Frequently Asked Questions
What should I do if I am having a mental health emergency?
If you are experiencing a mental health crisis or having thoughts of harming yourself, please call or text 988 (the Suicide & Crisis Lifeline), available 24/7, or go to your nearest emergency room. If you are in immediate danger, call 911.
What if I have an urgent but non-emergency problem?
Dr. Bermudes recognizes that concerns can arise outside of scheduled sessions and can be reached via secure messaging or phone for urgent matters. For any true emergency, please use the resources above rather than waiting for a response.
Are all sessions in-person, or is telehealth available?
Deep TMS sessions are in person. Dr. Bermudes conducts medication management and psychotherapy appointments over telehealth, in states where he is licensed (CA, NV). In some clinical situations, in-person appointments are preferred, and Dr. Bermudes works with you directly on that.
Where are you located?
We have two locations: Walnut Creek, California and Zephyr Cove, Nevada.
Do you accept insurance?
Yes. We are in-network with several major insurers in both California and Nevada. Visit our Insurance & Fees page for a full list and details on coverage verification.
Will insurance cover Deep TMS?
Most major insurers cover Deep TMS for depression. We verify your specific coverage before treatment begins, so there are no surprises.
What forms of payment do you accept?
We accept Mastercard, Visa, HSA/FSA cards, and ACH payments. A credit card is required on file.
What if I am not sure whether I am covered?
That is exactly what your consultation is for. We check your coverage directly and walk you through your options before you commit to anything.
Is Deep TMS available for teenagers?
Yes. Deep TMS is FDA-cleared for ages 15 to 86, the widest age range of any TMS system. Learn more on our Adolescent Care page.
How does adolescent treatment differ from adult treatment?
Treatment for adolescents typically works alongside therapy and/or medication, with close family involvement throughout. See our Adolescent Care page for full details.
What is Deep TMS?
Deep Transcranial Magnetic Stimulation (Deep TMS) is a noninvasive, FDA-cleared brain stimulation treatment. It uses magnetic pulses to stimulate the brain networks involved in mood, anxiety, and OCD, helping the brain rewire itself over a series of sessions.
Is Deep TMS safe?
Yes. Deep TMS is FDA-cleared and has been used safely in tens of thousands of patients. It does not require anesthesia, and you can drive yourself to and from your appointments. The most common side effect is mild scalp discomfort during treatment, which typically fades after the first few sessions.
What does a session actually involve?
You sit comfortably in a chair while a device delivers magnetic pulses to a specific area of your scalp. Sessions typically last 20 to 40 minutes, depending on the protocol. Many patients read, listen to music, or simply relax during treatment.
How long before I notice a difference?
This varies by person and protocol. Some patients notice changes within the first two weeks; for others, it takes longer. Dr. Bermudes monitors your progress throughout and adjusts your plan as needed.
I already have a therapist. Do I have to stop seeing them?
No. Many of our patients are already in therapy, and we are designed to work alongside that relationship, not replace it. With your permission, we coordinate directly with your therapist.
I already have a psychiatrist managing my medications. Can I still come to you?
Yes. Many patients are referred to us by their own psychiatrist specifically for Deep TMS. You remain their patient throughout, and we coordinate any medication-related decisions directly with them.
How long is the full course of treatment?
Conventional Deep TMS is typically delivered over six weeks. An accelerated protocol is also available for patients who want faster results in fewer visits.
What happens after treatment ends?
We do not treat once and discharge. We support you through maintenance and are here if you ever need to step care back up.
Is Deep TMS backed by research?
Yes. Dr. Bermudes co-authored a 2026 multisite randomized trial published in Brain Stimulation, studying an accelerated Deep TMS protocol. The trial found strong outcomes, with a majority of patients responding and reaching remission.
What is Dr. Bermudes' background in this field?
Dr. Bermudes is a past president of the Clinical TMS Society and lead editor of the field's standard textbook on TMS in psychiatric practice.
