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Health Info

So we can better help, tell us a few things about yourself.

Have you been diagnosed with depression by a doctor?
Have you taken more than two antidepressants in your lifetime?
Do you see or have you seen a therapist?
What is the name of your insurance carrier?
(Please write none if you are uninsured.)
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Services we offer.

We’ll show you a new way forward. IPC opens the door to different possibilities in mental health treatment by providing proven, state-of-the-art treatments such as Transcranial Magnetic Stimulation (TMS), Spravato (esketamine) and intranasal ketamine. If you have not found relief after trying 2 or more antidepressants, one of our services might be right for you.

Transcrainial Magnetic Stimulation
rTMS
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FDA Approved
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Covered by Insurance
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Non-invansive
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Safe & Effective without any downtime
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Recommended by American Psychiatric Association
Learn More
Spravato
Ketamine
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FDA Approved
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Covered by Insurace
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Non-invasive intranasal administration
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Safe & Effective
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Improvements in symptoms can begin in 24 hours
Learn More

rTMS

TMS therapy is a safe, non-invasive treatment for patients suffering from Major Depressive Disorder (MDD). During treatment magnetic fields create gentle pulses to stimulate the areas of the brain which are known to be involved with depression and mood. TMS has been FDA approved for more than a decade and is recommended by the American Psychiatric Association.

A typical course of treatment consists of 30 sessions over 6 weeks followed by 6 titration treatments. Each treatment lasts 18 minutes and can be scheduled to fit in with your daily life. Many patients continue to work or maintain their routine during TMS therapy.

  • 1/3 of patients are symptom free after treatment.

  • 2/3 of patients experienced reduced symptoms.

"The entire team is incredible. It's clear from moment one that they truly care. I had incredible (to me) results, but even if I hadn't, I'd still give them this review. I truly couldn't imagine a better experience."

Mary ,

rTMS Patient

"Dr. Marshall is wonderful. Clearly incredibly bright and very caring."

Rod,

rTMS Patient

FAQs

What is TMS ?
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Repetitive Transcranial Magnetic Stimulation, or rTMS is a non-invasive treatment that uses repetitive magnetic pulses to stimulate nerve cells in the brain to improve symptoms of depression.

During a TMS session, an electromagnetic coil is placed against the scalp. The electromagnet pulse stimulates nerve cells in the region of your brain involved in mood control and depression. TMS is an option for those who have tried antidepressants, but the antidepressants have stopped providing effective relief.

How does it work?
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Targeted magnetic fields are used to stimulate a specific area in the brain that is associated with depression. rTMS technology is similar to the technology used in MRIs.

Is TMS covered by my insurance?
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TMS is covered by most insurance providers including Medicare. Prior authorization is typically required for insurance coverage. Our clinic will manage this process.

What does TMS feel like?
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The magnetic coil which delivers TMS is positioned on the head. You will hear a clicking sound and feel a tapping sensation on your head when the magnetic pulses are delivered. Many patients watch television or read during treatment.

Is TMS safe?
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TMS is FDA approved treatment, and has over two decades of clinical and scientific research supporting its safe use and application. TMS therapy has been recommended by the American Psychiatric Association (APA) since 2010 for the treatment of Major Depressive Disorder.

What is the typical treatment time?
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TMS treatment is usually administered over a 6-week period, 5 times per week. Each treatment is typically between 3 and 37.5 minutes depending on what the physician determines to be best for you. If the need arises, we can work with a schedule that fits with your needs.

Ketamine

At IPC we use Spravato, the first FDA-approved nasal spray for treatment resistant depression, and intranasal ketamine. Both are used concomitantly with your current oral anti-depressants. Spravato and intra-nasal ketamine have been shown to be very fast acting, sometimes patients experience relief as early as 24 hours.

Glutamate is something your brain needs to function correctly.  Spravato and intra-nasal ketamine therapy affect glutamate production, which is thought to improve symptoms of depression. People with depression tend to have low levels of glutamate in their brains. Patients have observed both short and long-term relief from their depression.

  • Improvement in symptoms in as little as 24 hours.

  • Spravato is the first FDA approved Nasal Spray for treatment resistant depression in adults.

  • Recommended by the American Psychiatric Association

  • Safe & Effective

I don't really have words to describe the relief that something works. The hopelessness is just gone. Thank you so so much, Dr. Marshall, and the entire team. It's clear you all care so much.

Mary ,

rTMS Patient

“The day I began treatment was one of the best days of my life. "

Bridget,

rTMS Patient

FAQs

What is Ketamine ?
medical-icon

Repetitive Transcranial Magnetic Stimulation, or rTMS is a non-invasive treatment that uses repetitive magnetic pulses to stimulate nerve cells in the brain to improve symptoms of depression.

During a TMS session, an electromagnetic coil is placed against the scalp. The electromagnet pulse stimulates nerve cells in the region of your brain involved in mood control and depression. TMS is an option for those who have tried antidepressants, but the antidepressants have stopped providing effective relief.

Is Ketamine safe? Are there Side Effects?
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TMS is FDA approved treatment, and has over two decades of clinical and scientific research supporting its safe use and application. TMS therapy has been recommended by the American Psychiatric Association (APA) since 2010 for the treatment of Major Depressive Disorder.

Is Ketamine covered by my insurance?
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TMS is covered by most insurance providers including Medicare. Prior authorization is typically required for insurance coverage. Our clinic will manage this process.

How does it work?
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Targeted magnetic fields are used to stimulate a specific area in the brain that is associated with depression. rTMS technology is similar to the technology used in MRIs.

What is the typical treatment time?
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TMS treatment is usually administered over a 6-week period, 5 times per week. Each treatment is typically between 3 and 37.5 minutes depending on what the physician determines to be best for you. If the need arises, we can work with a schedule that fits with your needs.

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We see you, we hear you, we've got you.
258 South River Road , Bedford, NH 03110
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