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.
TMS vs Spravato

TMS vs Spravato

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!
"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
Services & Resources


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.

Insurance Accepted
Including Medicare

Financing Available
With CareCredit

Personalized Treatment
Tailored to You

Combined Treatments
Spravato and TMS

Accelerated TMS
5 Day Relief Program

Expert Care
Board-Certified Psychiatrist

Flexible Plans to Fit Your Budget
We’re committed to making TMS therapy as accessible as possible
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.
Our Treatment Process

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
We will get back to you as soon as possible.
Please try again later.
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!
"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
Services & Resources

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.


Insurance Accepted
Including Medicare

Financing Available
With CareCredit

Accelerated TMS
5 Day Relief Program

Personalized Treatment
Tailored to You

Combined Treatments
Spravato and TMS

Expert Care
Board-Certified Psychiatrist

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.
Our Treatment Process

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.

Contact Us
We will get back to you as soon as possible.
Please try again later.
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.


Insurance Accepted
Including Medicare

Financing Available
With CareCredit

Accelerated TMS
5 Day Relief Program

Personalized Treatment
Tailored to You

Combined Treatments
Spravato and TMS

Expert Care
Board-Certified Psychiatrist

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.
Our Treatment Process

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.

Contact Us
We will get back to you as soon as possible.
Please try again later.