Accelerated TMS + VR Therapy for Depression in San Antonio

Rapid, drug-free relief from treatment-resistant depression in just 2–4 days.

At Mobile Psych, we combine cutting-edge Transcranial Magnetic Stimulation (TMS) with immersive Virtual Reality (VR) therapy to deliver 40 targeted treatment sessions in as few as four days. Our board-certified psychiatrist, Dr. Safa Rubaye, has administered over 1,800 TMS sessions. If you’ve tried medications and traditional therapy without success, our accelerated cash-pay program can help you reclaim hope faster.

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A woman wearing VR goggles receiving TMS

Why Choose Accelerated TMS?

Rapid Relief

Clinical trials show nearly 80 % remission in treatment-resistant depression after a five-day accelerated TMS course designed by Stanford researchers. Many of our patients report noticeable mood improvement by Day 3 or Day 4

Drug-Free & Non-Invasive

No anesthesia, no systemic medications—just magnetic pulses targeted precisely at the left dorsolateral prefrontal cortex (DLPFC), the brain region most closely linked to mood regulation.

Board-Certified Expertise

Dr. Safa Rubaye, a psychiatrist specializing in advanced neuromodulation techniques, personally oversees each patient’s treatment plan and monitoring.

Immersive VR Integration

We augment each TMS session with VR-guided cognitive exercises to reinforce new neural pathways and achieve lasting benefits.

71 %
Reduction in depression scores within a week
6-month
Durable improvements in mood
95%
R no side effects
FDA-Cleared
Magventure TMS
Rapid Relief

How Our 2–4 Day Protocol Works

Your accelerated TMS journey is broken into the following steps. Every patient begins with a thorough evaluation, including a psychiatric intake and qEEG brain map to identify the optimal stimulation site. Then, over 2–4 days, you’ll receive 10 brief but potent sessions of TMS per side each day—totaling 40 sessions. Each stimulation burst lasts about three minutes; between bursts, you’ll participate in short VR exercises to help your brain integrate new patterns. On the final day, we repeat the qEEG to measure progress and discuss next steps.

Day 0

Intake with the doctor (virtually)

Day 1

Cognitive assessment
qEEG (optional)
Start Treatment

Day 2-3

Treatment
Skip to Day 4 if picked 2-day protocol

Day 4

Complete Treatment
Cognitive assessment
qEEG (optional)

Day 11

Repeat cognitive assessment

Repeat qEEG (optional)

Follow-up with the doctor

Our Prices

Depression

Starting at
$4,000
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  • 40 Treatments
  • 4 Days only
  • 2 Visits with the doctor
  • 2 Cognitive assessments
    Combined with VR Therapy

PTSD

Starting at
$4,000
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  • 40 Treatments
  • 4 Days only
  • 2 Visits with the doctor
  • 2 Cognitive assessments
    Combined with VR Therapy

Addons

  • 2 Day Protocol for TMS

    +$1,000

    Our new advanced protocol can deliver the same treatment (up to 80 sessions) in 2 days.  

  • Combined PTSD and Depression TMS treatment

    +$2,000

    If you Have Both PTSD and depression, both can be treated at the same time. No need for recurrent visits.

  • Combined PTSD and Depression TMS treatment

    +$900

    ADD qEEGs to monitor the response.

  • Combined PTSD and Depression TMS treatment

    +$400

    VR Therapy

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FAQs

Still Have a Question? 

What is accelerated TMS and how does it differ from standard TMS?

Accelerated TMS delivers multiple short sessions per day over 2–4 days (40 sessions total) instead of one session per day across six weeks. By compressing the schedule into intensive bursts, it jump-starts neuroplastic changes for faster relief from treatment-resistant depression. Standard TMS requires daily visits over about six weeks, whereas our protocol completes the same treatment in just days.

How quickly will I notice changes in my depression symptoms?

Most patients notice subtle improvements by Day 2 or Day 3, such as better sleep and a slight lift in mood. By Day 4, over 75 % of our patients report significant symptom reduction. Clinical trials (e.g., Stanford’s SAINT protocol) have demonstrated nearly 80 % remission in severe depression after five days of accelerated TMS. We schedule follow-ups at one week and one month to monitor ongoing improvement.

Is accelerated TMS safe? What are the side effects?

Yes, accelerated TMS is very safe and non-invasive. Common side effects include mild headache or scalp discomfort during the first day or two, which resolve quickly. There is no sedation or systemic medication involvement. The risk of seizure is extremely low (under 0.1 %) when proper screening is performed. There are no negative cognitive or memory effects.

How long do the benefits of accelerated TMS last? Will I need boosters?

Most patients maintain relief for six months or longer after completing the protocol. If symptoms return, a 1-day booster (10 sessions) or 2-day booster (20 sessions) quickly restores full benefits. The majority of our patients do not require a booster, but if they do, it is simple and cost-effective.

Do you accept insurance for accelerated TMS?

No. Accelerated TMS is offered on a cash-only basis. Insurance companies do not currently cover this intensive, 2–4 day accelerated protocol.

Who is a candidate for accelerated TMS? Are there any exclusions?

Candidates: Adults ages 18–70 with treatment-resistant depression, PTSD, anxiety disorders, or ADHD.Those who have tried at least two antidepressants (or analogous therapies) without sufficient relief.

Exclusions: Implanted metal or electronic devices in or near the head (e.g., cochlear implants, aneurysm clips, deep brain stimulators).History of seizures or epilepsy.Unstable medical conditions (e.g., uncontrolled hypertension, severe cardiac disease). Pregnancy is generally deferred until after delivery. Most psychiatric medications (SSRIs, SNRIs, stimulants, mood stabilizers) are fine to continue during TMS. High-dose benzodiazepines may be temporarily tapered to optimize TMS effectiveness.