Accelerated TMS

A full course of TMS in one to two days, or a single week, in Denver, CO

Awake throughout, no downtime
No prior auth, no waiting to start
Board-Certified MD Psychiatrists

4.7 from 37 Google reviews

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All-inclusive 1-2 day course

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Sessions, one a day over 6-8 weeks

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Board-certified psychiatrists

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Treating patients in Denver since

The short version

Accelerated TMS , in brief

What it is
A session roughly every 30 minutes, with rest in between - the spacing is part of the protocol, not a scheduling convenience. You are awake throughout.
What happens
A session roughly every 30 minutes, with rest in between. You are awake throughout.
How long it takes
1–2 days for the 20-session course. One week for the 50-session course.
Who it's for
People who cannot give up six to eight weeks of daily visits, or who travel a distance to reach us.
Cost
$2,800 for the 1–2 day course. $5,500 for the 5-day. Both all-inclusive.
Note
The device is FDA-cleared. The compressed schedule itself is not separately cleared, and we will explain exactly what that means on your call.

The TREATMENT

Six to eight weeks is why a lot of people never start

Standard TMS works, but it asks for 36 visits over six to eight weeks. For a lot of people, that is the whole problem: time away from work, a daily drive, childcare, or simply living too far from a clinic to make it five days a week.


Accelerated TMS delivers the same treatment on a compressed schedule. Instead of one session a day for weeks, you have several sessions a day with rest in between, and the course is finished in days.

Suitability

Who accelerated TMS suits

An accelerated course could fit if
  • Six to eight weeks of daily visits is not realistic for you.
  • You travel a distance to reach us.
  • You would prefer not to take medication, or it helps but not enough.
  • You want treatment with no recovery time, so you can drive yourself home.
  • You can commit to a full day, or two, in the clinic.
We'd check carefully
  • Whether you have a history of seizures.
  • Whether you have metal implants in or near your head.
  • Whether you are likely to respond to treatment and tolerate it well.
  • Whether the standard course would suit you better.

Accelerated TMS is not right for everyone. We check all of this before anything is booked, and if it is not the right treatment for you, we will say so.

AGES 15 TO 21

Treating a Teenager?

TMS is an option for teens whose depression hasn't lifted on antidepressants, running alongside their current care.

Adolescent care is led by Dr. Nandakumar, fellowship-trained in child and adolescent psychiatry.

FDA-cleared as an adjunct treatment for major depressive disorder in patients aged 15 to 21 who haven't responded to prior antidepressant medication.

What happens

Your course, start to finish

The free call


We take a few details, then a psychiatrist calls you back, usually within 24 hours. Ten minutes on what you have tried, and an honest answer on whether an accelerated course is worth pursuing.

Evaluation and mapping


A full evaluation confirms you're a candidate and screens for anything that would make TMS unsafe. Your psychiatrist then finds the exact coil position and sets your stimulation level.

Your course


A reclining chair, a clicking sound, a light tapping. Read, listen to music, or just chat. Then drive yourself home.

Follow-up


Your psychiatrist tracks your progress and adjusts if it stalls. Touch-ups within six months are included.

The equipment

The system we use

We treat with Ampa One:

Camera-guided targeting

A camera keeps the coil in the same spot every session, not by measurement alone. FDA-approved, prescription-only.

A dose set from you

Set from your own physiology, not an average.

Short sessions

A few minutes at a time, so the accelerated schedules work.

Your options

Two accelerated schedules

Both are all-inclusive. The standard course is shown for comparison.

Fastest option

1-2 Day Accelerated

A brief intensive, 20 sessions over two days.

Sessions 20
Schedule Over one to two days
Price $2,800
Best for People who cannot give up a week

5-Day Accelerated

The full course in one week instead of six.

Sessions 50
Schedule Over one week
Price $5,500
Best for Done in one week

Standard

A steady, traditional pace - one session a day, spread over six to eight weeks.

Sessions 36
Schedule One a day, 6–8 weeks
Price $3,800
Best for

Every course includes your evaluation, all follow-up visits, and free touch-up sessions within six months. Not sure which fits? That's what the free call is for.

Pricing

What it costs

Most clinics bill these separately. Here it is one number.

Standard Course
BILLED
With Us
Initial clinical evaluation
Separately
Included
20 treatment sessions over one to two days
Per session
Included
All follow-up visits
Per visit
Included
Touch-up sessions within six months
Full price
Included
Total, all-inclusive
$2,800
The 5-day accelerated course is $5,500 all-inclusive and includes 50 sessions on the same terms. We don't currently accept insurance for TMS - credentialing is in progress, and we'll tell you exactly where it stands on your call. Until it goes through you pay one fixed price with nothing to claim back, appeal or chase, which for some people is simpler and for others is the reason to look elsewhere. We'd rather you knew that now than found out later. Before you schedule anything, we'll give you the total, talk you through which schedule fits, and tell you plainly if TMS isn't the right treatment for you.

Being straight with you

What's cleared, and what isn't

The device
The system we use is FDA-cleared for depression in adults who have not improved on antidepressants.
The schedule
The compressed schedules are not separately cleared. Running a full course in days is supported by published research, but it's your psychiatrist's clinical decision rather than a cleared protocol.
The outcome
There are no outcome guarantees, on any schedule. TMS does not work for everyone, and we would rather say that before you spend anything than after.

If any of that changes how you feel about it, ask on your call. We will give you a straight answer.

Questions

What do people ask before they call

Straight answers to the questions we hear most.

  • Why is the shortest course the cheapest?

    Because it is 20 sessions rather than 36 or 50, and it uses far less clinic time. The price follows the treatment, not the convenience.

  • Does it work as well as the standard course?

    Accelerated schedules are used because the research supports them, but the standard six-to-eight-week course remains the most studied. Which one we recommend depends on you, and it is a conversation with your psychiatrist rather than a menu choice. We will not tell you one is better than the other in the abstract.

  • What does a treatment day actually look like?

    You arrive in the morning and leave in the evening. A short session roughly every half hour, and the rest of the time is yours. Bring a laptop, a book, or headphones. There are no activity restrictions afterwards.

  • Can I drive myself home?

    Yes. There is no anesthesia and no sedation, and you are awake and alert throughout.

  • Is it safe to have that many sessions in a day?

    Side effects are usually mild and temporary, most often scalp discomfort or a headache, and they are the same ones seen on the standard schedule. Seizure is a very rare risk with TMS on any schedule. Your psychiatrist screens for it before you start and reviews the safety detail with you.

  • How soon might I feel better?

    Improvement usually unfolds over the weeks after treatment rather than during it. Finishing in two days does not mean feeling different in two days, and anyone who tells you otherwise is overselling it. Family sometimes spot the change first.

  • Will I need to stop my medication?

    Most patients continue their medication through TMS, and any changes are made by your psychiatrist as part of the evaluation.

  • Do you take my insurance?

    Not for TMS. We are self-pay while credentialing goes through. Everything is billed at one flat rate with no hidden fees. If in-network cover is what decides it for you, say so on your call and we will tell you where things stand.

  • Do you treat teenagers?

    Yes, from 15. Adolescent care is led by Dr. Nandakumar, who is fellowship-trained in child and adolescent psychiatry, so a teenager is assessed by a specialist rather than treated as a smaller adult.

  • What if it doesn't work for me?

    TMS does not work for everyone, and we would rather say that plainly. The free call and the evaluation exist to filter out people who are not good candidates before anyone spends anything. If you complete a course and symptoms return within six months, touch-up sessions are included.

Why us

Real doctors, for whatever you’re facing

Two board-certified psychiatrists and a whole practice behind your care, whichever treatment brings you in.

All ages

Children, adults, and teenagers seen by a specialist.

Physician led

board-certified psychiatrist, not a technician or NP.

Seen quickly

A psychiatrist calls back within 24 hours.

Clear on cost

You'll know the cost before you commit.

Care that adapts

The right treatment for you, from a full range.

Whole-picture care

Depression, anxiety, ADHD and addiction, one practice.

Who treats you

Board-certified psychiatrists. One of them will evaluate you and oversee your course personally.

Dr. Charles Shuman, Founder · Psychiatrist

Dr. Charles Shuman

Founder · Psychiatrist

Trained at Temple University, the University of Florida and the University of Colorado, where he has also taught on the faculty. Founded Confluence in Denver in 2016.

Dr. Shankar Nandakumar, Psychiatrist

Dr. Shankar Nandakumar

Psychiatrist

Fellowship-trained in child and adolescent psychiatry, and leads adolescent care at the practice.

Patient stories from Ampa, the TMS system used at Confluence.

What patients say

The Confluence difference

Where the difference actually shows.

Other clinics
Speaking to a doctor
Before you schedule
After you've booked
Evaluation
Board-certified psychiatrist
Often an NP or PA
Mapping
Your doctor, personally
A technician
If it stalls
Your doctor adjusts it
Escalated, if anyone's free
Price
One flat rate, published
Quoted after assessment
Touch-ups
Free within six months
Charged per session

Find out whether TMS is right for you

Ten minutes with a psychiatrist. No charge, no commitment, and an honest answer either way.