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Frequently Asked Questions

General

Can I get funding for treatments elsewhere?

Some private healthcare insurance companies may offer funding for our treatments. This would
need to be discussed with your insurance provider.

How do I find out more about the treatments you offer and what may be the best treatment for me?

We offer a FREE telephone consultation with one of our Consultant Psychiatrists. This gives patients
the opportunity to briefly discuss their circumstances/diagnosis and ask any questions they have
about the treatments. The consultant that then make suggestions as to what may or may not be
appropriate treatment options for you.

How quickly can I start treatments?

TMS and Esketamine treatments require full assessment by a consultant psychiatrist prior to treatment. We can start treatment the same week as the assessment providing the Consultant is satisfied it is safe to do so.

Psychology treatment is based on our psychologists’ availability which can usually be within 1-2 weeks from enquiry.

Transcranial magnetic Stimulation (TMS)

Can I have more than one session in a day?

Yes, we can provide up to three treatments in a day. Some patients prefer this method as it minimises the number of times they are required to attend clinic in the week.

Do I have to come to clinic every day?

Standard research is based on clients coming to clinic for treatment Monday-Friday and having one
session. However, there are ways by utilising different protocols that these treatment sessions can
be broken up with some patients only attending clinic 2-3 times per week.

How long does each session last?

For standard rTMS each session is roughly 17-20 minutes long. For patients who require treatment
on multiple areas, each area will be stimulated for 17-20 minutes. For theta burst treatment (iTBS),
treatment lasts just over 3 minutes for one session, stimulating one area of the brain.

How many sessions will I need?

The number of sessions will depend on the condition being treated. A minimum number of sessions
for all conditions is 20. This will be discussed with your consultant on assessment and review.

How will I know if I will respond to TMS?

In clinic, we have found 75% of patients get a significant improvement in their symptoms of depression from TMS. It is not possible to know which patients will respond so we break the treatment into two parts. If a patient is not showing any benefit following the first part, during their review with their consultant psychiatrist, we discuss the chances of further improvement with the patient. At this point, we may recommend alternative treatment options rather than continuing TMS
treatment.

Is there a recovery period after a TMS session?

There is no recovery period and patients are able to go about their daily activities immediately following treatment. Some patients report a mild headache following treatment, however, this is generally at the beginning of treatment.

What are the relapse rates following TMS treatment?

Current statistics suggest that up to 2 in 3 patients will relapse within the first year following their TMS treatment. To counteract this, Expert TMS offer various maintenance options to help our patients optimise the improvements they have experienced.

What does “maintenance TMS” involve?

An ongoing support plan to ensure you maintain the benefits of your treatment can be done and individually tailored for your needs. Cost can be discussed based on the number of sessions.

  • Suitable for patients who have successfully completed a full course of TMS for any of the conditions
  • Two Theta-Burst sessions within one 30-minute appointment per month
  • Top up treatments as and when you need them

What is the difference between TMS and ECT?

While both TMS and Electroconvulsive Therapy (ECT) are effective in the treatment of depression, there are many differences in safety and tolerability.


Both are designed to treat depression through the application of energy into the brain, but the similarities end there.


ECT is a more intensive and invasive procedure than TMS: ECT requires an anaesthetic and is designed to cause a controlled seizure. One of the main side effects from ECT is memory loss which does not occur with TMS.


By contrast, TMS is an outpatient procedure with few side-effects. The patient can go about their day-to-day life as normal immediately after leaving the TMS clinic.

Esketamine

Can I take the medication at home instead of in clinic?

No. As Esketamine is a controlled 2 medication, it is self-administered and supervised by a qualified professional.

Do I have to do anything to prepare for treatment?

On the day of treatment, it is a requirement for patients NOT to eat 2 hours prior to their appointment and NOT to have any fluids 30 minutes prior to treatment. Patients can take their usual medications if more than 2 hours prior to treatment and if those medications are not sedentary.

How long is each session?

The patient is required to stay in clinic for at least 90 minutes post administration. This is to allow time for the side effects to have worn off prior to discharge.

How many treatments will I need?

Esketamine is broken down into three stages;

  • Stage one requires the patient to attend for two treatments per week with at least one day in between treatments for four weeks.
  • Stage two is one treatment per week for four weeks.
  • Stage three is decided with your consultant at review whether to continue with one treatment per week OR one treatment every two weeks.

How much does Esketamine cost?

Esketamine cost varies depending on the dose prescribed. Please contact our team for further information.

Is there a recovery period after taking Esketamine?

Yes. The side effects of Esketamine peak at roughly 45 minutes post administration but are generally much less after 90 minutes. There is a requirement that patients do not drive post treatment or operate any machinery until the following day.

When will I start to notice improvement from having Esketamine?

Esketamine has shown to eliminate suicidality within 24 hours in some cases. Here in clinic, we have seen some rapid improvements to patient’s symptoms. In some cases, it can take a little longer for patients to respond. This can depend on multiple factors. All patients are reviewed weekly by the consultant psychiatrist in the initial stage of treatment to ensure dose and optimisation of treatment effects.

Psychological Therapy

How long are the sessions?

Each sessions is 1 hour long.

How many sessions will I need?

The number of sessions varies depending on the condition, severity and response rate. This is something that is regularly reviewed with the therapist.

How often do I need to come for treatment?

This is discussed with your therapist to decide what is more suited to your circumstances and availability.

Specialist Psychiatric Assessments and Medication Review

Can I have more than one appointment with the specialist?

Yes, once our specialists have completed a full assessment, they will continue to take over your mental health care as long as you wish with follow up appointments.

Can you prescribe medication?

As a private clinic we can provide private prescriptions following a full assessment. However, it is best practice to inform the patient’s GP and request they write the prescription with our specialist recommendations.

How long does the assessment take?

Every assessment type is different and requires different tools and assessment strategies therefore the timing can vary depending on the condition being assessed. Generally speaking, assessments can last from 1-2 hours, however, some may take a little longer.

What if I dont want to take my current medication anymore?

This can be discussed with your specialist. They will be able to provide you with alternative options to treatment including medicinal and non-medicinal treatments where they feel it is appropriate and safe to do so.

What types of assessments do you offer?

We offer all types of psychiatric assessments for all ages. We have a range of specialist consultants to cover every area of mental health including;

  • Adult Psychiatry
  • Older Adult Psychiatry and Memory Services
  • Children’s Mental Health
  • Learning Disability
  • ASD/Autism
  • ADHD

To arrange a free telephone consultation or to ask us questions about how Expert TMS can help you, call us today on 01925 691502 or email us at info@experttms.co.uk