Treatments

TMS Therapy requires a comprehensive psychiatric evaluation, which includes several questionnaires about symptoms or problems you have experienced as well as all treatments you have previously received, followed by a meeting with our onsite, board-certified psychiatrist. Once we determine that you qualify as a candidate for TMS Therapy, we will contact your insurance provider to obtain authorization for treatment.

An MRI is required prior to all NeuroHealth TMS treatments, so we can customize our parameters of treatment specifically for your brain. TMS Therapy typically begins with five daily treatments over the course of 4 to 6 weeks for a total of 30–36 sessions per treatment course. Each treatment session will last anywhere from 5 to 20 minutes depending on the patient, and treatments are facilitated by a NeuroHealth Treatment Centers TMS Technician.

The procedure may cause some local discomfort on the scalp and may even cause a headache. You can take Motrin or Tylenol before the procedure starts to prevent this. Otherwise, this treatment is an outpatient procedure, which means that treatment takes place in our office, and you can leave the office and return to your life as normal after each visit.

Our onsite, board-certified psychiatrist will be meeting with you throughout your treatment course to monitor your progress and adjust parameters of treatment settings as needed.

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Side Effects of TMS Therapy

Side effects of TMS Therapy are very minimal. With more than 10,000 treatments performed in clinical trials, the most common side effect associated with TMS therapy was mild-moderate scalp discomfort. Other common side effects included minor twitching around the eye, minor twitching of facial muscles, toothache, and mild-moderate headache. Side effects of TMS therapy usually resolve by the end of each treatment session period.There is a rare risk of seizure associated with TMS therapy (0.1% per acutetreatment course).

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This treatment is appropriate for patients who have been determined to have "treatment resistant depression", having no meaningful response to at least 2 traditional antidepressant medications. Upon evaluation by our onsite, board-certified psychiatrist to determine if you are a candidate for Spravato, we will obtain approval from your insurance carrier to administer treatment. Spravato must be given in our office under our supervision. The medication is given by nasal spray which you administer yourself. Over the next 2 hours after Spravato is administered, we will monitor your blood pressure and ensure you are not experiencing any adverse effects prior to releasing you from our care. Note that you cannot operate a vehicle after this treatment is administered so transportation arrangements are necessary to and from treatments. Spravato is administered twice per week for the first 4 weeks, after which time treatment may be reduced in frequency, and may be continued or stopped over time based on a determination between you and our psychiatrist. Spravato is approved to be taken along with other antidepressant medication. 

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Psychiatric medication management refers to prescribing, monitoring, and adjusting medications for mental health disorders. The goal of psychiatric medication management is to optimize the effectiveness of medications while minimizing side effects and ensuring the individual’s overall well-being. The selection of medications is tailored to the individual, considering factors such as the specific disorder, symptom severity, medical considerations, and the person’s unique response to different medications. Once the medications are prescribed, ongoing monitoring and follow-up appointments are essential. The frequency of follow-up appointments may vary based on theindividual’s needs for optimal symptom management and overall well-being. At NeuroHealth Treatment Centers, your comprehensive evaluation will include a review of your psychiatric medications and we may make recommendations for starting, stopping or changing medications. At times, we may determine it is appropriate for us to prescribe medication based on a discussion with you and potentially any outside treatment providers who’s care you are under. 

Patients who are receiving TMS Therapy, Medication Management, or Spravato treatment at NeuroHealth Treatment Centers will be offered the opportunity to work with a qualified psychologist within our referral network who understands the treatments we offer and can provide complimentary support through integrative therapy. Because our treatments promote and stimulate "online" neuronal systems, you may find that therapy is more effective than previously experienced. At NeuroHealth Treatment Centers, we want to support and encourage you to engage in a variety of lifestyle changes that can improve your mental health and complement our primary treatment. Behavioral activation therapy, mindfulness practices, physical exercise, yoga, mind-healthy diets, and journaling can all improve mental health and complement our treatments. An integrative psychotherapist can meet with you individually or in group sessions to support you in your journey.