Interventional psychiatry refers to psychiatric treatments that go beyond oral medication and psychotherapy — treatments like transcranial magnetic stimulation (TMS), ketamine therapy, Spravato, and stellate ganglion block. These are clinical tools used when standard approaches have not produced sufficient improvement, or when a patient’s condition warrants a faster-acting or differently-acting treatment.
A patient might consider interventional treatment when they have:
The decision to pursue interventional treatment is a clinical one, made during a psychiatric evaluation. Sometimes the evaluation determines that interventional treatment is the right next step; sometimes the answer is a medication adjustment, additional psychotherapy, or a different sequencing of care. At WIP, interventional treatments are tools applied within ongoing psychiatric care — not standalone procedures.
Ketamine is a general anesthetic agent. It has been used in hospitals for decades and has a proven record of safety. The small doses and methods of administration used to treat psychiatric patients differ widely from those used in hospital operating rooms which allows us to use it in the outpatient setting.
Intravenous Ketamine is not, however nasal esketamine (SPRAVATO™) is FDA approved. They are the same drug (ketamine), absorption rates and the delivery process (intravenous vs intranasal) differs.
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Transcranial Magnetic Stimulation (TMS) is an outpatient procedure used in patients with depression, obsessive compulsive disorder and potentially generalized anxiety. In this procedure, the patient is completely awake and seated in a chair. The magnetic coil of the machine is placed near the front, left side of the head. The machine sends magnetic pulses into the brain through this coil and causes it to create brief electrical currents. This therapy creates changes in the way the brain cells (neurons) interact in specific parts, or circuits, of the brain that controls mood.
A six-week protocol for TMS is already approved by the FDA for the treatment of depression. However, a recent study at Stanford University, entitled Stanford Accelerated Intelligent Neuromodulation Therapy for Treatment-Resistant Depression (SAINT-TRD) demonstrated that when TMS was delivered in a more intensive schedule and accelerated pace, it provided remission from depression in 90% of patients in as little as 3 to 5 days. These results were published online April 7, 2020 in the American Journal of Psychiatry. Washington Interventional Psychiatry now offers such an accelerated brain stimulation treatment for depression.
In the Stanford study, patients underwent 10 sessions per day of 10-minute treatments, with 50-minute breaks between treatments. Each treatment was a modified version of “Theta Burst” TMS, which requires specialized equipment to deliver. After a day of therapy, one study participant’s mood score indicated she was no longer depressed, while it took up to five days for other participants. On average, three days of the therapy were enough for participants to experience relief from depression.
All patients are evaluated by our psychiatrists to make sure they are a good candidate for TMS. Some people cannot have TMS because it uses powerful magnets. Your doctor will need to know if you have any metal objects in your body, such as the following:
If your doctor decides that TMS is a good treatment option for you, you do not need to do anything to prepare.
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At our practice, we operate outside of insurance plans, focusing on providing you with exceptional care without the constraints of traditional insurance coverage. While we do not directly participate in insurance plans, we are here to guide you through the reimbursement process for interventional treatments, helping you uncover potential insurance reimbursements. We also partner with 3rd party organizations that can assist you with insurance claims. Many of our interventional treatments such as TMS, ketamine therapy, and Spravato are eligible for partial reimbursement through out-of-network insurance benefits. To make this process easier, we’ve partnered with Reimbursify, a secure, user-friendly platform that allows patients to submit and track insurance claims in just a few minutes.
Our goal is to ensure that accessing advanced psychiatric treatments remains as seamless as possible, even when care is provided outside traditional insurance networks. Reimbursify helps patients recover a portion of their costs efficiently, without the frustration of complicated paperwork or phone calls.
Experience Accelerated Transcranial Magnetic Stimulation (TMS) for a week-long cycle at $7500. Our skilled TMS technicians will be with you every step of the way, ensuring a safe and effective treatment journey.
Alternatively, our Express Transcranial Magnetic Stimulation offers a daily session rate of $225, often reimbursed by most insurers. This TMS protocol spans 5 days a week for 4-6 weeks, accompanied by continuous psychiatric supervision.
Your well-being is our priority, reflected in our comprehensive psychiatric evaluations ranging from $438 to $1050, tailored to different types of initial visits and providers. For follow-up psychiatric appointments, costs range from $175 to $350, providing flexibility based on your provider.
At our practice, we focus on your needs, delivering high-quality care with transparency and commitment. Please don’t hesitate to reach out for any clarifications or to embark on your personalized treatment journey.
Medications can play a role in treating several mental disorders and conditions. Treatment may also include psychotherapy and interventional strategies. In some cases, psychotherapy alone may be the best treatment option. Choosing the right treatment plan should be based on a person’s individual needs, medical situation, and under a trained mental health professional’s care.
Information about medications changes frequently. Check the U.S. Food and Drug Administration (FDA) website for the latest warnings, patient medication guides, or newly approved medications. We strongly encourage you to research by name any drug you are currently taking. Useful resources for this are MedlinePlus Drugs, Herbs and Supplements Drugs website. The MedlinePlus website also provides additional information about each medication, including side effects and FDA warnings.
