TMS Therapy Los Angeles
Treat depression and anxiety without medication. Stop searching for different solutions for relief from depression, anxiety, and OCD with an alternative treatment for depression: personalized TMS therapy at Bespoke Treatment.
Get StartedTMS Therapy for Depression and Anxiety
Transcranial Magnetic Stimulation (TMS Therapy) is an FDA-approved alternative depression treatment that works. TMS works by using magnetic pulses to stimulate regions of the brain involved in mood that are underactive in people with conditions such as depression, anxiety, and OCD. Unlike traditional antidepressant medication, TMS is a safe and effective treatment with minimal risk for long-term systemic side effects.
How TMS Works
The TMS device emits a magnetic field when placed upon a patient’s scalp. This magnetic stimulation activates brain cells underneath the scalp, which then trigger a complex process called neuroplasticity–the process of the brain forming new, healthier connections. As people continue to do more sessions of TMS, their brain returns to that of a “normal,” or otherwise non- depression brain. During the course of treatment, your particular levels of depression and anxiety will be closely monitored in order to continue to individualize the treatment for you.
A course of TMS therapy always starts with an initial psychiatric evaluation from one of our psychiatrists in Los Angeles. If the psychiatrist or psychiatric nurse practitioner determines that TMS is right for you, we will go through the pros and cons of TMS therapy with you carefully. After that, we typically request prior authorization from your insurance company. Once approved, you will come to the office 5 days per week for 6 weeks. After you complete 30 sessions, you’ll complete an additional 6 more sessions at a slower rate as you taper off of TMS. Many patients find that 36 sessions is sufficient to find relief from TMS, but we have noticed that an additional 14-19 sessions of TMS can lead to better results. Luckily, we are experts in obtaining insurance coverage for these additional sessions, if necessary. For those who don’t wish to use their insurance, we offer Accelerated TMS. Accelerated TMS is a novel way to condense an entire TMS course into just 5 days.
TMS Success Rate
Depending on the condition treated, TMS can generally improve the symptoms of depression between 60-80% of the time. At Bespoke Treatment, our independent research has found that we are able to at least markedly reduce particular symptoms 92.5% of the time. Our patients report that as they continue coming to treatment, the symptoms of depression start to just disappear. For many, they’ll start to notice that stressful life events simply won’t feel as stressful anymore. Others may notice sleep irregularities–such as insomnia, or the inability to fall asleep–become completely normalized and they are able to get a full nights’ rest again for the first time in years. And yet others are able to feel joy for the first time in years after a course of TMS therapy.
TMS Therapy Reviews in Los Angeles
“TMS has been incredibly helpful for me! TMS has helped me with depression, anxiety and my overall energy levels. It has given me the ability to focus better and accomplish more… I highly recommend it to anyone struggling with Depression!” – M. M
“I was introduced to TMS through Bespoke and it has been a positive experience from the outset. After not responding to antidepressants for nearly a decade, I saw results from TMS after 2 weeks. The staff here are exceptional and I felt comfortable and informed throughout the progression of treatment. I highly recommend both TMS and this office for anyone struggling to address their depression.” – A. K.
“TMS works! I don’t feel the weight of depression anymore. Thank you for this service. It’s helped me a lot!” – R. A.
The Bespoke Difference: Personalized TMS
At Bespoke Treatment, we only offer personalized TMS treatments. Our published research has shown that personalized TMS has significantly higher success rates than standard protocols. Don’t believe TMS clinics that adhere to the idea that there is a “one sized fits all” approach to Transcranial Magnetic Stimulation–personalization is part of the reason why LA Weekly called Bespoke Treatment the future of mental healthcare. As such, our Los Angeles office offers the following types of TMS therapy:
Theta Burst Stimulation
We highly recommend Theta Burst TMS. Older TMS techniques require 18-45 minutes of treatment. However, Theta Burst TMS is so advanced that only 3 minutes per session will be required. Theta Burst Stimulation works fast because it exactly mimics the natural rhythm of your brain. Since treatment time is so limited, you can come in on your lunch break for treatment before or after work or school.
fMRI Guided TMS
Wondering, “Does TMS actually work?” or you feel unsure about this treatment because you’ve read negative reviews, fMRI could be for you. The latest science suggests that when people do not respond to TMS, it is because an incorrect part of the brain was targeted. The left dorsolateral prefrontal cortex is always stimulated during TMS treatment. However, this part of the brain is quite large, and it is complicated to target precisely. Everyone’s brain anatomy is a little different. Moving just a few inches away can cause your TMS treatment to not work
correctly. By using fMRI to determine selective neuronal migration, our providers can confidently determine that we are stimulating the right area of the brain with neurosurgical precision.
Accelerated TMS
Studies over the last five years have shown that accelerated TMS protocols – primarily defined as 10 TMS sessions per day over just five days – can increase the chances of recovery up to 79%, as shown in the famous Stanford SAINT TMS study.
Alternative treatments for depression and more
How TMS became one of the best treatments for depression
Transcranial Magnetic Stimulation was first studied in humans in 1985, and was first FDA- approved for treatment-resistant depression in 2008. In the beginning, TMS was used only for the most severe depression presentations. Patients considering electroconvulsive therapy
(ECT) were offered TMS as an alternative option for depression. As time went on, psychiatrists and researchers realized that there was no need to wait so long to start TMS, given that the side-effect profile is much safer than the typical first-line depression treatment: oral antidepressants. Japan started offering TMS as an option before medication. It became approved by Europe’s regulatory (“CE Mark”) as a treatment not just for depression, but also for PTSD, bipolar disorder, obsessive-compulsive disorder, chronic pain, Alzheimer’s Disease, multiple sclerosis, and Parkinson’s Disease.
TMS for Anxiety
TMS can lessen anxiety in addition to treating psychiatric problems including depression and OCD, because anxiety symptoms are frequently involved in these conditions. TMS has also been shown to be beneficial for generalized anxiety disorders.
TMS for Post-Traumatic Stress Disorder (PTSD)
Multiple studies have found that TMS is beneficial for post-traumatic stress disorder (PTSD). TMS typically treats the prefrontal cortex, which TMS therapy can improve symptoms of obsessive-compulsive disorder (OCD). The FDA approved TMS for the treatment of OCD in 2018. Like TMS for depression, TMS is recommended for individuals with OCD who have not responded to medication and psychotherapy.
Benefits of TMS Therapy in Los Angeles
Are you still weighing the pros and cons of TMS therapy? Here are some reasons why TMS
might be helpful for you:
One of the few drug-free depression treatments
Non-invasive and painless
Little to no side effects
Covered by most major insurances
Lasting results
No downtime whatsoever
Is TMS right for me?
Do you identify with any of the following statements?
- I experience little interest or pleasure in doing things.
- I find myself not getting enough sleep or sleeping too much.
- I feel tired all the time.
- I have trouble focusing on normal activities.
- I experience unwanted side-effects from medications.
- Medication doesn’t work quite right for me.
- I have been diagnosed with depression.
If you answered “yes” to any of these, you may
be a candidate for TMS.
Meet Your Los Angeles Psychiatry Care Team
Nima Fahimian, MD
Chief Medical Officer
Jacob Moussai, MD
Psychiatrist
Melanie Jimenez
Psychiatric Mental Health Nurse Practitioner
Nick Baez
TMS Technician
Bespoke Treatment TMS Therapy in Los Angeles, CA
Bespoke Treatment has an office location in Downtown Los Angeles. We offer a variety of alternative mental health treatments for depression, anxiety, PTSD, and OCD. Our most common treatments include TMS therapy, ketamine treatment, neurofeedback, and EMDR
therapy. We also provide an intensive outpatient program, a unique treatment that tailors therapy methods to each patient’s personal needs. This program is designed to induce neuroplasticity and promote natural recovery. Make an appointment today!
Our Service Areas in Los Angeles
The downtown area where our office is located is bordered by several well-known neighborhoods including Hollywood, Silver Lake, Echo Park, Los Feliz, Burbank, and Highland Park. Our second location is further west in the city of Santa Monica.
City of Los Angeles Resource Center
Mental Heath America of Los Angeles
L.A. County Department of Mental Health
The city of Los Angeles, California has a population of a whopping 4 million residents, second only to New York. It is located in Southern California, bordered by the Pacific Ocean and surrounded by mountains. Los Angeles County is the home to the city of LA, but the Greater
Los Angeles area refers to the sprawling region that includes Pasadena, Riverside, Burbank, and Studio City.
This sprawling city is best known for its diversity, prosperity, and the Hollywood entertainment industry. L.A. is a popular tourist destination, with highlights such as the classic Hollywood Sign, Rodeo Drive, Disneyland, and the beaches.
Also known as the “Creative Capital of the World”, L.A. is a cultural hub when it comes to the arts and entertainment. One-sixth of its residents work in the creative industry as either artists, filmmakers, dancers, actors, musicians, or writers. There are more creative workers living in Los Angeles than there have ever been in any other city.
The city got its creative start early on; it is home to the oldest film school in the United States, the USC School of Cinematic Arts. Now it is known as the center of the motion picture and television industries and hosts the Grammy Awards, Academy Awards, and Primetime Emmy
Awards each year.
With a culture that fosters and promotes creativity, Los Angeles values the human mind. This also means they value mental well-being; The L.A. County Department of Mental Health is the largest in the nation. They offer a wide variety of direct services to residents and have
contracted with almost 1,000 mental health providers, including Mental Health America of Los Angeles.
