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TMS is FDA-cleared for depression, OCD, and smoking cessation — but not generalized anxiety disorder. Off-label use is growing as evidence accumulates. A board-certified psychiatric specialist walks through what the research actually says about TMS
Read MoreForty-six percent of TMS responders are still in response at 12 months without further treatment. For the other 54%, some form of maintenance — monthly sessions, scheduled taper, or pre-arranged retreatment — extends the gains.
Read MoreActive TMS treatment runs from 3 to 40 minutes depending on protocol — but the real-world visit time is longer, and the first appointment is different. A board-certified psychiatric specialist walks through what each TMS
Read MoreTMS can hurt, but it does not have to. A board-certified psychiatric specialist explains what TMS actually feels like, why the first few sessions are the hardest, what your provider can adjust in real time,
Read MoreAfter two failed antidepressants, the real question is rarely TMS or medication — it is which pathway has not been tried yet, which side effects you can tolerate, and which treatment you can actually finish.
Read MoreIf you have completed both SPRAVATO and TMS without the response you needed, you are not at the end of psychiatry. A patient guide to the evidence-based options that come next.
Read MoreYou've tried two antidepressants. Now your psychiatrist is talking about Spravato — or TMS. A specialist breaks down both, with the numbers and the realities.
Read MoreBoth Spravato (esketamine) and IV ketamine work fast for treatment-resistant depression. Here's how they differ in FDA approval, safety oversight, insurance coverage, and clinical evidence — and why our practice offers Spravato. By Nefretiri Abat,
Read MoreFor most patients with TRD, SPRAVATO and TMS can be combined or sequenced. Here's what the evidence says — and how we sequence at Exxceed Wellness.
Read MoreWhy Spravato (esketamine) acts in 24 hours when SSRIs take six to eight weeks — and why the dissociation patients fear is not the antidepressant. A patient-first walkthrough of the NMDA → AMPA → BDNF
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