Some private healthcare insurance companies may offer funding for our treatments. This would
need to be discussed with your insurance provider.
Yes. We have several patients who utilise all of our treatment services to optimise their recovery. We usually run Esketamine and TMS combined treatments for patients suffering from treat resistant depression and have had some fantastic recovery results using this method.
We offer a FREE telephone consultation with one of our Consultant Psychiatrists. This gives patients
the opportunity to briefly discuss their circumstances/diagnosis and ask any questions they have
about the treatments. The consultant that then make suggestions as to what may or may not be
appropriate treatment options for you.
TMS and Esketamine treatments require full assessment by a consultant psychiatrist prior to treatment. We can start treatment the same week as the assessment providing the Consultant is satisfied it is safe to do so.
Psychology treatment is based on our psychologists’ availability which can usually be within 1-2 weeks from enquiry.
Yes, we can provide up to three treatments in a day. Some patients prefer this method as it minimises the number of times they are required to attend clinic in the week.
Standard research is based on clients coming to clinic for treatment Monday-Friday and having one
session. However, there are ways by utilising different protocols that these treatment sessions can
be broken up with some patients only attending clinic 2-3 times per week.
For standard rTMS each session is roughly 17-20 minutes long. For patients who require treatment
on multiple areas, each area will be stimulated for 17-20 minutes. For theta burst treatment (iTBS),
treatment lasts just over 3 minutes for one session, stimulating one area of the brain.
The number of sessions will depend on the condition being treated. A minimum number of sessions
for all conditions is 20. This will be discussed with your consultant on assessment and review.
In clinic, we have found 75% of patients get a significant improvement in their symptoms of depression from TMS. It is not possible to know which patients will respond so we break the treatment into two parts. If a patient is not showing any benefit following the first part, during their review with their consultant psychiatrist, we discuss the chances of further improvement with the patient. At this point, we may recommend alternative treatment options rather than continuing TMS
There is no recovery period and patients are able to go about their daily activities immediately following treatment. Some patients report a mild headache following treatment, however, this is generally at the beginning of treatment.
Current statistics suggest that up to 2 in 3 patients will relapse within the first year following their TMS treatment. To counteract this, Optimise Healthcare Group offer various maintenance options to help our patients optimise the improvements they have experienced.
An ongoing support plan to ensure you maintain the benefits of your treatment can be done and individually tailored for your needs. Cost can be discussed based on the number of sessions.
While both TMS and Electroconvulsive Therapy (ECT) are effective in the treatment of depression, there are many differences in safety and tolerability.
Both are designed to treat depression through the application of energy into the brain, but the similarities end there.
ECT is a more intensive and invasive procedure than TMS: ECT requires an anaesthetic and is designed to cause a controlled seizure. One of the main side effects from ECT is memory loss which does not occur with TMS.
By contrast, TMS is an outpatient procedure with few side-effects. The patient can go about their day-to-day life as normal immediately after leaving the TMS clinic.
No. As Esketamine is a controlled 2 medication, it is self-administered and supervised by a qualified professional.
On the day of treatment, it is a requirement for patients NOT to eat 2 hours prior to their appointment and NOT to have any fluids 30 minutes prior to treatment. Patients can take their usual medications if more than 2 hours prior to treatment and if those medications are not sedative.
The patient is required to stay in clinic for at least 90 minutes post administration. This is to allow time for the side effects to have worn off prior to discharge.
Esketamine is broken down into three stages;
Esketamine cost varies depending on the dose prescribed. Please contact our team for further information.
Yes. The side effects of Esketamine peak at roughly 45 minutes post administration but are generally much less after 90 minutes. There is a requirement that patients do not drive post treatment or operate any machinery until the following day.
Esketamine has shown to eliminate suicidality within 24 hours in some cases. Here in clinic, we have seen some rapid improvements to patient’s symptoms. In some cases, it can take a little longer for patients to respond. This can depend on multiple factors. All patients are reviewed weekly by the consultant psychiatrist in the initial stage of treatment to ensure dose and optimisation of treatment effects.
Each sessions is 1 hour long.
The number of sessions varies depending on the condition, severity and response rate. This is something that is regularly reviewed with the therapist.
This is discussed with your therapist to decide what is more suited to your circumstances and availability.
Yes, once our specialists have completed a full assessment, they will continue to take over your mental health care as long as you wish with follow up appointments.
As a private clinic we can provide private prescriptions following a full assessment. However, it is best practice to inform the patient’s GP and request they write the prescription with our specialist recommendations.
Every assessment type is different and requires different tools and assessment strategies therefore the timing can vary depending on the condition being assessed. Generally speaking, assessments can last from 1-2 hours, however, some may take a little longer.
This can be discussed with your specialist. They will be able to provide you with alternative options to treatment including medicinal and non-medicinal treatments where they feel it is appropriate and safe to do so.
We offer all types of psychiatric assessments for all ages. We have a range of specialist consultants to cover every area of mental health including;
Yes. There is no contraindication between TMS for Migraine and any medications. It is always best to speak to your doctor before undertaking any treatment.
We do not offer individual migraine treatment sessions. The treatment is booked as a course of 10 sessions to be paid prior to treatment commencing.
Every patient will be screened for treatment by a qualified nurse. The nurse will be able to tell you if you may benefit from TMS for Migraine and will be able to provide you with further information and complete a consent form with you prior to treatment.
Each sessions lasts approximately 10-15 minutes.
Treatment is given as a course of 10 sessions across a 3-5 week period. Patients can decide if they want to do 2 sessions or 3 sessions per week until they reach their 10 sessions.
Migraine treatment is given as a course of 10 sessions for a cost of £999.
Yes. There are no side effects that will prevent you returning to your usual daily activities following treatment.