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TMS and Spravato® for treatment-resistant depression and OCD - Louisville, KY.
When Medications Haven't Worked
Proven Results with Accelerated TMS
~88%
Response rate
78%
Achieve Remission
6 Days
Acute Treatment
Meet Dr. David Roth
Dr. Roth grew up in Louisville, trained with national leaders in interventional psychiatry in California, and came home to bring those treatments to the patients who need them most.
He founded Bluegrass Advanced Mental Health because too many of his patients had tried multiple medications without relief. They deserved a next step that actually worked. He is triple board-certified in Child and Adolescent Psychiatry, Adult Psychiatry, and Pediatrics.
Transcranial Magnetic Stimulation (TMS)
- FDA-Cleared, non-invasive brain stimulation proven effective for TRD and OCD
- Can be used alongside psychiatric medication for enhanced results.
- Accelerated TMS available: acute treatment in 6 days, continuation sessions over the following 4 weeks using BrainsWay SWIFT protocol.
- No sedation
- No downtime
Spravato (Esketamine Nasal Spray)
- FDA-approved rapid-acting treatment for treatment-resistant depression and for depressive symptoms in adults with major depressive disorder with suicidal ideation or behavior
- Works through a different brain pathway than traditional antidepressants
- Administered under medical supervision
- Can be used alone or to enhance other antidepressant medications
Mental Health Care That Works With Your Insurance
TMS and Spravato (esketamine nasal spray) are covered by most major health insurance plans when criteria are met. For patients who are out-of-network or who want accelerated TMS treatment, third-party financing may be available.
A 5-minute screening tells you if TMS or Spravato may be a fit, verifies your insurance coverage, and connects you with our Patient Care Team to schedule your first appointment.
Bluegrass Advanced Mental Health serves Louisville, KY and the surrounding areas including Prospect, Oldham County, Middletown, Jeffersontown,
La Grange, Shepherdsville, Anchorage, Crestwood, New Albany and Jeffersonville.
Google Profile Reviews
Individual results vary. These reviews reflect individual experiences and are not a guarantee of outcomes.
Our full Google reviews are available here.
I've had a good experience consulting with Dr Roth about medication management, and scheduling has been smooth.
Paris
2 weeks ago
Kim is very friendly and knowledgeable! Great experience! Would highly recommend this place!
Cody
4 weeks ago
I’ve dealt with treatment resistant depression my whole adult life and Spravato has been a life changing medication for me. I used to go to another clinic for Spravato treatment and it was fine. But Dr. Roth and his team have given me a much more meaningful and more personalized experience. I can tell that they care about me not as just some medical record number or faceless patient but truly care about me as a complete person.
Dr. Roth challenges me to take advantage of each treatment session with intention in order to help me become an incrementally better version of myself. If you are experiencing depression, I encourage you to contact Bluegrass Advanced Mental Health to discuss your treatment options will change your life.
Nathan
6 weeks ago
I am so grateful for the opportunity to be treated by the team at Bluegrass Advanced Mental Healthcare. I have worked with a variety of clinicians and undergone various treatments over the last 13 years for my mental health struggles, and I feel that my experience with Bluegrass has been one of the best. The entire team is so welcoming, caring, and supportive.
Dr. Roth is one of the best psychiatrists I have worked with. I truly feel he cares deeply about his patients’ treatment and recovery, something I’ve struggled to find with most psychiatrists I’ve worked with.
At Bluegrass, I received the Accelerated TMS treatment. I have done Standard TMS in the past with a different clinic. I've found accelerated TMS much more effective, much sooner in the treatment timeline.
Katarina
7 weeks ago
TMS & Spravato Frequently Asked Questions
Does insurance cover TMS or Spravato?
A. TMS therapy and Spravato (esketamine nasal spray) are covered by most major commercial insurance plans when medical criteria are met, including Aetna, Anthem, Cigna, Humana, Medicare, TRICARE, and UnitedHealthcare.
Our Patient Care Team handles insurance verification, prior authorization, and qualification on your behalf from start to finish. Patients who are out-of-network or who want accelerated TMS treatment may have access to third-party financing options.
How is TMS different than antidepressants?
A. TMS (Transcranial Magnetic Stimulation) and antidepressants work through completely different mechanisms. Antidepressants are medications that adjust neurotransmitter levels throughout the body and brain systemically. TMS delivers focused magnetic pulses directly to the specific brain regions involved in mood regulation, without systemic medication effects.
TMS has no sedation, no weight changes, no systemic side effects, and no daily pills. It is FDA-cleared for treatment-resistant depression and OCD, and is typically used when medications have not worked or have caused intolerable side effects.
BrainsWay’s SWIFT protocol can complete a full TMS course in just 6 days of acute treatment.
What is the difference between standard TMS and Accelerated TMS?
A. Standard TMS involves one 20-minute session per day, five days a week, over six weeks during the acute phase, followed by 6 sessions over 3 weeks during the continuation phase. 36 sessions total.
Accelerated TMS using BrainsWay’s SWIFT protocol patients complete 5 (10-minute long) rapid TMS sessions per day for 6 days in the span of 2 weeks, followed by a taper phase of (2) - 10 minute sessions per day, 1 day a week for 4 consecutive weeks. 38 sessions total.
Both use the same BrainsWay H1 Deep TMS coil and are FDA-cleared for treatment-resistant depression.
Accelerated TMS is ideal for patients who need faster results or have scheduling constraints that make daily six-week treatment impractical.
Clinical data from the SWIFT protocol shows an 87.8% response rate and 78% remission rate (Hanlon et al., Brain Stimulation, 2026).
Is Spravato (esketamine) safe? What should I expect during a session?
A. Spravato is FDA-approved and is administered under direct medical supervision in our clinic. You will self-administer the nasal spray under Dr. Roth’s or one of our clinician's oversight and remain in our clinic for a two-hour monitoring period following each dose.
Most patients experience mild dissociative effects or dizziness that resolve before they leave. You cannot drive on the day of a Spravato session, so you will need a ride home.
Spravato is approved as a monotherapy for treatment-resistant depression and as an add-on treatment with an oral antidepressant. It works through a different brain pathway than traditional antidepressants, providing rapid-acting relief for patients who have not responded to other treatments.
How do I know if TMS or Spravato is right for my family member?
A. TMS is appropriate for adults and adolescents (15+) with treatment-resistant depression or OCD who have tried antidepressants without adequate response. Spravato is approved for adults with treatment-resistant depression or major depressive disorder with acute suicidal ideation or behavior.
Our clinician team will review your family member’s diagnosis, medication history, prior treatments, and medical profile to determine which approach is the best fit.
Many patients at Bluegrass Advanced Mental Health use a combination of treatments tailored to their specific situation.
How much does TMS therapy cost in Louisville, KY?
A. With insurance, most patients at Bluegrass Advanced Mental Health pay only their standard specialist copay or coinsurance for standard Deep TMS, since TMS is covered benefit under most commercial plans when medical criteria are met. Accelerated TMS using the BrainsWay SWIFT protocol is $7500 all inclusive, covering evaluation, all treatment sessions, follow-up visits, and touch-up sessions within 6 months. Financing is available. Our patient care team verifies your specific benefits before you commit to anything.
How to get started
Step 1
5-minute screening call with our Patient Care team to verify benefits
Step 2
In-person evaluation with a member of our clinical-staff
Step 3
Treatment begins, typically 1 week after intake
Ready to talk?
A 5-minute screening call with our patient care team tells you if TMS or Spravato may be a fit, verifies your insurance coverage, and can schedule your first appointment.
