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Physician-Led TMS Referrals in Colorado Springs

When a patient has not improved enough with standard treatment, TMS may be worth considering. At The Mind Grove TMS Center, we evaluate patients for standard rTMS, iTBS, and Accelerated TMS within a physician-led psychiatric care model.

Our practice was founded by Megan Bowers, MD, PhD, a dual ABPN board-certified psychiatrist in Adult Psychiatry and Child and Adolescent Psychiatry. We use MagVenture technology and take a careful clinical approach to each referral, including the patient’s diagnosis, treatment history, current medications, safety considerations, and care already in place.

TMS is not the right fit for every patient. Our goal is to determine whether TMS belongs in the patient’s broader treatment plan, and if so, which protocol is most appropriate.

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What Sets The Mind Grove TMS Center Apart in Colorado Springs:

The Mind Grove TMS Center was founded and is directed by a dual-board certified child and adolescent and adult psychiatrist.  Dr. Bowers has also served as the sole medical doctor for a TMS clinic prior to founding The Mind Grove TMS Center,  has decades of experience in basic and translational research in the fields of developmental genetics and neurobiology, and continues to engage with the newest developments in the field as a member of the Clinical TMS Society. 

When you refer a patient to The Mind Grove you can feel confident that all clinical decisions are being made by a physician with extensive experience in the diagnosis and management of mental health conditions, and a scientist with the knowledge and training needed to make thoughtful decisions about emerging evidence-based TMS protocols.

Our Collaborative Approach with Referring Clinicians:

You can rely on timely and consistent communication from Dr. Bowers before and after you refer a client/patient to The Mind Grove TMS Center:

Referring clinicians can schedule a pre-referral consultation with Dr. Bowers regarding appropriateness/safety of TMS for your patients, and any questions you have about TMS and insurance coverage
Dr. Bowers will communicate with you directly after your patient has been seen for medical clearance to inform you of their treatment plan
If your patient is taking psychotropic medications, Dr. Bowers will communicate with you directly if there is any need for adjustments to their medication regimen during the course of their TMS treatment
All changes to medications will be made at the discretion of the patients primary psychiatrist – Dr. Bowers will not make any changes unless agreed upon with the primary psychiatrist
For patients who have a primary psychiatrist, Dr. Bowers does not offer ongoing medication management after the completion of TMS treatment
Dr. Bowers recommends that patients continue to see their primary psychiatrist and therapist for routine follow-ups throughout their TMS treatment
Dr. Bowers will communicate directly with the referring clinician at the end of the TMS treatment to update them on the patients response to treatment

Please note that all communications between Dr. Bowers and referring clinicians during TMS treatment will require an ROI to be signed by the patient.  

When to Refer

We evaluate patients ages 15 and older who may be appropriate for TMS care for depression-related conditions, including:

  • Major depressive disorder
  • Treatment-resistant depression
  • MDD with co-occurring anxiety symptoms

For adults with generalized anxiety disorder or PTSD, TMS may be considered on an off-label basis when the clinical picture supports that discussion. TMS is now FDA-cleared for PTSD if combined with quantitative EEG using the MagVenture device. TMS is not FDA-cleared for GAD. However, neither GAD nor PTSD are currently covered by insurance for those primary indications.  Please note that insurance will cover TMS treatment of patients with PTSD and GAD if those diagnoses are co-morbid with treatment-resistant depression, and treatment-resistant depression is the primary indication for TMS.  Please feel free to reach out to Dr. Bowers to discuss your patient’s unique clinical scenario.

TMS is FDA-cleared and generally covered by insurance for qualifying patients ages 15 and older with depression-related indications. Coverage varies by payer, diagnosis, and medical-necessity criteria. Colorado Medicaid does not cover TMS.

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TMS Services Available

Standard rTMS

Standard rTMS is delivered as a structured course of 36 to 40 sessions. Treatment is delivered daily over four to six weeks, followed by a taper phase. A full course typically spans eight to ten weeks, and appointments are approximately 20 to 40 minutes.

iTBS

Intermittent theta burst stimulation, or iTBS, is a form of rTMS that uses rapid theta-burst stimulation patterns. Each appointment is approximately 20 minutes, with about 3-10 minutes of stimulation.

Accelerated TMS

Accelerated TMS uses iTBS as its delivery method. At The Mind Grove TMS Center, Accelerated TMS is delivered as 30 sessions over two weeks, with five sessions per day across six treatment days, followed by 2 sessions per week for 3 weeks, for a total of 36 sessions.

Medication as Part of Care

There is growing evidence that specific medications, specifically glutamate modulators (ketamine, D-cycloserine, Auvelity) may increase the effectiveness of TMS when used as augmentation agents during TMS treatment. Dr. Bowers may incorporate the use of augmenting agents alongside TMS when it is considered safe and appropriate for the patient and protocol being applied.  Any psychotropic medication adjustments to the patients antidepressants suggested by Dr. Bowers will be discussed with the patients primary psychiatrist or PCP, and the primary psychiatrist will remain the patients medication prescriber during and after TMS treatment.  Augmenting agents will be prescribed by Dr. Bowers, and only during the duration of the TMS treatment course.

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TMS Care Within an Integrative Psychiatric Model

We are focused on TMS, but we do not treat TMS as separate from the rest of psychiatric care. Patients often come to us with existing medications, established therapeutic relationships, referring clinicians, and complex treatment histories.

Before recommending standard rTMS, iTBS, Accelerated TMS, augmentation with medication, or another next step, we consider this full clinical context.

Refer a Patient

The Mind Grove TMS Center provides Accelerated TMS in Colorado Springs for qualifying adults with major depressive disorder, treatment-resistant depression, and MDD with co-occurring anxiety symptoms.

For patients considering TMS, Dr. Bowers evaluates whether standard rTMS, iTBS, Accelerated TMS, medication management, or a combination of care best fits the patient’s clinical needs.

Medical Disclaimer

This content is for informational purposes only and is not a substitute for medical advice, diagnosis, or treatment. TMS is not appropriate for every patient. A licensed clinician should evaluate each patient’s diagnosis, treatment history, medical history, and safety considerations before treatment.

Schedule a Consultation

Reach out to The Mind Grove TMS Center in Colorado Springs to discuss your symptoms, treatment history, and whether rTMS, iTBS, Accelerated TMS, medication management, or a combination of care may be clinically appropriate.
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Opening Soon in Colorado Springs

Advanced, physician-led TMS therapy for adults and adolescents is coming soon to Colorado Springs. We are preparing to open our doors to provide compassionate, neuroscience-grounded care for depression, anxiety, and PTSD.