Theta Burst Stimulation

What is the difference between TMS and Theta Burst (TBS)?

Theat burst stimulation (TBS) is a form of patterned TMS which makes it possible to induce strong and long-lasting effects using a lower stimulation intensity and a shorter time of stimulation compared to standard TMS protocols. This means that if you use TBS instead of standard TMS to treat your patients, you will be able to treat 5 times more patients which makes TBS depression treatment much more cost-effective.

In the FDA cleared TBS protocol, the theta burst stimulation is applied in 50Hz triplet bursts five times per second. It is an intermittent theta burst stimulation (iTBS) which means that the stimulations are delivered in a cycle of 2 seconds on and 8 seconds off. This pattern is found to have an excitatory effect whose potency matches or exceeds much longer sessions of standard TMS.

“Your relentless search, striving to understand, to eradicate, brings a new hope to what so often seems hopeless. As a patient highly resistant to drugs, this approach offers particular hope. And it offers hope too for my daughter and my daughter’s daughter – for all who live under a shadow of pending depression. I thank you for allowing me to participate in this program, I applaud your efforts and pray for your success.”

Clinical Conditions That We Treat


Depression is very common and can take many forms. It is essential to have a thorough evaluation in order to reach an accurate diagnosis, as this will determine how to choose the best treatment of the many that are available. Treatment-resistant depression (TRD) is a special form of depression where individuals do not experience adequate relief with conventional treatments. We can offer these individuals considerable expertise in the use of TMS, ketamine, and medication combinations to achieve better outcomes.

Bipolar-Spectrum Conditions

Many individuals who experience depression also experience clinical states referred to as mania or hypomania. These persons should be carefully distinguished from those who experience depression alone (unipolar depression) because the treatments and other considerations may be very different. We offer a thorough evaluation to establish an accurate diagnosis so that the right treatment can proceed.

Anxiety Disorders

Anxiety is quite common, and like depression, there are diverse treatments available. We treat individuals with anxiety syndromes such as post-traumatic stress, panic disorder, generalized anxiety disorder, and obsessive-compulsive disorder.

Psychotic Disorders

Conditions such as schizophrenia, schizoaffective disorder, and related conditions require long-term, ongoing care. Medications are a mainstay for these conditions, though psychosocial interventions can offer additional benefit. We have recognized expertise in the use of antipsychotic medications to relieve the more serious symptoms and support well-being.

Get In Touch


(510) 225-5739


895 Moraga Road, Suite 15 Lafayette, CA 94549


Mon – Fri: 10am – 9pm
Weekends: 10am – 3m