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Treatment-resistant depression · Michigan

Depression that medication has not relieved

TMS is FDA-cleared for adults with major depression who have not had enough relief from medication. Physician-led by Dr. Ramona Wallace, DO, in Sterling Heights and Grand Rapids.

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New patients: Mon-Fri, 9 AM to 5 PM Eastern

What treatment-resistant depression means

Many people try one antidepressant, then another, and still do not feel better. Doctors call this treatment-resistant depression. It is common, and it is not a personal failure. It means the treatments tried so far were not enough, and it is a reason to look at other options.

Definitions vary, and so do insurance rules. Many plans ask for a documented history of medication that did not work. We check your plan before treatment starts.

How TMS works

TMS (transcranial magnetic stimulation) uses short magnetic pulses, delivered through a small coil resting on the scalp, to stimulate a brain area involved in mood. There are no needles, no anesthesia and no medication. You stay awake and can go back to your day afterward.

What is cleared and what is not. The FDA has cleared TMS for adults with major depression who have not had enough relief from medication. We start with an EEG brain map and use it to personalize your plan. How personalized TMS compares with standard TMS is still being studied, so we do not promise it works better, and results vary from person to person.

What a course looks like

1

Call or send the form

Our call center team answers your questions and can start checking your insurance benefits.

2

First visit

A consultation and intake evaluation to confirm your diagnosis and review what you have already tried, plus an EEG brain map. A comfortable cap, no needles.

3

About six weeks of sessions

Sessions are Monday to Friday, 30 to 45 minutes each, and you stay awake. The brain map is repeated at weeks two, four and six so Dr. Wallace can adjust your plan.

Andy shares his story (4:31). Patient story. Individual results vary.

Request a free introductory call

Tell us how to reach you. We can start a benefits check at the same time. No commitment.

Please do not include detailed medical information in this form. A coordinator will contact you to discuss your situation through appropriate channels.

If you miss our call, call us back at (269) 430-7966, Monday to Friday, 9 AM to 5 PM Eastern. Your information is never shared.

Prefer to talk now? Call (269) 430-7966

Questions people ask first

What is treatment-resistant depression?

Treatment-resistant depression means depression that has not improved enough after antidepressant medication, usually after more than one try at a proper dose and length of time. Definitions vary, and so do insurance rules. If medication has not given you enough relief, ask whether TMS fits.

Do I have to stop my medication?

Not necessarily. TMS can often be used alongside medication. Our physician team reviews your current medications with you at the first visit and tells you if anything should change. Do not stop or change a medication on your own.

How long does treatment take?

A course runs about six weeks, five days a week, Monday to Friday, with sessions of 30 to 45 minutes. The EEG brain map is repeated at weeks two, four and six so the plan can be adjusted.

Will insurance cover it, and what if it does not?

Insurance may cover TMS for depression when medical criteria are met, including a documented treatment history. We accept Priority Health, UnitedHealthcare, Cigna, Aetna, Medicare, TRICARE, TRICARE for Life and Blue Cross Blue Shield. We do not currently accept Medicaid. Coverage varies by plan, so we check your benefits before treatment starts.

Is TMS right for me?

TMS is FDA-cleared for adults with major depression who have not had enough relief from medication. It is not right for everyone. We screen for things that can make TMS unsafe, such as a history of seizures or metal in or near the head. Our physician team reviews your history at the first visit and tells you honestly whether it fits.

Dr. Ramona Wallace, DO

Dr. Ramona Wallace, DO
Medical Director. Every treatment plan is physician-led. About Dr. Wallace

Patient story. Individual results vary. TMS is FDA-cleared for major depressive disorder in adults who have not had enough relief from medication. This page is general information, not medical advice. If you are in crisis, call or text 988 (Suicide and Crisis Lifeline) or call 911.

Tried medication? Ask about TMS.

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