Choosing Between TMS Therapy and Ketamine? Here’s What You Should Know

Medical Reviewer: Nima A. Fahimian, MD

Author:

Ben Spielberg, M.S., Ph.D. Candidate

Published:

Treating depression can be as challenging as living with it. For some individuals, an antidepressant medication helps them manage their symptoms without significant side effects. However, for others, these medications are not enough to treat mental health conditions that are often resistant to conventional treatments.

Different people respond differently to various types of depression or anxiety treatments. What works for one person may not work for another, making it a process of trial and error to find an effective treatment. The good news is that with the various treatment options available, it is possible to find one that works for you.

TMS therapy and ketamine infusions are two of the most promising alternative treatments for persistent mood disorders. Bespoke Treatment is proud to be the first clinic in Southern California to specialize in these life-changing treatments.

If you are struggling with severe depression or anxiety and have not found relief, TMS or ketamine infusion therapy may be the solution you are looking for. But how do you know which one is right for you? Well, here’s what you should know about both of these options:

TMS Therapy

TMS stands for transcranial magnetic stimulation, a non-invasive treatment that uses strong and precise magnetic pulses to stimulate the brain’s limbic system, which controls emotional and behavioral patterns and is known to be involved in depression. 40% to 50% of patients who have had unsuccessful outcomes with depression medications have shown a clinically meaningful response to TMS treatments. Bespoke Treatment is proud to offer TMS therapy in Los Angeles, and we recently started offering TMS therapy in Las Vegas.

Ketamine Infusion Therapy

Ketamine is a powerful medication originally used as a pediatric anesthetic. Evidence shows that smaller doses of ketamine can relieve depression symptoms when other treatments have failed. Unlike other medications, such as SSRIs, which take time to build up and change brain chemistry, ketamine starts altering neurotransmitter activity in the brain almost immediately. Bespoke Treatment is pleased to provide ketamine infusions in Los Angeles.

Side Effects of TMS and Ketamine

When considering any treatment option, it is important to be aware of the possible side effects. The side effects of TMS therapy are minimal, with the most common being a tingling or tapping sensation in the scalp or face, lightheadedness, and headaches. The side effects of ketamine are similarly minor, with the most common being slight muscle tremors, elevated heartbeat, nausea, and a feeling of dissociation. These side effects typically last no more than four hours after treatment.

Frequency of Treatments

Patients should also consider how often they will need treatments. TMS therapy requires special equipment and an experienced specialist, so in-office sessions are needed. The treatment course lasts six weeks and requires patients to come into the clinic five days per week. Ketamine infusion therapy initially requires six infusions spaced out over two to three weeks, typically every other day or every two days. After the initial six infusions, ketamine boosters can be provided on an as-needed basis.

Health Insurance Coverage

Patients should also consider what their health insurance will and will not cover. Most major private insurance companies cover TMS, but every insurance company has different criteria, and policies can change throughout the year. In some cases, insurance may cover a portion of the ketamine infusion treatment, but not the entire infusion. Patients can fill out a Bespoke Treatment pre-assessment form to determine their insurance coverage for TMS or ketamine infusions.

At Bespoke Treatment, our specialists perform a comprehensive evaluation to understand your mental health condition and develop a personalized treatment plan to relieve your symptoms and help you manage daily stresses. Our patient care coordinators are available to answer any questions and help you determine the best treatment option for you. Contact us today to find out if ketamine or TMS is right for you.

Reviews

As someone who has struggled with depression for years, I was skeptical about trying alternative treatment options. However, the team at Bespoke Treatment made me feel comfortable and supported throughout the entire process. Not only did their TMS therapy provide significant relief for my depression symptoms, but I also had a positive experience with their ketamine therapy. The staff was incredibly knowledgeable and took the time to answer all of my questions and address any concerns I had.

I can't recommend this place enough. I had an incredible experience with the treatment I received here. From the administrative staff to the medical team, I really appreciated the outstanding care and attention I received and always felt listened to. There was never any sense of rushing or a "one size fits all" approach, which is sadly very much the norm elsewhere. I highly recommend coming here for the excellent quality of services, professionalism, and warmth that are so important when you're needing mental health treatment.

TMS was amazing for me . I loved my treatments , the doctors, the staff as well as the office itself. Its an amazing place to go for your wellbeing . Everyone is super nice, kind and extremely professional. The place is very easy to get to with available parking. Basically no stress. I felt very comfortable with my technician and all his knowledge about TMS . I also loved Dr. Fahimian . He is extremely educated and knowable in his field. His patience in taking his time to answer all my questions and concerns were highly appreciated.

I was severely depressed when starting treatment. I could not handle meds and had big hopes that TMS would work. It absolutely did wonders for lifting my depression. I have my life back. I have motivation to do things and energy to achieve goals. I really wasn’t sure if the TMS method would work, but it did and I am forever grateful. It even helped with my ruminating thoughts. I’m able to be in the moment and get back into doing things I enjoy. I highly recommend TMS to anyone who needs it.

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