Mobile Psych is pioneering an accelerated Transcranial Magnetic Stimulation (TMS) program in San Antonio, TX. for attention-deficit/hyperactivity disorder that delivers 80 sessions in just 2–4 days. This intensive protocol targets two key brain regions and pairs with self-guided virtual reality (VR) therapy, offering new hope to adults with ADHD who haven’t found relief with traditional treatments. (While our focus is on adult ADHD, emerging research suggests this approach may benefit younger patients as well.)
Book appointment
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.
Intake with the doctor (virtually)
Cognitive assessment
qEEG (optional)
Start Treatment
Treatment
Skip to Day 4 if picked 2-day protocol
Complete Treatment
Cognitive assessment
qEEG (optional)
Repeat cognitive assessment
Repeat qEEG (optional)
Follow-up with the doctor
+$1,000
Our new advanced protocol can deliver the same treatment (up to 80 sessions) in 2 days.
+$2,000
If you Have Both PTSD and depression, both can be treated at the same time. No need for recurrent visits.
+$900
ADD qEEGs to monitor the response.
.jpg)
+$400
VR Therapy
Day 0 (Intake & qEEG Mapping): You meet with Dr. Rubaye for a detailed psychiatric evaluation and undergo a quantitative EEG (qEEG) brain map. This identifies the optimal target area—typically the right dorsolateral prefrontal cortex—for stimulating PTSD-related networks.
Days 1–3 (Treatment Days): Each morning, you arrive for your TMS sessions. You receive up to 20 stimulation bursts per day, each lasting about 3 minutes, followed by a 20-minute rest period. During rest, you engage in VR-guided relaxation or exposure exercises designed to reinforce healthy neural pathways. Each day totals approximately 10–20 bursts (depending on individualized mapping), plus VR therapy, and runs for about 4–5 hours.
Day 4 (Final Day & Follow-Up): The last set of TMS + VR sessions is completed, followed by a brief qEEG to measure immediate changes. Dr. Rubaye reviews your progress and outlines any required follow-up.
Days 7 (Remote Check-Ins): We schedule telehealth check-ins, including optional follow-up qEEG at one month, to ensure symptom improvements persist and to discuss any booster needs.
Because accelerated TMS modulates PTSD-related neural circuits multiple times per day, many patients report initial relief—such as reduced hypervigilance, fewer nightmares, or less reactivity—within 2–3 days. By the end of Day 4, most experience a significant reduction in intrusive thoughts and anxiety. Continued gains generally build over the following weeks as neural pathways reorganize.
Most patients maintain PTSD symptom relief for six months or longer following treatment. In our follow-up data, approximately 70 % of patients still report significant symptom reduction at the six-month mark. If symptoms re-emerge—such as flashbacks or heightened startle—a one-day booster (10 TMS sessions) or two-day booster (20 sessions) can quickly restore benefits. Booster sessions are typically only needed once or twice a year, if at all.
You may qualify if you are:
An adult (ages 18–70) diagnosed with PTSD, especially if you’ve tried medications or therapy without sufficient relief.In generally good health and able to commit to an intensive 2–4 day protocol.
Free of contraindications such as implanted metal or electronic devices in or near the head (e.g., deep brain stimulators, cochlear implants) and without uncontrolled seizures.Willing to participate in a cash-pay program, as accelerated protocols are not covered by insurance.
Most psychiatric medications, including SSRIs or SNRIs, can be continued during treatment. If you take high-dose benzodiazepines, Dr. Rubaye may recommend a brief taper to optimize TMS efficacy.
Yes. Accelerated TMS is non-invasive and does not require anesthesia. Common, mild side effects include:
Scalp discomfort or mild headache during the first day, usually resolving quickly.
Temporary mental fatigue after full days of treatment (described as feeling “mentally tired,” not physically exhausted).
Scalp twitching as magnetic pulses interact with superficial nerves, which is not painful.
Serious adverse events (like seizures) are extremely rare (< 0.1 %) when proper screening is performed. There are no systemic side effects—no sedation, no memory impairment, and no long-term cognitive impact.
No. Accelerated TMS + VR therapy for PTSD is offered as a cash-only service. Insurance companies classify the 2–4 day accelerated protocol as experimental and do not reimburse for it.
