or deep-brain electrodes).
• * Potential participants who score above a certain suicide relevant survey score on the Suicide Behaviors Questionnaire-Revised (SBQ-R), or are judged by expert clinicians to be a serious risk of harm to self, will be excluded.
• * Participants cannot have undergone a previous TMS treatment within the last 30 days before the start of study treatment.
• * Participants must have reliable and consistent access to the internet to complete surveys when not present in the clinic.
• * Participants must not have a clinical diagnosis of insomnia.
• * Participants can not be actively partaking in a substance abuse program.