Believe in WE,
and let’s work together to help you be well.

When it Seems Like Everything You Try Fails, You Still Have Options.

Feeling sad or hopeless now and then is a normal and natural part of life. For those with depression, feelings of deep sadness, hopelessness, and even suicidal thoughts can become intense and long-lasting.

Depression can affect your relationships with family members, coworkers, and friends, impact your physical health.

Depression is usually treated with a combination of antidepressant medication and therapy. For some, antidepressants provide enough relief on their own. But for others, medications and therapy don’t seem to work. This is called “treatment resistance,” and there are options for you to get better.

Find Recovery & Balance Here

Transcranial Magnetic Stimulation – TMS

Although many different forms of drug therapies exist, not everything works for everyone, and some side effects can be worse than the conditions they are supposed to work to fix.

  • TMS can help achieve remission for major depressive disorders that do not improve through medications.
  • TMS is an approach that uses magnetic pulses to stimulate neural activity accurately.
  • TMS is an FDA-approved treatment for patients who do not benefit from antidepressant medications.
  • Certus is one of just a few practices that offer TMS therapy, and we have helped the majority of patients we have treated realize great outcomes.
  • TMS is an approach that uses magnetic pulses to stimulate neural activity. It is approved for treatment when all other treatments are deemed ineffective by your care provider.
TMS Winston-Salem

TMS treatment is:

  • Non-invasive, meaning it does not involve surgery, anesthesia, or sedation of any kind.
  • Non-systemic, meaning it is not a pill that has to be swallowed and does not circulate in the bloodstream.
  • The technology is similar to that of MRI scanners – short magnetic pulses are emitted from a butterfly-like coil, which can painlessly pass through the intact skull to the brain’s outer regions. Here, short and small electric fields are induced, which can influence neural activity.
  • By stimulating with several pulses over several treatment sessions, TMS can have lasting effects on the brain, inhibit overactive areas in the brain, or excite under-active regions, as is the case in depression treatment.

Limited, if any, side effects with TMS

  • The most common side effects are slight pain at the point of treatment, headaches, and dizziness. These typically disappear within a short amount of time.
  • TMS is free of most side effects typically associated with antidepressant medications such as weight gain, sexual problems, or upset stomach.

Is TMS right for you?

  • Each TMS treatment session takes approximately 20 to 40 minutes. Before and right after treatment, the patient can directly come and go through their normal activities.
  • In total, you will receive five TMS sessions per week for four to six weeks.
  • You are alert and awake during treatment.
  • Most insurance providers have approved TMS treatment for those who qualify.
  • TMS is not the same as electroconvulsive therapy (ECT). ECT, commonly referred to as “shock therapy,” is a treatment for depression that uses electricity to produce seizure-like activity in the brain while a patient is “asleep” under anesthesia.
TMS Winston-Salem

Spravato™ Nasal Spray

SPRAVATO™ nasal spray is a different medication taken with an oral antidepressant for adults with treatment-resistant depression – a first in decades approved by the FDA.

In a clinical study of adults with treatment-resistant depression, those who took Spravato and an oral antidepressant experienced significant reductions in depression symptoms at four weeks compared to those who received a placebo plus an oral antidepressant (Based on an overall score on a standardized rating scale).

  • Spravato can only be administered at Certus. As a certified Spravato™ treatment center, we are among the few practices in the areas we serve that are authorized to administer this medication.
  • Spravato™ is inhaled in a preset dose. You must remain in our office for up to two hours for observation after the prescription is administered.
  • You will require transportation to and from our offices.
  • You will take SPRAVATO™ twice a week for the first month. During the second month, you’ll take it once a week. After that, you’ll take it once a week or once every two weeks. You’ll continue to take an oral antidepressant as prescribed.

Click here to learn more.

At Certus, we want you to find your path to better mental health.
Whether you’re in the Piedmont Triad or the Research Triangle,
contact us to schedule an appointment for Treatment-Resistant Therapies.

Let’s Move Forward Together