Transcranial Magnetic Stimulation has advanced rapidly over the past decade, giving patients a broader range of treatment options that reflect modern neuroscience and individualized care. At NeoPsych in Los Angeles, Dr. Thomas Hughes offers both standard and accelerated TMS protocols, each designed to support patients with unique clinical needs, personal preferences, and scheduling demands. Every protocol is rooted in scientific research and delivered with precision, safety, and thoughtful collaboration.
Understanding TMS Protocols and Innovation
Standard TMS typically consists of daily sessions that take place over four to six weeks. During each session, a specialized coil is placed gently against the scalp to deliver magnetic pulses that stimulate brain regions involved in mood regulation. This approach has been used for many years and remains one of the most established methods for treating depression that has not responded to medication or therapy.
Accelerated TMS condenses treatment into a shorter time frame by offering multiple sessions per day. NeoPsych provides several forms of accelerated therapy, including the 1-Day Accelerated TMS (ONE-D Protocol), the 5-Day Accelerated TMS (M-SAINT Protocol), and the 10-Day Accelerated TMS which concentrates treatment into a more intensive schedule. These options are particularly valuable for patients who want faster results or who cannot commit to several weeks of daily visits.
Dr. Hughes selects the most appropriate protocol by reviewing each patient’s treatment history, symptom severity, lifestyle constraints, and previous responses to medication or therapy. His approach includes detailed brain mapping, flexible scheduling, and careful adjustment of treatment parameters to ensure that TMS remains both safe and effective.
Weighing the Research Behind Different TMS Protocols
TMS is supported by extensive scientific literature. The Clinical TMS Society has published guidance that confirms the safety and efficacy of repetitive TMS, particularly high-frequency stimulation such as the commonly used 10 Hertz. These findings are reinforced by clinical experience from practices around the country.
One of the most notable developments in the field is the Stanford SAINT trial. This study demonstrated impressive remission rates for patients with treatment-resistant depression through a highly targeted and accelerated protocol that used advanced brain mapping and connectivity-based targeting. The SAINT data illustrate how innovations in neuroscience can significantly enhance treatment outcomes.
Although accelerated TMS is newer than standard protocols, research from controlled trials and meta-analyses supports its safety and its potential for rapid symptom improvement. Dr. Hughes integrates these findings with his own clinical experience to determine which approach is likely to benefit each patient. His goal is to offer protocols that honor both scientific evidence and the individual needs of the patient sitting in front of him.
Understanding the Cost of TMS at NeoPsych
Cost is an important factor for many individuals considering TMS. At NeoPsych, patients receive clear information about pricing, insurance coverage, and payment options before treatment begins. Session length can vary from 5 mins to thirty minutes, and the total cost varies depending on the protocol selected, the number of sessions required, and the intensity of the treatment schedule.
NeoPsych accepts many major insurance providers for TMS. Dr. Hughes assists patients with verification, coverage questions, and pre-authorization when necessary. For patients whose insurance does not cover TMS, NeoPsych offers flexible alternatives.
Accelerated TMS often requires fewer overall treatment days, which can reduce indirect costs such as transportation, missed work, or childcare. For certain patients, this can make the accelerated pathway a more practical and appealing option, even when the per-session cost differs from standard treatment.
Evaluating Safety, Efficacy, and Long-Term Outcomes
Safety remains the foundation of NeoPsych’s TMS program. Dr. Hughes carefully screens each patient for contraindications such as metallic implants, seizure risk, or neurological conditions before beginning treatment. Research from the Clinical TMS Society supports the strong safety profile of TMS when administered by qualified clinicians.
Studies show that many individuals continue to experience improvement for months after completing their initial course of TMS. Some research suggests benefits that may extend for a year or more when supported by ongoing psychiatric care and lifestyle measures. NeoPsych enhances these outcomes through regular progress monitoring and follow-up visits that help patients sustain their gains.
Accelerated TMS also shows promising results. Early data from trials such as SAINT indicate rapid symptom relief for many patients. However, as with any form of TMS, long-term maintenance planning is important. Dr. Hughes collaborates with each patient to design a personalized post-treatment strategy that may include booster sessions, psychotherapy, medication adjustments, or continued psychiatric support.
Deciding Which Protocol Is Right for You
Selecting the most suitable TMS protocol involves consideration of clinical needs, personal preference, and daily logistics. Some individuals prefer accelerated TMS for its efficiency and potential speed of response. Others choose standard TMS because they prefer a steadier pace or find it easier to integrate into their routine.
During the initial consultation, Dr. Hughes conducts a comprehensive evaluation that includes medical history, symptom review, previous treatment responses, and brain mapping findings. He then recommends the protocol that aligns best with the patient’s goals and clinical profile. This collaborative decision-making process ensures that patients feel informed and supported while receiving care that reflects both expertise and respect for their autonomy.
Why NeoPsych Offers a Unique Approach
NeoPsych distinguishes itself through Dr. Hughes’ commitment to personalized care and his expertise in both established and cutting-edge TMS techniques. The practice uses the latest protocols and advanced brain mapping to optimize outcomes while maintaining a patient-centered environment that values safety, clarity, and compassion.
Dr. Hughes believes in a partnership-based model of care. He takes time to educate patients about each step of the process and maintains open communication throughout treatment. This approach fosters trust and empowers individuals to engage actively in their journey toward improved mental wellness.
Taking the First Step Toward TMS Treatment
For individuals exploring TMS, the first step is a consultation with Dr. Hughes at NeoPsych. During this visit, he reviews symptoms, prior treatments, and medical history to determine whether TMS is an appropriate option. Patients can also discuss insurance questions, scheduling needs, preferences for standard or accelerated protocols, and expected timelines.
At NeoPsych, Dr. Hughes oversees every step of the process, including insurance navigation, treatment planning, and scheduling. His approach ensures that patients receive individualized support and a seamless introduction to advanced, evidence-based care.
With an individualized protocol informed by science and guided by compassionate care, TMS can be a transformative treatment. At NeoPsych in Los Angeles, Dr. Thomas Hughes provides both standard and accelerated approaches that blend clinical excellence with a personalized patient experience.