What Happens at a TMS Assessment

Sam Clinch • August 11, 2026

Quick Answer: A TMS assessment is a psychiatric evaluation, not a treatment session. You'll sit down with Dr. Clinch to go through your history, your current symptoms, and what you've already tried, and he'll screen for the safety factors that determine whether TMS is appropriate for you. You'll also complete baseline symptom scoring and go through the practical side: insurance, cost, and scheduling. Nothing is done to you that day, and there's no obligation to proceed. This post walks through exactly what to expect.


Booking a first appointment for something you've never done is uncomfortable when you don't know what it involves. A TMS assessment is straightforward and low-pressure, but "assessment" can sound clinical and vague. Here's a plain account of what actually happens, start to finish.


Who You'll See


Your assessment is with Dr. Samuel Clinch, a board-certified psychiatrist and the clinic's founder. This matters more than it might sound. At a lot of clinics, the first person you meet is a coordinator or a technician, and the doctor comes later, if at all.


Here, the clinical evaluation is done by the psychiatrist who will oversee your care, because deciding whether TMS is right for you is a medical judgment, not an intake form.


That also means you can ask real questions and get real answers in the room, rather than being handed a brochure and a follow-up number.



The Conversation: Your History and Symptoms


The core of the assessment is a proper conversation about what's brought you here. Expect to cover:


  • What you're experiencing now. Your symptoms, how long they've been going on, and how they affect your day-to-day life.


  • What you've already tried. Medications, therapy, other treatments, and how you responded to each. TMS is often considered when medication hasn't given full relief, so this history genuinely shapes the recommendation.


  • Your medical and psychiatric background. Diagnoses, relevant health conditions, and current medications.


  • What you're hoping for. Realistic goals matter, and they help set expectations for what treatment can and can't do.


You'll also complete baseline symptom scoring, usually the PHQ-9 for depression or the GAD-7 for anxiety. These give a fixed starting point, so that if you go ahead with treatment, improvement is measured against where you began rather than estimated from memory.


The Safety Screening


TMS is well tolerated, but it isn't suitable for everyone, and part of the assessment is a careful safety screen. This is where seemingly small questions carry weight.


Dr. Clinch will check for things like a history of seizures, significant head injury, and any magnetically sensitive implants or metal above the neck, since the treatment uses magnetic pulses. He'll also screen for conditions such as bipolar disorder, because that affects how treatment is approached.


If some of the intake questions feel unrelated to your mood, this is why. They're there to make sure treatment is safe and appropriate for you specifically, and they're not a formality.


Download Your Roadmap to TMS


Want a clear picture of what to expect? Download the TMS Treatment Roadmap by Sydney


Deciding If TMS Is Right for You


By the end of the assessment, you'll have an honest answer about whether TMS makes sense for your situation, and if so, which approach fits.


That could be a standard course, an accelerated protocol, or a single-day option, depending on your circumstances and what you're able to commit to. If TMS is a strong fit, Dr. Clinch will say so and explain why. If it isn't, or if something else should be tried first, he'll tell you that too. The point of the assessment is to reach the right decision for you, not to fit you to a treatment.


The Practical Side: Insurance, Cost, and Scheduling


An assessment also covers the questions everyone actually has but doesn't always ask.


We check your insurance benefits and explain what's likely to be covered and what your out-of-pocket cost could look like, so you're not guessing. To be clear about how this works: we accept insurance and verify your benefits, and we're upfront with you about coverage rather than making promises we can't keep. If a self-pay route makes more sense for your situation, we'll walk you through those costs plainly, including any financing options.


You'll leave knowing the likely numbers, the time commitment involved, and what scheduling would look like if you decide to go ahead.


What the Assessment Is Not


A few things worth setting straight, because they're common worries:


  • It isn't treatment. No magnetic pulses are delivered at the assessment itself. It's an evaluation and a conversation.


  • There's no sedation or anything invasive. You'll sit and talk. That's it.


  • There's no pressure to commit. You can take the information away and decide in your own time. A good assessment leaves you better informed, not cornered.


What Happens Next


If TMS is right for you and you choose to proceed, the next steps are scheduling your treatment and a brief mapping session, where the treatment is calibrated to your individual anatomy before your first full session. That calibration is a separate step from the assessment, and your care team will walk you through and check your insurance benefits timeline.


If TMS isn't the right fit, you'll leave with an honest explanation and, where appropriate, a sense of what might serve you better.

  • Do I need a referral to book a TMS assessment?

    You don't need a referral to book a consultation with us. Your insurance may have its own requirements for coverage, which is one of the things we check as part of the process.

  • How long does the assessment take?

    Plan for a focused appointment rather than a quick in and out. The exact length varies, since the point is to cover your history and questions properly rather than rush.

  • Will I start treatment the same day?

    Usually not. The assessment is a separate step from the mapping session and your first treatment, which are scheduled afterward if you decide to proceed.

  • What should I bring?

    A list of your current medications, your insurance information, and a rough history of treatments you've already tried. If you have relevant records, those help too, but the conversation matters more than paperwork.

  • Who actually does the assessment?

    Dr. Clinch, the clinic's founder and a board-certified psychiatrist. The clinical evaluation is done by the doctor who oversees your care, not delegated.

Every Question Answered

Want to know more about TMS? Check out this in-depth guide to TMS therapy with transparent and easy to understand explanations about TMS processes, protocols, and treated conditions.

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