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Services We Offer
Adult Depression:
You're Not Alone
Major Depressive Disorder (MDD) – Adults
MS is most commonly used for major depression that hasn’t improved with medication or therapy. Many patients begin to notice changes in mood, energy, and motivation after a few weeks of treatment.
More than 280 million people around the world struggle to control this depression.
Over 2/3
of major depression patients aren't happy with their current treatment and want a new option*
Over 10 Years
is the average amount of time depression sufferers have been treating their depression without awareness of other treatment options.
If antidepressants haven't worked for you, that doesn't mean you're out of options. TMS therapy can help.
Adolescent Depression:
Tap Into New Possibilities
Each year, 1 in 5 US adolescents experience at least one major depressive episode.
Depression among adolescents can disrupt crucial aspects of development, such as academic performance, relationships with peers and family members, and overall emotional well-being.
TMS is FDA-cleared for adolescents ages 15–21 with major depressive disorder. This gives teens and families another safe option when medications aren’t enough.
Accelerated TMS for Depression
At New Chapter TMS, we also offer Accelerated TMS for depression. This is an evidence-based, cutting-edge approach that delivers the same number of TMS sessions in just 1–5 days instead of 6–8 weeks.
What is Accelerated TMS?
Accelerated Transcranial Magnetic Stimulation (TMS) is a non-invasive, advanced treatment for depression and other neuropsychiatric conditions. Unlike standard TMS, which is typically delivered once daily over several weeks, accelerated TMS protocols condense multiple sessions into a shorter period—often several sessions per day over just a few days.
Our Approach
Our clinic is committed to providing the most up-to-date, evidence-based care. We offer accelerated TMS protocols informed by the latest research and tailored to each patient’s clinical profile. Our team closely monitors each course of treatment to ensure safety, tolerability, and optimal outcomes.
Evidence-Based Innovation in Depression Care
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Backed by ongoing international research with promising results
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Provides faster relief of depressive symptoms compared to standard once-daily TMS
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Not currently covered by insurance in Spokane or surrounding areas
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A forward-thinking option for patients ready to invest in the latest advancements in mental health care
Research Highlights
Recent research has brought accelerated TMS to the forefront of psychiatric care. The Stanford Accelerated Intelligent Neuromodulation Therapy (SAINT) protocol demonstrated rapid and robust antidepressant effects in individuals with treatment-resistant depression, using 10 sessions per day over five days, with high remission rates and rapid symptom improvement [1].
A 2024 review by Trapp and colleagues provides a comprehensive overview of accelerated TMS, highlighting its promise for reducing treatment time and achieving rapid symptom reduction. The review also notes the variability in protocols and the need for further research to optimize parameters and assess long-term outcomes [2].
Additional recent studies, such as the multicenter trial by Williams et al. (2023), have further supported the safety and efficacy of accelerated TMS, while emphasizing the importance of individualized treatment planning and ongoing clinical monitoring [3].
Key features of our accelerated TMS program:
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Comprehensive evaluation to determine candidacy
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Individualized treatment planning based on current evidence
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Close monitoring for safety and effectiveness
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Collaboration with referring providers
Learn More or Refer a Patient
If you are interested in learning more about accelerated TMS, please contact our clinic. We are happy to discuss the latest research, our protocols, and how we can support your mental health needs.
References
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Cole EJ, et al. Stanford Accelerated Intelligent Neuromodulation Therapy for Treatment-Resistant Depression. Am J Psychiatry. 2022;179(2):132-141.
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Trapp NT, et al. Accelerated Transcranial Magnetic Stimulation for Depression: Current Status and Future Directions. Biol Psychiatry. 2024;95(3):e17-e28.
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Williams NR, et al. Multisite Randomized Controlled Trial of Accelerated TMS for Depression. JAMA Psychiatry. 2023;80(5):437-445.
Active Duty Military & EMS
We provide TMS treatment for military service members and EMS personnel, including those currently on active duty.
TMS therapy offers a safe, effective alternative:
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Drug-free, non-invasive, and well-tolerated
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Proven results for treatment-resistant PTSD and depression
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No memory loss or systemic side effects
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Now covered by TRICARE
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Fast appointments
TMS can help restore emotional balance, improve mood, and provide renewed hope for long-lasting recovery.
OCD:
Find A Different Solution
Obsessive-Compulsive Disorder (OCD) is a mental health disorder characterized by uncontrollable thoughts and fears (obsessions), which may lead to repetitive behavior (compulsions).
According to the National Institute of Mental Health an estimated 4 million adults in the U.S. had OCD in the past year, and approximately one-half (50.6%) had serious impairment.
TMS can reduce obsessive thoughts and compulsive behaviors by targeting brain circuits involved in OCD. It is FDA-cleared for adults and supported by growing research.
NeuroStar treatment starts with a personalized brain mapping to make sure you get 100% of the therapy at the right location.
Effective depression treatment without medication exposure to your baby.
TMS treats maternal depression directly in the brain—without circulating medication through the placenta or breast milk.
TMS provides meaningful improvement in depressive symptoms while avoiding systemic medication effects during pregnancy and lactation.
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Effective
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Medication-Free
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Well-Tolerated
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Postpartum Safe
Depression with Suicidal Thoughts
Some patients find that TMS helps reduce suicidal thinking, even before overall depression improves. TMS is not a crisis treatment, but it can be part of a longer-term recovery plan.
Other Conditions TMS May Help
Beyond depression and OCD, TMS has been studied in a range of psychiatric conditions:
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Anxious Depression – FDA-cleared for patients whose depression is combined with significant anxiety symptoms.
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PTSD – Research suggests TMS may help reduce intrusive thoughts and hyperarousal.
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Primary Insomnia – Early studies show TMS may improve sleep regulation.
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ADHD – Research is ongoing into TMS as a potential treatment for attention regulation and focus.
What We Know About TMS and Suicidality
Transcranial Magnetic Stimulation (TMS) is a non-invasive, FDA-cleared treatment for depression. It is often used when medications haven’t helped. Research shows it can also reduce suicidal thoughts.
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A 2022 U.S. military trial found accelerated TMS cut suicidal ideation quickly. Risk dropped by about sevenfold and improvements lasted six months (Journal of ECT).
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A 2020 study of 711 patients showed nearly 47% improved, and only 11.7% worsened. Importantly, TMS did not increase suicide risk (Frontiers in Psychiatry).
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A 2022 meta-analysis found TMS lowered suicidal ideation in open-label studies, though results were smaller in controlled trials. More research is needed (Journal of Clinical Psychiatry).
These findings are hopeful—not because TMS is a cure-all, but because it adds another evidence-based option at a time when every life-saving tool matters.
Before TMS, I felt severely depressed and hopeless.
After treatment, my symptoms improved and I was able to accomplish daily tasks again.
The change made a difference.
Before TMS, life felt slow and hopeless.
After treatment, I feel happier, more outgoing, and able to get out of bed and live my day.
I could truly feel the improvement.
Before TMS, life felt dark and heavy. I was just going through the motions.
After treatment, my thoughts became lighter and I found motivation again.
The change was worth it.
