Advanced, non-invasive care

TMS Therapy

At Gatlin Psychiatric Services, TMS therapy is offered as a non-invasive treatment option for Major Depressive Disorder, Obsessive-Compulsive Disorder (OCD), and Anxious Depression. To learn more or schedule a consultation with Kristine Gatlin, APRN, call or text 402-224-6884.
Transcranial Magnetic Stimulation uses precisely directed magnetic pulses to engage brain networks involved in mood and behavior. Treatment is delivered in the office without anesthesia, and most people return to their regular day immediately afterward.
Covered by most major insurance plans, including Medicare and TRICARE. With over three million treatments administered, this advanced approach to depression care continues to offer renewed hope to patients seeking long-term relief.
Private treatment room
Understanding the treatment

What is TMS?

TMS is a non-invasive procedure that delivers brief magnetic pulses through a treatment coil placed near the scalp. The pulses are directed toward specific brain regions associated with mood regulation and related symptoms.
Unlike a medication, treatment does not circulate throughout the body. Sessions are completed while you are awake and alert, with no sedation and no recovery period.

How can TMS help?

Rapid symptom improvement

Many patients report feeling better after just a few sessions.

Long-term mood stabilization

Studies demonstrate sustained remission in a significant number of patients

Enhanced cognitive function

By targeting key brain regions, TMS can improve attention, memory, and executive function.

Boosted quality of life

Boosted quality of life. Relief from depression often restores motivation, relationships, and overall well-being.

Insurance Verification and Treatment Coordination

At Gatlin Psychiatric Services, Sarah Thomas, Office Administrator, helps guide patients through the administrative process before treatment begins. Sarah works closely with the TMS team to verify insurance benefits, assist with prior authorizations when required, and provide clear information about any anticipated out-of-pocket costs. Our goal is to ensure you understand your coverage and treatment expenses before starting care.

See how treatment works

A closer look at TMS

Your treatment experience

What to Expect from TMS Treatment 

TMS is not an immediate treatment, and meaningful improvement typically develops gradually over time. Most patients do not notice significant changes after just one or a few sessions. As treatment progresses, many individuals begin to experience a reduction in the intensity or urgency of obsessive thoughts and compulsive behaviors within several weeks. For some, improvement may be noticeable by weeks 3 or 4, while others may not experience substantial benefits until they have completed the full course of treatment.

1. Comprehensive Psychiatric Evaluation

Kristine Gatlin, APRN, will complete a thorough psychiatric evaluation to assess your symptoms, review your treatment history, confirm an appropriate diagnosis, and determine whether TMS is a suitable treatment option. This evaluation helps create a personalized treatment plan based on your individual needs.

2. Motor Threshold Mapping

Before treatment begins, your individualized stimulation level is determined by identifying the area of the brain associated with thumb movement. This process helps establish the optimal treatment settings and target locations specific to your treatment protocol. The initial mapping appointment typically lasts about 90 minutes.

3. TMS Treatment Sessions

During each session, you will relax comfortably while the TMS coil is positioned against your scalp. The magnetic pulses are delivered to targeted areas of the brain associated with mood regulation and symptom improvement. You may feel a tapping sensation on your scalp and hear clicking sounds during treatment, and ear protection is provided. You remain awake and alert throughout the session, and many patients choose to read, listen to music, or use their phones.

4. Return to Your Daily Activities

TMS therapy does not require anesthesia or sedation, so there is no recovery period. Most patients return immediately to work, school, family responsibilities, or other daily activities after each treatment session.

Maintenance and Follow-Up Care

After completing the initial treatment series, some patients may benefit from maintenance sessions to help sustain their progress. These follow-up treatments are individualized and may occur weekly, monthly, or on a gradually decreasing schedule based on clinical need and response to treatment. At Gatlin Psychiatric Services, maintenance planning is discussed as part of your overall treatment plan to help support long-term symptom management and continued wellness.

The TMS Dip

Some patients experience what is commonly referred to as the "TMS dip" during treatment, often around weeks 3 to 4. During this temporary phase, symptoms of depression or anxiety may briefly feel more noticeable before improvement occurs. While this can be discouraging, the TMS dip is generally short-term and does not mean the treatment is ineffective.

Not everyone experiences a TMS dip, but for those who do, symptoms typically improve as treatment continues. Understanding that this temporary setback can be part of the treatment process helps many patients stay on track with their therapy. At Gatlin Psychiatric Services, Kristine Gatlin, APRN, closely monitors progress throughout treatment and provides support to help patients navigate any changes in symptoms along the way

Conditions we address

Explore TMS by diagnosis

The role of TMS differs by diagnosis and by individual treatment history. These guides explain how it may fit into a broader care plan.

Depression

Learn how TMS may support adults with major depressive disorder when antidepressant treatment has not provided sufficient improvement.

Explore depression care

OCD

Understand the role of TMS as an adjunctive option for eligible adults living with persistent obsessive-compulsive symptoms.

Explore OCD care

Anxious depression

See how treatment may address depressive symptoms when significant anxiety is also part of the clinical picture.

Explore AD care
Is TMS worth exploring?

A consultation can clarify your options.

TMS may be considered when symptoms remain disruptive despite appropriate medication or therapy, when side effects make treatment difficult, or when a non-systemic outpatient option is preferred.

Eligibility depends on your diagnosis, medical history, prior treatment, and insurance requirements. A clinical evaluation is the right place to begin.

Start the conversation
Welcoming care environment
TMS questions

Frequently asked questions about TMS

Clear answers about treatment, appointments, side effects, and coverage.

What is transcranial magnetic stimulation (TMS)?

TMS is a noninvasive, prescription treatment that uses focused magnetic pulses to stimulate brain networks involved in mood regulation. It does not require anesthesia or sedation, and you remain awake throughout each outpatient session.

How does TMS work?

A treatment coil placed against the scalp delivers repeated magnetic pulses to a carefully mapped brain target. Those pulses influence nerve-cell activity and, over a course of treatment, may help strengthen healthier communication within the brain networks related to mood or obsessive-compulsive symptoms.

What happens during a TMS appointment?

You sit in a treatment chair while the coil rests against your scalp. You may hear clicking and feel tapping at the treatment site, but you stay awake and can leave as soon as the session ends. There is no anesthesia, recovery room, or driving restriction.

How long does a typical TMS treatment course take?

The schedule depends on your diagnosis and individualized protocol. Many courses involve weekday sessions over about six to seven weeks, with individual appointments commonly lasting about 19 to 37 minutes. Your clinician will confirm the exact plan before treatment begins.

What are the most common side effects of TMS?

The most commonly reported effects are temporary scalp discomfort or a mild headache, especially early in treatment. These symptoms often lessen as the course continues. TMS does not circulate through the bloodstream, so it does not cause the systemic side effects commonly associated with antidepressant medications.

Does insurance cover TMS therapy?

Many commercial insurance plans and Medicare cover TMS for eligible patients with treatment-resistant major depressive disorder, usually with prior authorization. Coverage for other diagnoses varies by plan. We accept most major insurance plans, including Blue Cross & Blue Shield, United Healthcare, Medicare Advantage, Medicare, Medicaid, VA Community Health, VA Optum Tricare, and Triwest. If you do not have insurance or if your plan is out-of-network, we offer self-pay options, including Care Credit.

Our care team can verify benefits and explain expected costs before treatment begins.

Personalized guidance

Ready to learn whether TMS fits your care plan?

Talk with Gatlin Psychiatric Services about your symptoms, previous treatment, and next steps.

Schedule a consultation

The NeuroStar Advanced Therapy System is indicated for the treatment of depressive episodes and for decreasing anxiety symptoms for those who may exhibit comorbid anxiety symptoms in adult patients suffering from Major Depressive Disorder (MDD) and who failed to achieve satisfactory improvement from previous antidepressant medication treatment in the current episode.

The NeuroStar Advanced Therapy system is intended to be used as an adjunct for the treatment of adult patients suffering from Obsessive-Compulsive Disorder (OCD).

NeuroStar Advanced Therapy is only available by prescription. A doctor can help decide if NeuroStar Advanced Therapy is right for you. Patients’ results may vary.

Visit neurostar.com for full safety and prescribing information.