We accept most major insurance companies including Medicare, Medicaid, & VA.

TMS vs Spravato

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TMS vs Spravato

A white background with a few lines on it
A man wearing a black shirt that says optimum tm

Our Guide to Helping You Choose Your Treatment

At Optimum TMS and Wellness Suites, we pride ourselves on providing mental health treatment backed by recent empirical evidence and successful clinical outcomes. TMS and Spravato treatment are our specialties. We understand that choosing a novel treatment – like TMS and Spravato – can be a challenging task.


We aim to aid your decision-making process through this informative article on the differences between TMS and Spravato. These differences may be determining factors in what treatment you pursue.

*Spravato (ie. Esketamine) *Transcranial Magnetic Stimulation (TMS)
Mechanism of Action The chemical, esketamine, is administered via a nasal spray to be absorbed through the nasal mucosa. It alters the glutamate neurotransmitter system and is believed to lead to increased neural plasticity to rebuild functioning brain connections. Electromagnetic pulses are sent to specific areas in the brain to disrupt activity and restore healthy neural activity. It is non-invasive.
Post-Treatment Procedure Esketamine’s effects can alter awareness and lead to disorientation or dissociation. Patients are monitored for 2 hours after sessions for adverse reactions before being approved to leave. They are unable to drive until the next day, after a restful night’s sleep. TMS results in no change in awareness or consciousness. After a 20-minute session of stimulation, patients are free to drive home and return to their daily activities.
Time Until Onset of Therapeutic Effects Spravato can have immediate effects. Alleviation of symptoms, particularly suicidal ideation, can occur within hours of a session. Extensive symptom relief typically occurs 4 weeks after completion of treatment. Although for some, symptom relief can begin 2 to 3 weeks after beginning treatment, it is common for patients to experience therapeutic effects 4 to 5 weeks into treatment.
Length Treatment Spravato is a long-term therapy. Its frequency can be up to twice weekly, however, this tapers off over time until a steady maintenance structure is established. This may consist of weekly or biweekly sessions. A full TMS treatment depends on personal needs. Typically, 29 sessions are involved for OCD treatment and 36 sessions for depression spread across 6 to 8 weeks. Maintenance sessions are possible based on individual needs.
Side Effects Side effects can include: dizziness, dissociation, fatigue, sedation, nausea, increase in blood pressure, or change in sense of taste. Generally, TMS poses a low risk for side effects. If side effects occur, they are usually mild or short-lived. These may include headaches, scalp discomfort, jaw discomfort, or fatigue. In very rare cases, there is a low risk of seizure.

*Spravato is FDA-approved for only depression, whereas TMS is FDA-approved for both depression and OCD. Please contact us for further information on how we can accommodate your needs and symptom profile.

Making Your Decision

TMS and Spravato are both promising treatment options that have demonstrated positive outcomes in empirical and clinical studies. If you are experiencing depressive symptoms that are exceptionally difficult to treat, this might be the answer. You may like to undergo TMS or Spravato on its own or together. Combined therapy can offer added benefits and bolster therapeutic effects. We are committed to customizing a treatment plan that is best suited to your individual needs, so we encourage you to speak with us to explore your options!

Two speech bubbles with quotes on them on a white background.

"I just finished a full course of TMS at Optimum and had a fantastic overall experience! The treatment itself worked even better than I expected - which was shocking for me, given that I have struggled with treatment resistant depression for most of my life and was in the worst depressive episode I’d had in years when I started TMS. My symptoms decreased enough to make a HUGE difference in my day to day life, and it gave me the energy and motivation to keep investing in my mental health post-TMS. The entire staff is thoughtful, funny, and super friendly, and they were always very quick to help me accommodate my changing schedule and work with my insurance..."

Poppi

A man wearing a black shirt with the word dental on it

Serving Ohio Since 2017

Why Choose Optimum TMS

Our team of board-certified psychiatrists, psychiatric nurse practitioners, TMS technicians, and compassionate administration members are dedicated to providing accessible, patient-centered care and want to ensure your comfort in proceeding with any treatment. 

A black arrow pointing down on a white background.
A caduceus symbol with wings and a snake on a blue background.

Insurance Accepted

Including Medicare

A stack of coins with a dollar sign on them in a blue circle.

Financing Available

With CareCredit

An icon of a woman without a face in a blue circle.

Personalized Treatment

Tailored to You

A silhouette of a person 's head with a brain inside of it.

Combined Treatments

Spravato and TMS

A head with a clock in the middle of it

Accelerated TMS

5 Day Relief Program

An icon of a doctor with a stethoscope around his neck.

Expert Care

Board-Certified Psychiatrist

A man in a black scrub top is smiling with his arms crossed.

Flexible Plans to Fit Your Budget

We’re committed to making TMS therapy as accessible as possible

Self-Pay Options: Pay upfront or divide costs into manageable installments, for instance, an out-of-pocket cost of $1,000 can be spread over 60 months for as little as $17/month.

Insurance Coverage: We work with leading providers like Aetna, Cigna, Medicare, and more, and can assist in navigating coverage criteria.

CareCredit: Finance your treatment with CareCredit, allowing for tailored payment plans.

A young man wearing a black scrub top is smiling for the camera.

Our Treatment Process

It looks like a cross with a blurred background.

You will be seated in a private room, where you are able to watch TV, read, or use your phone during treatment. A TMS device will be positioned on your head and you will feel a tapping sensation every few seconds throughout the session. A TMS technician will remain in the room to ensure your comfort and care. After the session, you will be able to resume daily activities without limitations.

Consultation

You will meet with Dr. Blair to confirm your candidacy for TMS. Dr. Blair will provide a detailed overview of TMS and answer any questions. 

Prior Authorization

We handle all the paperwork. The speed of an authorization depends on the insurance company. Typically, 1 day to 2 weeks is a normal speed. 

Initial Treatment

Once authorization is obtained, we will contact you to schedule your first appointment. Typically, we can begin TMS within 1 week.

Daily Treatment

Treatments are 5x a week, M-F. You will receive 36 total treatments. Hours of operation are 7 am - 6 pm

Meet with Dr. Blair

On your last treatment day, you will meet with Dr. Blair to discuss outcomes and next steps.

Maintenance Treatment

For those that achieve remission or a significant response to TMS, Maintenance TMS may be an option. Dr. Blair can discuss this with you. This is not covered by insurance.

Contact Us

Call 614-933-4200 or complete our simple online form.

A white background with a few lines on it

Contact Us

A black silhouette of a telephone on a white background.

Phone

614-933-4200

A black and white icon of a map pin on a white background.

Address

A man wearing a black shirt that says optimum tm

Our Guide to Helping You Choose Your Treatment

At Optimum TMS and Wellness Suites, we pride ourselves on providing mental health treatment backed by recent empirical evidence and successful clinical outcomes. TMS and Spravato treatment are our specialties. We understand that choosing a novel treatment – like TMS and Spravato – can be a challenging task.


We aim to aid your decision-making process through this informative article on the differences between TMS and Spravato. These differences may be determining factors in what treatment you pursue.

*Spravato (ie. Esketamine) *Transcranial Magnetic Stimulation (TMS)
Mechanism of Action The chemical, esketamine, is administered via a nasal spray to be absorbed through the nasal mucosa. It alters the glutamate neurotransmitter system and is believed to lead to increased neural plasticity to rebuild functioning brain connections. Electromagnetic pulses are sent to specific areas in the brain to disrupt activity and restore healthy neural activity. It is non-invasive.
Post-Treatment Procedure Esketamine’s effects can alter awareness and lead to disorientation or dissociation. Patients are monitored for 2 hours after sessions for adverse reactions before being approved to leave. They are unable to drive until the next day, after a restful night’s sleep. TMS results in no change in awareness or consciousness. After a 20-minute session of stimulation, patients are free to drive home and return to their daily activities.
Time Until Onset of Therapeutic Effects Spravato can have immediate effects. Alleviation of symptoms, particularly suicidal ideation, can occur within hours of a session. Extensive symptom relief typically occurs 4 weeks after completion of treatment. Although for some, symptom relief can begin 2 to 3 weeks after beginning treatment, it is common for patients to experience therapeutic effects 4 to 5 weeks into treatment.
Length Treatment Spravato is a long-term therapy. Its frequency can be up to twice weekly, however, this tapers off over time until a steady maintenance structure is established. This may consist of weekly or biweekly sessions. A full TMS treatment depends on personal needs. Typically, 29 sessions are involved for OCD treatment and 36 sessions for depression spread across 6 to 8 weeks. Maintenance sessions are possible based on individual needs.
Side Effects Side effects can include: dizziness, dissociation, fatigue, sedation, nausea, increase in blood pressure, or change in sense of taste. Generally, TMS poses a low risk for side effects. If side effects occur, they are usually mild or short-lived. These may include headaches, scalp discomfort, jaw discomfort, or fatigue. In very rare cases, there is a low risk of seizure.

*Spravato is FDA-approved for only depression, whereas TMS is FDA-approved for both depression and OCD. Please contact us for further information on how we can accommodate your needs and symptom profile.

Making Your Decision

TMS and Spravato are both promising treatment options that have demonstrated positive outcomes in empirical and clinical studies. If you are experiencing depressive symptoms that are exceptionally difficult to treat, this might be the answer. You may like to undergo TMS or Spravato on its own or together. Combined therapy can offer added benefits and bolster therapeutic effects. We are committed to customizing a treatment plan that is best suited to your individual needs, so we encourage you to speak with us to explore your options!

Two speech bubbles with quotes on them on a white background.

"I just finished a full course of TMS at Optimum and had a fantastic overall experience! The treatment itself worked even better than I expected - which was shocking for me, given that I have struggled with treatment resistant depression for most of my life and was in the worst depressive episode I’d had in years when I started TMS. My symptoms decreased enough to make a HUGE difference in my day to day life, and it gave me the energy and motivation to keep investing in my mental health post-TMS. The entire staff is thoughtful, funny, and super friendly, and they were always very quick to help me accommodate my changing schedule and work with my insurance..."

Poppi

Serving Ohio Since 2017

Why Choose Optimum TMS

Our team of board-certified psychiatrists, psychiatric nurse practitioners, TMS technicians, and compassionate administration members are dedicated to providing accessible, patient-centered care and want to ensure your comfort in proceeding with any treatment. 

A black arrow pointing down on a white background.
A man wearing a black shirt with the word dental on it
A caduceus symbol with wings and a snake on a blue background.

Insurance Accepted

Including Medicare

A stack of coins with a dollar sign on them in a blue circle.

Financing Available

With CareCredit

A head with a clock in the middle of it

Accelerated TMS

5 Day Relief Program

An icon of a woman without a face in a blue circle.

Personalized Treatment

Tailored to You

A silhouette of a person 's head with a brain inside of it.

Combined Treatments

Spravato and TMS

An icon of a doctor with a stethoscope around his neck.

Expert Care

Board-Certified Psychiatrist

A man in a black scrub top is smiling with his arms crossed.

Flexible Plans to Fit Your Budget

We’re committed to making TMS therapy as accessible as possible

A black and white drawing of a tree with leaves on a white background.

Self-Pay Options: Pay upfront or divide costs into manageable installments, for instance, an out-of-pocket cost of $1,000 can be spread over 60 months for as little as $17/month.

A black and white drawing of a tree with leaves on a white background.

Insurance Coverage: We work with leading providers like Aetna, Cigna, Medicare, and more, and can assist in navigating coverage criteria.

A black and white drawing of a tree with leaves on a white background.

CareCredit: Finance your treatment with CareCredit, allowing for tailored payment plans.

A young man wearing a black scrub top is smiling for the camera.

Our Treatment Process

It looks like a cross with a blurred background.

You will be seated in a private room, where you are able to watch TV, read, or use your phone during treatment. A TMS device will be positioned on your head and you will feel a tapping sensation every few seconds throughout the session. A TMS technician will remain in the room to ensure your comfort and care. After the session, you will be able to resume daily activities without limitations.

Consultation

You will meet with Dr. Blair to confirm your candidacy for TMS. Dr. Blair will provide a detailed overview of TMS and answer any questions. 

Prior Authorization

We handle all the paperwork. The speed of an authorization depends on the insurance company. Typically, 1 day to 2 weeks is a normal speed. 

Initial Treatment

Once authorization is obtained, we will contact you to schedule your first appointment. Typically, we can begin TMS within 1 week.

Daily Treatment

Treatments are 5x a week, M-F. You will receive 36 total treatments. Hours of operation are 7 am - 6 pm

Meet with Dr. Blair

On your last treatment day, you will meet with Dr. Blair to discuss outcomes and next steps.

Maintenance Treatment

For those that achieve remission or a significant response to TMS, Maintenance TMS may be an option. Dr. Blair can discuss this with you. This is not covered by insurance.

Contact Us

Call 614-933-4200 or complete our simple online form.

A white background with a few lines on it
A black silhouette of a telephone on a white background.

Phone

614-933-4200

A black and white icon of a map pin on a white background.

Address

Contact Us

Serving Ohio Since 2017

Why Choose Optimum TMS

Our team of board-certified psychiatrists, psychiatric nurse practitioners, TMS technicians, and compassionate administration members are dedicated to providing accessible, patient-centered care and want to ensure your comfort in proceeding with any treatment. 

A black arrow pointing down on a white background.
A man wearing a black shirt with the word dental on it
A caduceus symbol with wings and a snake on a blue background.

Insurance Accepted

Including Medicare

A stack of coins with a dollar sign on them in a blue circle.

Financing Available

With CareCredit

A head with a clock in the middle of it

Accelerated TMS

5 Day Relief Program

An icon of a woman without a face in a blue circle.

Personalized Treatment

Tailored to You

A silhouette of a person 's head with a brain inside of it.

Combined Treatments

Spravato and TMS

An icon of a doctor with a stethoscope around his neck.

Expert Care

Board-Certified Psychiatrist

A man in a black scrub top is smiling with his arms crossed.

Flexible Plans to Fit Your Budget

We’re committed to making TMS therapy as accessible as possible

A black and white drawing of a tree with leaves on a white background.

Self-Pay Options: Pay upfront or divide costs into manageable installments, for instance, an out-of-pocket cost of $1,000 can be spread over 60 months for as little as $17/month.

A black and white drawing of a tree with leaves on a white background.

Insurance Coverage: We work with leading providers like Aetna, Cigna, Medicare, and more, and can assist in navigating coverage criteria.

A black and white drawing of a tree with leaves on a white background.

CareCredit: Finance your treatment with CareCredit, allowing for tailored payment plans.

A young man wearing a black scrub top is smiling for the camera.

Our Treatment Process

It looks like a cross with a blurred background.

You will be seated in a private room, where you are able to watch TV, read, or use your phone during treatment. A TMS device will be positioned on your head and you will feel a tapping sensation every few seconds throughout the session. A TMS technician will remain in the room to ensure your comfort and care. After the session, you will be able to resume daily activities without limitations.

Consultation

You will meet with Dr. Blair to confirm your candidacy for TMS. Dr. Blair will provide a detailed overview of TMS and answer any questions. 

Prior Authorization

We handle all the paperwork. The speed of an authorization depends on the insurance company. Typically, 1 day to 2 weeks is a normal speed. 

Initial Treatment

Once authorization is obtained, we will contact you to schedule your first appointment. Typically, we can begin TMS within 1 week.

Daily Treatment

Treatments are 5x a week, M-F. You will receive 36 total treatments. Hours of operation are 7 am - 6 pm

Meet with Dr. Blair

On your last treatment day, you will meet with Dr. Blair to discuss outcomes and next steps.

Maintenance Treatment

For those that achieve remission or a significant response to TMS, Maintenance TMS may be an option. Dr. Blair can discuss this with you. This is not covered by insurance.

Contact Us

Call 614-933-4200 or complete our simple online form.

A white background with a few lines on it
A black silhouette of a telephone on a white background.

Phone

614-933-4200

A black and white icon of a map pin on a white background.

Address

Contact Us

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