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At New Chapter TMS, care is led by a psychiatric nurse practitioner with advanced training in neuromodulation and active involvement in emerging research. Every patient is thoughtfully evaluated, carefully monitored, and treated with clinical judgment — not just a preset protocol.
Transcranial Magnetic Stimulation is a medical treatment — not a trend.
We are an independent Spokane-based private practice — not a franchise or corporate clinic. Our work is grounded in professionalism, discretion, and individualized attention. Many of our patients describe the clinic as a place of safety and steadiness — a place they can return to when life feels overwhelming.
Independent. Local. Patient-Focused.
We track symptom scores before, during, and after treatment. If something needs adjusting, we adjust it. We treat adolescents and adults — including those with complex or medication-resistant depression — and tailor care based on real response, not assumptions.
We Measure, Adapt, and Personalize.
Locally Owned, Patient-Focused
We’re not a corporate chain. As a locally owned clinic, we genuinely care about our community. Our founders are passionate about helping patients find hope and healing. You’ll never feel like a number here — we tailor each treatment plan to your unique story in a supportive, welcoming environment. We’re also active in the Spokane community, sponsoring and participating in local mental health and wellness events as part of our commitment to building hope beyond our clinic walls.
Our "Why"
Dr. Kiira Tietjen has worked extensively with children, teens, and adults who are struggling with acute and chronic mental illness. She and her husband, Will Normington, have seen how psychiatry treatment can be difficult to access and leave individuals short of their treatment goals. Ultimately this led the ownership duo to leave large healthcare systems and create New Chapter TMS in order to provide more personalized support to individuals struggling with mental illness.
Best-in-class Technology
We’ve invested in the NeuroStar® TMS system, the most widely used and trusted TMS device on the market. NeuroStar is FDA-cleared for both adults and teens, with strong outcomes and a proven safety record. By choosing New Chapter TMS, you’re choosing the most advanced, evidence-based technology available.
Accelerated Treatment Options & Expertise
Not all clinics are equipped to offer accelerated TMS. At New Chapter, we provide this cutting-edge option based on the latest research, so you don’t have to leave Spokane for world-class care. Our team is highly trained in TMS and committed to using every tool available to help patients feel better — faster.
The Cost of Waiting
Depression doesn’t just take an emotional toll; it’s costly in lost productivity, missed time with loved ones, and added healthcare expenses. Studies show untreated depression can more than double healthcare costs each year. Investing in TMS means investing in your health, your future, and your quality of life.
OUR GOALS
FOR CLIENTS
Provide individualized support via a non-medication treatment option for mental illness.
For Clinicians in the Community
Offer treatment to mutual clients with easy two-way coordination of care.
We are Unique
New Chapter TMS is a TMS-only clinic looking to provide clients with treatment that will augment their existing mental health care. We service the greater Spokane area including the Spokane Valley, Liberty Lake, Post Falls and Coeur d'Alene. All of our staff members have extensive training in various areas of behavioral healthcare and bring that experience to supporting clients through their course of TMS.
Why Choose New Chapter TMS
Dr Kiira Tietjen has worked extensively with children, teens, and adults who are struggling with acute and chronic mental illness. She and her husband, Will Normington, have seen how psychiatry treatment can be difficult to access and leave individuals short of their treatment goals. Ultimately this led the ownership duo to leave large healthcare systems in order to provide more personalized support to individuals struggling with mental illness.
“Before TMS, I felt severely depressed and hopeless.
After treatment, my symptoms improved and I could complete daily tasks again.
Even incremental progress made a difference.”
Before TMS, I struggled with depression and suicidal thoughts.
After treatment, my mood improved and those thoughts decreased. I developed a more positive outlook on life.
It was worth it.
After years of medication changes and struggling with suicidal thoughts, I was skeptical anything new would help.
Within just a few treatments, my sleep improved dramatically and over time the darkness lifted.
TMS created lasting change in my life.
