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Treating Depression and other conditions with Transcranial Magnetic Stimulation (TMS)
 FDA approved
 Non-drug, Non-invasive
 Covered by most Insurances
Book Your Free consultation
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Is depression making your life less fruitful?

Are you always tired, feeling lethargic, lacking energy & motivation?

Are you sleeping too much or struggling to sleep?

Are you exhausted from constantly worrying about everything?

Are antidepressants making you feel even worse?

If you answered yes to at least one question, you should consider TMS.

 TMS is a new, effective solution that can help to alleviate symptoms of depression, anxiety, and other mental health conditions.

Calls us at 703-592-4600 to get your free consultation
 FDA approved
 Non-drug, Non-invasive
 Covered by most Insurances
Book Your Free consultation
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Transcranial Magnetic therapy offers hope of recovery for people suffering from treatment-resistant depression. It can clear the cognitive fog, enhance memory, sharpen the focus and increase energy.  
 FDA approved
 Non-drug, Non-invasive
 Covered by most Insurances
Book Your Free consultation
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Our Mission & Philosophy

Our mission is to do our best to safely reduce suffering in the world and find better ways to strengthen mental health wellbeing and share our knowledge with others so they can do it over again.

We believe that practicing medicine is about providing an outstanding service. This is about keeping things simple, pleasant, predictable, and going the extra mile to assist a patient.

It often means taking more time to talk about the concerns so that the patient is feeling comfortable with the treatment they are undergoing.

Our passion is to educate our clients, keep them well informed about each step of care, and empower them to invest in their mental health and physical wellbeing.

In medicine, not all questions, unfortunately, could be answered, but what we should be able to always provide is great service, clear communication and compassionate care.

Innovation in medicine, as in many other fields, necessitates always asking if there is a more sophisticated way of doing things. While we respect the knowledge we possess, we must also continue asking about how we can achieve better results or outcomes.

At Inspire TMS, we are at the forefront of the innovation in Mental Health. By utilising state-of-the-art technology, we make every effort to reduce symptoms of depression, anxiety, and other mental ailments.

We respect all cultures, ethnicities, and backgrounds and are enthusiastic to hear our patient’s stories to better guide care. During TMS, we support positive wellness practices, help enhance lifestyle modifications, and incorporate TMS therapy into a patient’s treatment program.

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What is TMS?
Transcranial Magnetic Stimulation (TMS) is an FDA approved, safe, non-invasive, outpatient magnetic therapy used to treat Major Depressive Disorder and other mental health conditions.

How Does TMS Work?

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TMS uses MRI-strength magnetic waves to stimulate the brain in areas responsible for emotion and mood regulation, which is often under-active in patients with depression and other mood disorders. For depression this area is the dorso-lateral prefrontal cortex.(DLPFC). DLPFC connects all the different brain areas that are involved in depression.  

Is TMS Right for You?

TMS is a safe neuromodulatory therapy that has been cleared by FDA since 2008 for patients with depression who have failed to achieve satisfactory improvement from two prior antidepressant medications at or above the minimal effective dose and duration in the current episode.

TMS may be considered for adults 18 years and older:
  • Who have tried > 2 anti-depressant medications and still depressed.
  • Have intolerable side effects to the medications.
  • Have psychiatric comorbidities such as ptsd, anxiety, ocd.
  • Have medical comorbidities such as chronic pain and fibromyalgia.

TMS Contraindications

The only firm contraindication to TMS is the presence of a magnetic-sensitive device in the head or neck area such as:

  • Cochlear implants
  • Brain aneurysm clips or coils
  • Implanted electrodes
  • Stimulators
  • Implanted cardiac defibrillators.
Dental work including fillings/implants and piercings are not a contraindication for TMS.

TMS Insurance Coverage

TMS was first approved by FDA in 2008, however insurance plans did not provide coverage for TMS for many years. As of now, all major insurance companies have a positive TMS coverage policy. Below are the insurances we currently accept.

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Learn More About TMS

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All Major Insurances, Including Medicare are accepted

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Board-Certified Psychiatrists With More Than 10 Years Experience

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Free Phone, Telehealth and In-Person Consultations

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Standard TMS Protocol as well as Theta Burst Stimulation Available

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Personalized TMS Protocols For Every Patient

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Continuous Quality Improvement

A STEP-BY-STEP PROCESS

1
Book your Free Phone Consultation

Feel free to ask any questions about TMS.  If you are eligible to TMS, we will schedule you for a Full,  in-person TMS evaluation.

2
Visit us for a full TMS evaluation and TMS machine demonstration

This evaluation will provide necessary clinical information for us in order to submit prior authorization for TMS coverage to your insurer. You will have an opportunity to see the TMS machine and ask more in-depth questions about the treatment process.

3
Come in for your First TMS session

Your first TMS session will start with “mapping” to establish your unique treatment parameters. TMS cap will be used to aid and repeat landmark locations for subsequent TMS sessions. During the treatment, you will relax in a chair and can listen music, watch tv, read or chat with us. At the end of your sessions, you can drive and return to your normal activity. 

FREQUENTLY ASKED QUESTIONS

Why TMS?

Depression is a treatable condition, but for some people, standard treatments such as antidepressants and behavioral therapy aren’t effective. Also, the high prevalence of medication resistance (about 33%) has been a driving force in the development and application of TMS in many psychiatric clinics today.  

Who is TMS for?

In order to qualify for TMS, you need to be at least 18 years and older, have inadequate response, reduction of response over time, or no longer tolerate an effective dose of medications. If that is the case, talk to your provider to add TMS into your customized treatment plan. 

How does TMS work?

    TMS uses magnetic currents to gently stimulate areas of the brain involved in control of mood regulation. The most common stimulus target for treating depression is left DLPFC (dorso-lateral prefrontal cortex). By stimulating this area of the brain, depressive symptoms improve.

What happens in the initial appointment?

You will be seated in a comfortable recliner next to the machine. No anaesthesia or medication required for this procedure. Each patient gets their own personal white cap allowing consistent coil placement. optional earplugs are provided, if the noise generated by machine is bothersome. to personalize the TMS settings, Mapping will be performed to establish your unique treatment intensity and location. You will then proceed to TMS treatment, which varies from 3 min to 20 min, dependent on your individual treatment protocol. During the treatment you will relax and remain awake. You can watch TV, listen music, read or talk. At the end of your sessions, you can drive and return to your day as normal. 

How long does the Full TMS course last?

TMS treatment requires 5 treatment sessions per week. The whole course of treatment can take from 4 to 6 weeks, dependent on your individual treatment plan. It is important to understand that there is a high inter-individual variability in baseline neurophysiology hence some TMS plans may require a different protocol or timing (either shorter or longer), in order to be effective. 

Are there Any Contraindications to TMS?

The only absolute contraindication to TMS is the presence of an implanted (non-removable) magnetic-sensitive device within head or neck area, such as cochlear implant, brain aneurysm stent, deep brain stimulator, cardiac pacemakers, etc. The magnetic coils could cause sensitive metals to heat or shift, putting you at risk for injury. Having a current medical condition that can increase your probability of seizures is a relative contraindication that needs to be discussed with your neurologist before you could start TMS.

Does TMS have any side effects?

The most common side effect to TMS include application site discomfort which is mostly tolerable and subside in intensity during the treatment course. Treatment parameters and the position of coil can always be adjusted to enhance patient comfort. The seizure risk, according to the most recent data, is less than 0.1% over an entire treatment course. Each patient is carefully assessed prior TMS, eliminating the risk factors that can increase seizure potential.

TMS Antidepressants
No Dry Mouth, Indigestion, Upset Stomach
No Long-term Weight Gain, Changes in Appetite
No Lower Sex Drive
No Increased Suicidal Ideation
No Insomnia

Is TMS the same as shock therapy?

TMS is absolutely different from shock or ECT therapy. ECT is more invasive procedure, administered in a hospital under anesthesia. While ECT may have a significant recovery time and affects cognition and memory, TMS is an office based procedure that requires no hospital stay or recovery time, and patients report few to no side effects.

Will my insurance cover TMS?

TMS therapy is covered by all major insurances besides Medicaid (if primary/sole coverage). Prior starting the treatment, we determine any remaining deductible, copays, or coinsurance that you may owe. If you are pursuing off-label treatments (TMS for anxiety, PTSD, etc. ) that are not covered by insurance, we offer a sliding scale based upon your household income. PTSD, anxiety, and other psychiatric conditions often co-exist with Depression. When using insurance for depression treatment, we waive any fees associated with an off-label treatment targeting other symptoms. 

Is TMS used to treat anything other than depression?

Anxiety, PTSD, and OCD are often treated with TMS. There is evidence that TMS may be helpful to treat schizophrenia, fibromyalgia, along with Migraine Headaches, Bipolar Disorder, Parkinson disease, Multiple Sclerosis etc. 

Will TMS affect my current medications?

While TMS is highly effective as monotherapy for depression, in clinical practice, some patients will continue taking their antidepressant medications while receiving TMS. Medications are also utilised as a maintenance strategy after completion of TMS course. According to the consensus of Clinical TMS Society, “TMS can be administered with or without the concomitant medications” and "there is no evidence of an increased risk of adverse events by combining medications with TMS” (Perera et al. 2016, p. 344). 

How Successful is TMS therapy?

Success rates and individual results will vary, as might be expected based on the unique neuronal properties and inter-individual variability in baseline neurophysiology. Yet TMS is successful in more than 70% of people, meaning that most patients who undergo TMS treatment experience relief in their symptoms. About 50 to 60% of patients go into full remission, meaning they become asymptomatic after one full course of TMS. Maintenance TMS therapy sessions may be performed in the future, if necessary. 


2X

If no response to 2 antidepressants, patients who try TMS are 2x more likely to achieve remission.

70%

Current response rates to TMS is about 70%.

50-60%

Full remission rates are between 50-60%

Contact Us

2110 Gallows Road, Suite D
Vienna, VA 22182

Contact us to discover if TMS is right for you and we will answer all your queries about the treatment process.

Take the first step towards your mental well-being today.

Book Online
703-592-4600
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Free Consultation

How Can We Help?

Like to talk instead? Give us a call at 703-592-4600 or 703-270-3535
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Book a Free Phone
       or In Person Consultation

Choose a date for a free initial phone or in person consultation. Discover if TMS is right for you and ask all your questions about treatment, eligibility and costs.
Book Appointment
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✆ Vienna Phone (appointments): 703-592-4600
Vienna Address: 2110 Gallows Road, Suite D, Vienna, VA 22182

Sterling Address: 46090 Lake Center Plaza, Suite 103-104, Sterling, VA 20165

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