EVIDENCE-BASED TMS · LAS VEGAS, NV · SPRINGVILLE, UT · EXPANDING NATIONALLY
Your brain is built to change.
Accelerated TMS protocols create the neurological conditions that treat Depression, Anxiety, OCD, Dementia, PTSD and trauma related symptoms. No six-week daily commute. No guesswork. Just a clear path forward.
We believe deeply educated patients get better outcomes that's our clinical philosophy.
87.5%
Response Rate
1-5
Days, Not Weeks
5+
Conditions Treated
2x
Remission vs. Standard TMS
Everything could change... tomorrow.
What is TMS?
Transcranial Magnetic Stimulation (TMS) uses brief, focused magnetic pulses to stimulate the brain circuits involved in mood, motivation, and emotional regulation. It's non-invasive, requires no sedation, and you can drive yourself home afterward. The real mechanism isn't the magnet. It's neuroplasticity, your brain's natural capacity to rewire itself. TMS creates the conditions for that rewiring to happen and alongside current therapies has helped thousands create lasting change.
CONDITIONS WE TREAT
We treat the conditions that don't respond to the usual answers.
Depression (MDD)
When medication and therapy haven't been enough, TMS offers a different mechanism entirely... one that works at the level of specific brain circuits, not just system-wide antidepressants.
OCD
Our specialized deep-TMS hardware targets the networks driving intrusive thoughts and compulsive behavior offering relief that medication can't usually reach by itself.
Anxiety
Emerging clinical evidence supports TMS as a non-medication option for generalized and social anxiety, particularly for patients who haven't found relief through conventional treatment.
PTSD
TMS protocols targeting specific brain regions can reduce hyper-arousal, intrusive symptoms, and the emotional weight of traumatic memory. No medication required.
ACCELERATED PROTOCOLS
Treatment that fits your life... not the other way around.
Most TMS clinics offer one option: six weeks of daily visits. We offer something different.
One-Day Treatment
$2,995 · Cash-pay · In-house Payment Plans Available
Modeled after: ONE-D Study (Vaugn et al., 2025)
A complete TMS course in a single clinic visit. This comprehensive single day treatment includes 20 brief TMS sessions over approximately 9.5 hours, enhanced with D-cycloserine to amplify Neuroplasticity throughout the day. Published data reports an 87.5% response rate and 71.9% remission at six weeks.
One day. One visit. Done.
20 sessions in a single day
D-cycloserine neuroplasticity enhancement
No daily commute
In-house payment plans available
Five-Day Treatment
$9,995 · Cash-pay · In-house Payment Plans Available
Modeled after: Stanford SAINT Protocol (Cole et al., 2022)
Ten iTBS sessions per day across five consecutive days. This is the protocol behind some of the most compelling remission data in TMS research. Published results show a 78.6% remission rate at day five, with a mean time to remission of 2.6 days. Incredible for those who have sought treatment for years.
50 sessions over 5 days
Published 78.6% Remission Rate (JAMA Psychiatry 2022)
In-house payment plans available
Travel coordination available
Disclaimer: Unlike the original SAINT study, which used functional MRI (fMRI) to guide coil placement, this clinic uses standardized clinical measurements and landmarks to determine the treatment site. This is a common and effective method used in most clinical TMS settings. Optimal TMS is not affiliated with Stanford University and does not claim to offer the trademarked SAINT TMS protocol
Six-Week Standard TMS
The established, FDA-cleared protocol covered by most insurance plans. 36 sessions over six weeks. A good fit for patients whose schedule and coverage align with this pathway.
Most insurance plans accepted
36 Sessions · 5 Days/weeks
~6 week total
Note: A "covered" TMS course at a typical $60 specialist copay = $2,160 out of pocket minimum, potentially more, if deductibles aren’t met. Our accelerated options are often more affordable in total, and dramatically faster for long term resutls.
THE SCIENCE
We don't ask you to trust us.
We show you the research.
Our treatments are modeled after peer-reviewed, published studies. Learn more about the science behind the breakthroughs.
WHY OPTIMAL TMS
A different kind of TMS clinic.
Patient education is medicine
Research shows that educated patients. achieve measurably better treatment outcomes. We invest heavily in your understanding before, during, and after treatment.
Accelerated protocols
Most clinics offer only the traditional six-week course. Our 1-day and 5-day treatments are modeled after landmark published research and are unavailable at most TMS providers.
Cash-pay simplicity, insurance flexibility
Our accelerated options are often more affordable than a six-week insurance route and vastly more convenient. We also accept insurance for traditional TMS for those who prefer that path.
Who We Are
Patient-first providers.
Research-first approach.
Our team includes a DNP whose doctoral research focused on how patient education improves outcomes, and a PMHNP with expertise in psychotherapy and medication management. We built Optimal TMS around the idea that understanding your treatment is part of the treatment.
LOCATIONS
Growing to serve patients nationally.
Find an Optimal TMS Near You
Our Las Vegas, Nevada and Springville, Utah clinics are open now. Additional locations are in development. As we expand, our clinical model travels with us… the same protocols, the same education-first philosophy, the same commitment to honest answers. We're not building a chain of TMS machines. We're building a care model to reach the people that need it most.
OPEN NOW
Las Vegas, NV
8981 W Sahara Ave,
Suite 270
Las Vegas, NV 89117
(702) 623-1140
OPENING SOON
Conroe, TX & Casper, WY
Additional locations in development. Accelerated protocols available to traveling patients now.
Note for traveling patients: Our 1-day and 5-day protocols make it practical to travel for treatment. Visit your preferred location page for nearby hotel recommendations and travel tips.
How Is Optimal TMS Different?
Personalized treatment protocols based on your specific symptoms
Cutting-edge accelerated protocols for less downtime
Continuous symptom monitoring and protocol adjustment
Integration with therapy and lifestyle optimization
FDA-Cleared and evidence based
TMS has been FDA-cleared for depression since 2008, with research exploring more applications.. Thousands of peer-reviewed studies confirm its safety and efficacy. Unlike experimental treatments, TMS has a proven track record backed by years of rigorous clinical research
FROM THE BLOG
The research, explained for real people.
What is D-cycloserine and why do we use it in our One-Day Intensive?
If you've read about our One-Day Intensive, you've seen D-cycloserine mentioned as part of the protocol. Most patients have never heard of it. The purpose of this article is to educate you on what D-c... ...more
Research Insights
June 09, 2026•8 min read
What to expect during and after TMS - a realistic timeline from your first session to six weeks out
If you've read about our One-Day Intensive, you've seen D-cycloserine mentioned as part of the protocol. Most patients have never heard of it. This article will help you to understand better what it i... ...more
Research Insights
June 09, 2026•11 min read
The ONE-D study: a complete course of TMS in one day what the research showed
Most patients who come to us asking about TMS have a version of the same concern: the schedule. Six weeks of daily clinic visits is a genuine barrier for working parents, for people in demanding jobs,... ...more
Research Insights
June 08, 2026•8 min read
Common TMS Questions
What does TMS feel like?
Most patients describe a tapping sensation on the scalp during pulses. There's no pain, and no sedation. You remain fully alert. Some people feel a mild headache or tapping sensation after early sessions, which typically resolves quickly. By week two, most patients report no discomfort at all.
How is this different from ECT (electroshock therapy)?
TMS is not ECT. ECT uses electrical current passed through the entire brain, requires anesthesia, and causes memory loss. TMS uses focused magnetic fields, requires no anesthesia, causes no memory issues, and has minimal side effects. TMS is non-invasive—nothing enters your body.
I've had symptoms for years. Can TMS still help?
Yes. We've successfully treated patients with depression lasting 20+ years. Duration of symptoms may affect treatment length, but not the possibility of improvement.
What if I'm currently on medication?
Most patients continue their medications during TMS. In fact, TMS often works in tandem with antidepressants. As you improve, you and your prescribing physician may choose to reduce medications, but this isn't required. We coordinate with your existing providers, and provide medication management services if needed.
Are the results permanent?
TMS creates lasting changes in brain connectivity, but like any treatment, ongoing maintenance may be needed. Most patients maintain significant improvements for long periods of time. If symptoms begin returning, brief "maintenance" courses are highly effective. Think of it like physical therapy—the gains are real, and occasional tune-ups help maintain them.
Is TMS safe? What are the side effects?
TMS has an excellent safety profile with over 20 years of clinical use. The most common side effect is temporary scalp discomfort during treatment. Serious side effects are extremely rare (seizure risk is less than 0.1%). There are none of the systemic effects that come with medication—no weight gain, sexual dysfunction, or cognitive dulling.
Ready to learn if TMS is right for you?
A brief conversation is all it takes. No pressure, no commitment - just clarity.