Quick Answer: A first course of TMS that didn't deliver the relief you hoped for isn't the end of the road. The right next step depends on which situation you're in — TMS that worked and then faded, or TMS that never quite landed. Options range from a repeat course or maintenance sessions to changing the protocol itself, and for people who responded the first time, a repeat course works again in the large majority of cases. This post covers both paths honestly. Finishing a full course of TMS and not feeling the shift you were hoping for is discouraging, and it can feel like you've used up your last option. You haven't. "It didn't work" actually covers a few different outcomes, and each one points to a different, concrete next step. Knowing which one you're in is the first move. First, which kind of "didn't work" is this? Before talking about what to change, it helps to name what happened. Clinicians usually sort first-course outcomes into three groups: You responded, then slipped. Symptoms improved during or after treatment, then crept back weeks or months later. You partially responded. You felt some improvement, but not enough to call it a real change. You didn't respond. You completed the sessions and noticed little or no difference. Two terms come up a lot here. Response means a meaningful drop in symptoms - you feel noticeably better. Remission means your symptoms have largely resolved. A first course can produce a response without full remission, and that distinction shapes what comes next. If TMS worked and then faded: repeat courses and maintenance This is the most common version of "it didn't last," and it's also the most encouraging. Depression is a relapsing condition, and a fading response is not the same as TMS failing. For people who responded the first time and later relapsed, a repeat course tends to work again. Across published data, roughly 80–90% of patients who return for retreatment respond a second time , and one large multi-site study found about 84% of patients who needed another course or maintenance sessions improved again. Responding earlier and more strongly in your first course is associated with longer-lasting, more repeatable results. What is maintenance TMS? Instead of a full repeat course, some patients move to maintenance TMS — a lighter, individualized schedule of sessions (anywhere from weekly to monthly) designed to hold a good result in place. Maintenance is decided case by case, is billed per session (currently $75), and isn't covered by insurance. You can read more on our maintenance and retreatment blog and our pricing guide . If the first course didn't land: adjusting the protocol A second attempt shouldn't be a carbon copy of the first. If you saw little benefit, the useful question is what to change, and there's usually more to adjust than people realize. Re-mapping and coil positioning. Where the coil sits matters. A careful re-check of your treatment target and motor threshold can meaningfully change the dose your brain actually receives. Protocol and dose. Session count, pulse dose, and intensity can be revised. Some patients switch to or add iTBS (intermittent theta burst stimulation), a shorter session format, or an accelerated schedule that condenses treatment into a much smaller window. A longer or re-targeted course. Extending treatment or adjusting the target region is sometimes appropriate. None of this guarantees a different outcome, but it means a second round can be genuinely different from the first rather than a repeat of something that didn't help.

Quick Answer: A standard course of TMS takes weeks of daily visits, which makes traveling for it impractical. Accelerated and single-day (ONE-D) protocols compress that schedule into a few days, so out-of-state patients can complete treatment in a single trip. This guide covers why people travel, how the logistics work — flights, lodging, timing — and how we hand your care back to your provider at home. Most people don't think of depression treatment as something you'd travel for. TMS is the exception, and the reason is scheduling. A traditional course means showing up every weekday for weeks, which only works if the clinic is close to home. Compressed protocols change that math, and they're the main reason patients fly into Denver for care. Why would anyone travel for TMS? A standard TMS course runs 36 treatments over about nine weeks — five days a week for the first six weeks, then a taper. That's manageable if you live nearby and impossible if you don't. Accelerated protocols solve the scheduling problem by condensing that timeline into roughly a week, and single-day treatment compresses it further. When treatment fits into a few days, a plane ticket and a hotel become realistic, and patients start comparing clinics by specialization rather than by ZIP code. You can see how the accelerated model works on our accelerated TMS page . There's also an access reason. Not every city has a clinic that offers accelerated or single-day TMS, so patients in those areas either wait, settle, or travel to a clinic that focuses on it. Who tends to travel to us The patients who make the trip usually fall into a few groups: people whose local options don't include accelerated protocols, people who want relief in days rather than weeks, and people who have done their research and want a clinic that specializes in TMS specifically. Some travel a long way to do it — we've treated patients who came from as far as San Francisco for accelerated care. Traveling for treatment is a real commitment, so it tends to attract people who are motivated and have already tried the standard routes closer to home. Choosing between accelerated and single-day treatment Two compressed options make travel feasible, and which one fits depends on your history and your consultation. Accelerated TMS condenses a full course into about five days of treatment. ONE-D (single-day TMS) delivers 20 sessions across one to two days. Both require an initial consultation and mapping before treatment begins, and candidacy is decided clinically, not by preference. We'll walk you through which protocol suits your situation rather than defaulting to the fastest one. For what treatment costs and how self-pay and sliding-scale options work, see our pricing guide . Planning the trip: flights, timing, and lodging A few practical points make the trip smoother: Getting here. Our clinic is in Broomfield, between Denver and Boulder, and an easy drive from Denver International Airport. How long to stay. Plan for your treatment window plus a buffer day on each end - one to settle in before your first session, and one in case scheduling shifts. Your care team will confirm the exact number of days once your protocol is set. Where to stay. Book lodging close to the clinic so daily travel is short. Sessions are quick, but you may feel tired afterward, so a nearby base helps. Book flexibly. Until your consultation confirms you're a candidate, keep flights and hotels refundable where you can. A treatment day is usually short - patients are often in and out quickly - so you'll typically have time around your sessions, which is worth factoring into your plans.

TMS for OCD at Inspire TMS Denver: see our real clinic response and remission rates, how results are measured, and who the treatment fits.

What does TMS actually feel like? A tapping sensation, no sedation, no pain like you'd fear. An honest walkthrough from first session to after.

SAINT (Stanford Accelerated Intelligent Neuromodulation Therapy) is an FDA-cleared, accelerated form of TMS that uses brain imaging to personalize the treatment target and delivers about ten sessions a day over five days. ONE-D at Inspire TMS Denver is a single-day accelerated option - most of a full course condensed into one visit, physician-led, and available now in the Denver area. This post explains what SAINT is, how it works, and where ONE-D fits if you want fast results without traveling to a specialized SAINT center. If you've been researching faster ways to get through TMS, you've probably run into SAINT. It gets a lot of attention because it came out of Stanford and compresses weeks of treatment into a single week. It's a genuinely important development - and it's also not the only accelerated path. Here's a straight comparison so you can see what each option actually involves. What Is SAINT™ TMS? SAINT stands for Stanford Accelerated Intelligent Neuromodulation Therapy. It was developed by Dr. Nolan Williams and colleagues at Stanford University, and the system used to deliver it received FDA clearance in 2022. It's designed for adults with major depressive disorder who haven't responded well to antidepressant medication. What sets SAINT apart from standard TMS comes down to two things: it uses brain imaging to find each person's individual treatment target, and it delivers treatment in an intense, compressed schedule rather than one session a day over six weeks. How SAINT™ Works SAINT uses iTBS (intermittent theta burst stimulation) - a newer, faster form of magnetic stimulation that delivers each session in a few minutes rather than the longer sessions used in older protocols. The defining feature is imaging-guided targeting . Before treatment, you receive a functional MRI scan. That scan is used to pinpoint the exact spot in your dorsolateral prefrontal cortex - the region tied to depression - that's right for your brain. The precise location varies from person to person by a few millimeters, and the idea behind SAINT is that hitting your individual target, rather than a population average, improves accuracy. The treatment itself is intensive: roughly ten sessions per day, spaced throughout the day, across five consecutive days. The Stanford trials that supported FDA clearance reported high remission rates, which is why the protocol generated so much interest. There are two practical catches worth knowing. First, the imaging step adds cost and complexity. Second, the FDA-cleared version of SAINT runs on a specific system from one manufacturer and is only available at a limited number of clinics - so access often means traveling and waiting for availability. Insurance coverage is still developing and varies widely by plan. What Is ONE-D at Inspire TMS Denver? ONE-D is our single-day accelerated protocol. Instead of spreading treatment across weeks - or even across five days - ONE-D condenses a course of TMS into a single visit, with 20 sessions delivered across the day. Some patients split it across two days depending on their schedule and how they're tolerating the day. A few things define how we run it: Physician-led. Dr. Clinch oversees the mapping and monitors you through the day. This isn't a hands-off, technician-only setup. Delivered on our MagVenture targeted coils , the same equipment we use across our accelerated and standard treatment. Built for people who are short on time or traveling. If you're coming in from out of state or out of the Denver metro, doing it in one trip matters. It is a long, focused day - we're honest about that. But for the right person, getting through it in a single visit is exactly the appeal.