One Day TMS (ONE-D)

Treatment for MDD and GAD

Introducing ONE-D TMS at breakthru psychiatric solutions

A one-day breakthrough for treatment-resistant depression in Alpharetta & Sandy Springs, GA

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 12–13 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 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) 60 minutes prior to treatment to enhance learning and synaptic rewiring
  • Continuous 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 one week
  • 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 Day TMS (ONE-D).

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