TMS

TMS services offered in San Antonio, TX

Coming Soon....

Around one-third of the 16 million Americans with depression live with treatment-resistant depression (TRD). Hayden Castillo, MSN, APRN, PMHNP-BC, and Victor Labrado, MSN, APRN, FNP-C, PMHNP-BC, at Soluna Mind and Wellness in San Antonio, Texas, offer innovative transcranial magnetic stimulation (TMS) as an alternative depression treatment if antidepressants and therapy haven't reduced your symptoms. Call Soluna Mind and Wellness or request a consultation online today to determine if TMS can help you.

TMS Q & A

What is transcranial magnetic stimulation?

Transcranial magnetic stimulation (TMS) is an innovative therapy that uses an electromagnetic pulse, much like the energy used during an MRI, to stimulate neurotransmitter activity in the regions of your brain that regulate your mood. The team at Soluna Mind and Wellness may suggest TMS therapy if you have depression, and conventional treatments like antidepressants and therapy haven’t alleviated your symptoms.

TMS treatment is noninvasive, doesn’t require anesthesia, and is usually well-tolerated. You won’t need any downtime to recover and can even drive yourself to and from your appointments.

Am I a good candidate for TMS therapy?

TMS is an excellent option to consider if you have depression and conventional treatments either aren’t effective or cause intolerable side effects. In most cases, you need to have tried several different types of medication before starting TMS.

You should be in good physical health for TMS therapy. TMS might not be right for you if you have a history of epilepsy, psychosis, stroke, or traumatic brain injury. Additionally, if you have any metal or implantable devices, like a pacemaker, in your body, you shouldn’t have TMS. Metal fillings and braces are acceptable.

The best way to know if TMS is right for you is to schedule a consultation with the team at Soluna Mind and Wellness. They provide comprehensive screening before recommending TMS therapy.

What should I expect during a TMS treatment?

Most patients have five treatments a week for 4-6 weeks. Your first session takes the longest because your provider has to take precise measurements to ensure the TMS coils are placed in the right location on your skull. They program your measurements into the equipment, and at subsequent appointments, the machine calibrates itself to your precise measurements.

The treatment itself only takes 20-40 minutes. You rest in a comfortable chair with the TMS coils positioned lightly against your skull. When your provider turns on the machine, you may hear or feel a mild clicking or tapping sensation as the electromagnetic pulse stimulates your brain. After your treatment, you can get right back to your regular activities.

Everyone responds to TMS differently. You may notice a reduction in your depression symptoms within two weeks, or you might need 5-6 weeks of treatment to feel better.

The team at Soluna Mind and Wellness is committed to helping you lead a healthy and fulfilling life. If you’ve struggled to find an effective treatment for depression, call the office or request an appointment online to learn more about TMS and determine if it’s right for you.

Services

Adult Psychiatry

At Soluna Mind and Wellness in San Antonio, Texas, our adult psychiatry services provide comprehensive evaluation, diagnosis, and treatment for a wide range of mental health concerns, including anxiety, depression, bipolar disorder, and trauma-related conditions. Each treatment plan is personalized to your unique needs, combining medication management, supportive therapy, and lifestyle guidance. Our goal is to help adults achieve lasting emotional stability, improved daily functioning, and an overall sense of well-being. Call the office to schedule a telehealth appointment or request one online today. In-person appointments will be available beginning in 2026.

Child & Adolescent Psychiatry

At Soluna Mind and Wellness in San Antonio, Texas, we specialize in child and adolescent psychiatry, offering compassionate, developmentally appropriate care to children and teens. We understand how mental health challenges like ADHD, anxiety, depression, and behavioral concerns can affect school performance and family relationships. Our approach emphasizes collaboration with families, educators, and therapists to promote healthy emotional development and academic success. Call the office or schedule an appointment online today for child and adolescent psychiatry. In-person appointments will be available beginning in 2026.

Psychiatric Medication Management

At Soluna Mind and Wellness in San Antonio, Texas, our psychiatric medication management services provide a thoughtful, collaborative approach to using medication as part of your mental health treatment. We focus on finding the right balance between drug effectiveness and toleration while educating patients about how medications work, what to expect, and how to achieve the best results. We treat many conditions, including anxiety, depression, ADHD, bipolar disorder, and PTSD. To schedule a psychiatric medication management consultation, call the office or request one online today.

Neuropsychological testing for ADHD

Attention-Deficit/Hyperactivity Disorder (ADHD) affects individuals of all ages and can significantly impact focus, organization, academic performance, and daily functioning. At Soluna Mind and Wellness in San Antonio, Texas, neuropsychological testing provides a comprehensive understanding of cognitive and behavioral functioning to help accurately diagnose ADHD and guide effective treatment planning. To determine if you're a candidate for neuropsychological testing for ADHD, call the office or request an appointment online today.

Telehealth

At Soluna Mind and Wellness in San Antonio, Texas, we currently offer convenient telehealth appointments to provide accessible, high-quality mental health care from the comfort of your home. Our board-certified providers specialize in compassionate, personalized psychiatric services designed to help you thrive. We’re excited to announce that in-person appointments will be available beginning in 2026, giving patients even more options to connect and receive care that fits their lifestyle. To schedule a telehealth appointment, call the office or request one online today.

SPRAVATO®

Coming Soon....

Beginning in 2026, Soluna Mind and Wellness in San Antonio, Texas, will offer Spravato® (esketamine) treatments for adults struggling with treatment-resistant depression. Administered in a safe, supervised clinical setting, Spravato works differently from traditional antidepressants—helping patients experience relief and improved mood faster. Our compassionate team will guide each step of the process, ensuring a supportive and healing environment for every individual. To learn more about Spravato, call the office or request a consultation online today.