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One Day TMS (ONE-D)

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Introducing ONE-D TMS at Breakthru Psychiatric Solutions

A One-Day Breakthrough for Treatment-Resistant Depression in Alpharetta & Sandy Springs, GA

Imagine treating your depression in a single day. What once required daily appointments over the course of 9 weeks can now be accomplished in just one visit. For the first time in the field of psychiatry, we have a protocol where depression can remit after a single day of treatment.

This is the promise of One-D TMS—a breakthrough in interventional psychiatry that delivers a full course of transcranial magnetic stimulation (TMS) in one carefully structured day.

At Breakthru Psychiatric Solutions, we are redefining what’s possible in mental health care. As a leader in interventional psychiatry, we are proud to offer ONE-D (Optimized, Neuroplasticity-Enhanced Depression Treatment Regimen)—a revolutionary one-day TMS protocol for individuals suffering from treatment-resistant depression.

Developed from the latest neuroscience research and supported by promising clinical outcomes, ONE-D TMS provides rapid, durable relief—without the time commitment of days-to-weeks of TMS treatment.

What Is ONE-D TMS?

ONE-D TMS (Optimized, Neuroplasticity-Enhanced Depression Treatment Regimen) is an advanced, high-dose TMS protocol that delivers 20 intermittent Theta Burst (iTBS) sessions over the course of a single treatment day, combined with two supportive medications: Vyvanse (lisdexamfetamine, a mild stimulant) and D-cycloserine (a cognitive enhancer).

Patients typically spend 8–9 hours in the clinic receiving their full course of TMS in a single day.

How It Works

  • 20 sessions of intermittent Theta Burst Stimulation (iTBS), each lasting ~3 minutes
  • Sessions are spaced across the day with 20–30 minute breaks and monitoring
  • Pre-treatment with Vyvanse (off-label) 60 minutes prior to treatment to support focus
  • Pre-treatment with D-cycloserine (off-label) to enhance learning and synaptic rewiring
  • Comprehensive psychiatric and neurological monitoring
  • Private room for relaxing in between treatments

Key Benefits of ONE-D TMS

  • ✅ One-day treatment
  • ✅ Rapid symptom relief
  • ✅ Low side effect profile
  • ✅ No ongoing maintenance required
  • ✅ Ideal for busy professionals or travelers
  • ✅ Long-lasting results
  • ❌ Not covered by insurance (self-pay)
  • ❌ Awaiting FDA-approval

Comparing TMS Protocols

Protocol Duration Total Sessions Medications Maintenance Needed Insurance Coverage
Standard TMS 9 weeks 36 (1/day) None Not needed ✅ Covered
Accelerated TMS 2 weeks 40 (multiple/day) None Not needed ❌ Not covered
ONE-D TMS 1 day 20 (iTBS) Vyvanse + D-cycloserine Not needed ❌ Not covered

Clinical Outcomes & Research

  • Response rates up to 83.9% six weeks after treatment
  • Remission rates up to 54.5% twelve weeks after treatment
  • Noticeable symptom improvement within 24–72 hours
  • Sustained effects without long-term maintenance

Is ONE-D TMS Right for You?

If you’ve tried three or more antidepressants with little to no relief—or if you’re looking for an accelerated, science-backed solution—ONE-D TMS may be the breakthrough you’ve been waiting for.

Please note: ONE-D TMS is an advanced, off-label protocol based on evolving clinical research. While promising, it is currently not covered by insurance and is offered on a self-pay basis at Breakthru Psychiatric Solutions.

Why Choose Breakthru?

  • Physician-led, interventional psychiatry experts
  • Full suite of treatments including TMS, Spravato, IV Ketamine, VNS & Prism
  • Trusted by patients across Alpharetta, Sandy Springs & Greater Atlanta
  • Dedicated to advancing mental health treatment

📍 Schedule your consultation today to learn more about One-D TMS.

📞 Call or Request a Consultation


Breakthru Psychiatric Solutions
Where Innovation Meets Compassion