Leave Depression
Behind with
Junction
Brain Health
Offering advanced, FDA-approved treatments like TMS Therapy and Spravato® to help adults overcome treatment-resistant depression.
How It Works
Consultation & Intake
We’ll review your medical history, treatment goals, and insurance coverage to recommend the best option for you.
Personalized Treatment
Based on your needs, you may receive TMS Therapy sessions or supervised Spravato® treatments at our clinic.
Ongoing Care
Our team tracks your progress, communicates with your provider, and adjusts your treatment plan to maximize results.
Explore Your Treatment Options
At Junction Brain Health, we know every patient’s path is unique. That’s why we provide advanced, FDA-approved treatments—guided by our medical team—to help you find the right solution for your needs.
TMS Therapy
A non-invasive, drug-free treatment that stimulates targeted areas of the brain linked to depression.
Spravato® (Esketamine)
An FDA-approved nasal spray that can provide relief for treatment-resistant depression in days to weeks.
Second Opinion Consultation
Review your current treatment plan with our specialists and explore advanced options to move forward with confidence.
Treatment Comparison
Effective, especially for resistant cases
Effective, but may not work for all
Minimal (mild headache, scalp discomfort)
Common (nausea, weight gain, etc.)
Drug-free
Involves medication/therapy
As early as 2-4 weeks
4-6 weeks for meds; therapy variesNone; resume normal activities
Minimal, but side effects may impact
Non-invasive, outpatient sessionsMedication and/or in-person therapy sessionsEffectiveness
Effective, especially for resistant cases
Side Effects
Minimal (mild headache, scalp discomfort)
Medication
Drug-free
Results
Seen in 2-4 weeks
Downtime
None; resume normal activities
Process
Non-invasive, outpatient sessions
Effectiveness
Effective, but may not work for all
Side Effects
Commmon (nausea, weight gain, etc.)
Medication
Involves medication/therapy
Results
4-6 weeks for meds; therapy varies
Downtime
Minimal, but side effects may impact
Process
Medication and/or in-person therapy sessions
Why TMS over Medication?
Medications
Improvements In Symptoms
30%
After Month One
15%
After Month Six
TMS Therapy
Improvements In Symptoms
80%
After Month One
60%
After Month Six
Why Junction Brain Health?
Safe & FDA-Approved
Offering only evidence-based
treatments for depression.
Patient-Centered Care
We guide you through every
step, from insurance to
treatment.
Experienced Providers
Certified in both TMS Therapy
and Spravato® administration.
Locations
Find a Junction Brain Health Clinic Near You
Junction Brain Health is here to help you find relief close to home. With convenient clinic locations in Colorado, Utah, Idaho, and Washington, Nevada and Ohio we make it easy for you to access compassionate, expert care tailored to your mental health needs. Our experienced team is ready to guide you through every step of your journey.
Our Track Record of
Success
- At Junction Brain Health, we’ve helped patients find relief when other treatments failed. By focusing on advanced, research-backed therapies, we give you access to options proven to make a difference.
- Certified Spravato® treatment center
- TMS specialists with years of experience
- Insurance navigation support
Veterans
Support for Veterans
We proudly work with the VA Community Care Network and other insurance providers to help veterans access advanced depression treatments, including both TMS Therapy and Spravato®.
What Our Patients Are Saying
Take the First Step Toward Relief
Let us help you start your journey toward relief from depression.
Frequently Asked Questions
TMS Therapy
Transcranial Magnetic Stimulation, or TMS, is a process that uses short, MRI strength magnetic pulses to stimulate neurons in the areas of the brain known to regulate a variety of neuropsychiatric conditions. This magnetic stimulation can gently correct abnormal brain circuitry.
TMS treats depression at its source. A patient sits in a chair similar to that in a dentist’s office, and a paddle containing a magnetic coil is positioned over the left dorsolateral prefrontal cortex on a patient’s head (the left side just above the forehead). That is the area of the brain known to be involved in mood regulation. In depressed patients, that area is shown to be underactive compared to non-depressed patients.
The coil transmits magnetic pulses that gently correct abnormally firing circuits in the brain. By targeting a major hub for mood, the left dorsolateral prefrontal cortex, TMS affects the entire brain’s mood network, generating positive, long-lasting results.
Is TMS Right for Me?
TMS Therapy is for those who…
Have been diagnosed with treatment resistant Major Depression Disorder (MDD)
Have not benefitted from the use of antidepressants and/or had side effects from them
Are searching for a non-invasive, drug-free depression solution
TMS Therapy is generally well-tolerated, but there are two absolute contraindications:
Seizure disorders: A history of seizures poses a significant risk during treatment.
Permanent ferromagnetic metal implants near the treatment site: This includes implants such as cochlear implants, aneurysm clips or coils, stents, implanted stimulators, pacemakers/ICDs, electrodes, metallic implants in the ears or eyes, shrapnel or bullet fragments, and facial tattoos with magnetic-sensitive ink. The risk is that these objects could heat up, move, or malfunction during treatment.
It’s worth noting that while TMS can sometimes be safely administered in cases like schizophrenia or even in patients with pacemakers (with special precautions), insurance coverage is typically limited to patients without these contraindications. Prior to treatment, your doctor or psychiatrist will carefully review your medical history and any implanted devices to ensure that TMS is safe for you.
TMS Therapy is a non-systemic, non-invasive treatment that avoids injections, anesthesia, or sedation—nothing circulates through your bloodstream. Most people experience only mild discomfort or a tapping sensation on the scalp during treatment, typically subsiding after the first week. Adjustments can be made to enhance comfort if needed. Importantly, there are no sustained side effects, and you remain awake and alert throughout your sessions, free to enjoy music, an audiobook, or a book during treatment.
TMS Therapy is primarily an outpatient treatment provided in our clinics, though it can occasionally be administered in hospitals. The FDA protocol typically involves about 30 treatments, usually performed five days a week over six weeks, with consecutive sessions and weekends off to allow a break. Depending on your insurance coverage, additional taper sessions may be included and spread over two to three weeks.
Each appointment is approximately 45 minutes long, which includes time for machine calibration and the actual treatment lasting about 37 minutes. There are additional, faster protocols for TMS, including iTBS (intermittent theta burst stimulation) that can be as short as 3 minutes per treatment, as well as protocols involving multiple sessions per day, although not all insurances cover these options.
It’s natural to feel uncertain when starting TMS, especially since every patient responds a little differently. Many people begin noticing small shifts (i.e. improved sleep, increased energy, or less frequent crying spells), within the first few weeks. For others, progress may be more gradual and noticeable later in the series.
At Junction Brain Health, we monitor your progress throughout treatment using regular check-ins and depression rating scales. This helps both you and your care team see measurable changes and determine how the therapy is working for you. While no treatment is a guarantee, most patients begin to feel meaningful relief before the end of the initial treatment series.
Spravato
SPRAVATO® is an FDA-approved nasal spray for adults with treatment-resistant depression (when two or more antidepressants haven’t worked) and for adults with major depression with suicidal thoughts or actions, taken alongside an oral antidepressant.
You self-administer SPRAVATO® as a nasal spray at the treatment center, always under the supervision of a healthcare provider. After each session, you’ll be monitored for at least 2 hours before going home.
Most patients begin with two treatments per week for the first month, then move to once per week in the second month. After that, you and your provider decide the right schedule for your ongoing care.
You’ll spray SPRAVATO® yourself under supervision, then stay at the clinic for monitoring. Because of possible side effects like sleepiness or dizziness, you cannot drive until the next day after a full night’s rest, so arrange for a ride home.
The most common effects include dizziness, nausea, sleepiness, increased blood pressure, feeling “disconnected,” or a temporary drunk-like sensation. These usually happen soon after treatment and fade the same day.
No. Due to safety requirements, SPRAVATO® can only be given in certified treatment centers under medical supervision.
Treatment Comparison: TMS, Spravato®, Medications & ECT
The main differences between TMS Therapy and antidepressant medications include:
Antidepressants are systemic, meaning that the medicine enters the body and blood stream.
TMS is non-systemic and drug-free.
Like many drugs, antidepressants have numerous side effects such as insomnia, blurred vision, dry mouth, fatigue, weight gain, nausea, GI distress, diarrhea, sedation, lack of emotion, and sexual dysfunction.
Some TMS patients have experienced a headache or scalp sensitivity at the treatment site. These symptoms usually subside within the first week of treatment.
TMS is usually prescribed when antidepressants fail, or the side effects are intolerable.
- FDA Approved: Ketamine is another FDA-approved treatment for treatment-resistant depression.
- Administration Methods: It is a dissociative anesthetic that can be administered intranasally (as Esketamine or Spravato™), sublingually, intramuscularly, or intravenously.
- Mechanism of Action: Ketamine acts on NMDA receptors, affecting glutamate functioning throughout the brain.
- Treatment Course: Typically involves 1-2 treatments per week for a total of 6-12 sessions.
- Considerations: Ketamine may involve additional side effects and drug interactions, making it not ideal for every patient. It may also have more limited durability of treatment results compared to TMS.
Combined Protocols: Some protocols are currently studying how TMS and Ketamine might be beneficial when used together. If you are considering combining treatments, please consult your psychiatrist for personalized advice.
ECT, or Electroconvulsive Therapy, is an interventional treatment that induces therapeutic seizures to address neuropsychiatric symptoms such as depression, catatonia, psychosis, and bipolar disorder.
Treatment Setting and Schedule:
ECT is typically administered in a hospital setting, with treatments generally scheduled three times per week for an average of 12 sessions over about one month. Some patients may require long-term maintenance treatments.
Patient Considerations: Due to the hospital-based nature of ECT, patients are advised not to drive or work during the treatment period. The treatment tends to be more burdensome compared to TMS.
We're Here to Help
Start your journey with Junction Brain Health. Our team will review your history, explore whether TMS or Spravato® is right for you, and guide you through insurance and next steps.