TMS Therapy in Rockwall, TX
If you’ve tried antidepressants and depression is still there, you’re not out of options. TMS is a drug-free, FDA-cleared treatment for depression, OCD, and anxious depression, delivered in-office in Rockwall under the supervision of Dr. Ryan H. Hashem, MD.
Now accepting new TMS patients · Most start within 2 weeks
What Is TMS Therapy
A different way to treat depression, and one that doesn’t rely on medication
Depression that hasn’t responded to medication is exhausting in a way that’s hard to explain to people who haven’t been there. You’ve tried the pills. Maybe two, maybe five. Some helped a little. Some didn’t help at all. Most came with side effects that made you wonder if the trade was worth it.
TMS is different. It’s a drug-free treatment that uses gentle magnetic pulses to reach the exact part of your brain that regulates mood, which is often quieter than it should be in people with depression. There’s nothing to swallow, nothing to metabolize, and none of the weight gain, sexual side effects, or emotional flatness that make so many antidepressants hard to live with.
TMS has been FDA-cleared for major depression since 2008, and later cleared for OCD and depression with anxious features. It’s most often prescribed for adults who’ve tried at least one antidepressant without getting the relief they hoped for. If that sounds like where you are, TMS might be worth talking about.
At our Rockwall clinic on Ralph Hall Parkway, sessions happen in a private, quiet room. You sit in a comfortable chair, closer to a dentist chair than a hospital bed, and stay awake the whole time. Read, listen to music, or just rest. When you’re done, you drive yourself home. Call (469) 707-9603 to see if TMS is right for you.
Your TMS physician
A Rockwall practice led by a physician who takes the whole picture seriously
Every TMS candidate at our Rockwall clinic is evaluated by Dr. Ryan H. Hashem, our board-certified Medical Director. He has specialty training in interventional psychiatry, including TMS, Spravato, and IV ketamine. You’ll get an honest read on whether TMS is likely to help before you commit to anything, and the same team supervising your sessions is the team managing your medication and following up on your progress.
How TMS Works
The actual mechanism, in plain language
TMS isn’t magic and it isn’t theoretical. Here’s what actually happens during a session, and why the effect keeps building after treatment ends.
Ready to talk?
Start a Rockwall TMS consultation
Fill out the form and someone from our team will follow up to see if TMS is a fit and, if so, verify your insurance before you schedule anything. No commitment.
Your information is confidential and HIPAA-secure.
Conditions We Treat With TMS
What TMS is for, and what it isn’t
TMS isn’t a first-line treatment for everything. We recommend it when the evidence and your history point clearly to a good chance it will help.
Depression that hasn’t lifted
This is the reason most patients come to us for TMS. If one or more antidepressants haven’t worked, or haven’t worked well enough, this is likely the conversation to have.
Learn more about depression treatmentObsessive-Compulsive Disorder
For adults whose OCD keeps returning even with therapy and medication, deep TMS is FDA-cleared as an added treatment. It doesn’t replace ERP therapy, it works alongside it.
Talk to our team about OCD careDepression with heavy anxiety
Depression tangled up with anxiety is uniquely exhausting and uniquely hard to treat. TMS is FDA-cleared for exactly that presentation.
Talk to our team about anxious depressionPTSD
Growing evidence supports TMS as part of a broader psychiatric plan for PTSD, especially when depression is also present.
Learn more about PTSD treatmentGeneralized anxiety
Considered case-by-case for adults with persistent anxiety that hasn’t responded to standard treatment. Requires an individual evaluation with Dr. Hashem.
Talk to our team about anxiety careQuitting smoking
Deep TMS is FDA-cleared as an aid for adults trying to quit smoking short-term. Available on evaluation for the right candidates.
Ask about smoking cessation TMSNot sure if TMS is right for you? Our Rockwall team also treats bipolar depression, treatment-resistant depression with Spravato or IV ketamine, and offers full psychiatric care. Call (469) 707-9603 and we’ll help you figure out the next step.
Why SMHWI Rockwall
Integrated psychiatric care, not just a TMS clinic
TMS works best when it’s one part of a coordinated plan. At our Rockwall clinic, the same team that delivers your TMS also manages your medication and follows up on how you’re doing.
A doctor decides fit
Every candidate is evaluated by a board-certified psychiatrist, not a nurse working from a checklist.
One team, one plan
Because we’re a full psychiatric practice, your TMS provider is the team managing your medications too.
Close to home
Right off I-30 at Ralph Hall Parkway. No Dallas commute on top of an already-hard day.
Insurance handled
We verify benefits, get authorizations, and tell you your out-of-pocket cost before your first session.
How TMS Compares
TMS vs. antidepressants
Different treatments suit different patients. This is for orientation, not for choosing on your own. Your psychiatrist will help you weigh the option that fits your history.
Your Rockwall care team
Real, named providers behind your TMS treatment
TMS at SMHWI Rockwall is physician-led and coordinated with the psychiatric nurse practitioners and therapists who make up your day-to-day care.
Physician Leadership
Psychiatric Nurse Practitioners
Insurance & Cost
TMS is covered by most insurance plans
For most adults with depression that hasn’t responded to medication, insurance covers most of the treatment. Coverage typically requires proof that at least one antidepressant didn’t work. That’s paperwork our admissions team handles, you don’t have to chase it.
Frequently Asked Questions
TMS therapy at SMHWI Rockwall
Yes. Our Rockwall clinic is at 810 E Ralph Hall Pkwy, Ste 140. We offer FDA-cleared TMS for depression that hasn’t responded to medication, for OCD, and for depression that comes with heavy anxiety. Dr. Ryan H. Hashem, MD oversees TMS at this location. Call (469) 707-9603 to see if it fits you.
For most adults with depression that hasn’t responded to medication, yes. Major commercial plans, Medicare, Tricare, and many Texas Medicaid plans cover TMS, as long as you’ve tried at least one antidepressant that didn’t work. Prior authorization is usually required. Our team checks your specific plan, gets the authorizations needed, and tells you your out-of-pocket cost before your first session.
Each session runs about 19 to 37 minutes, depending on the protocol prescribed for you. You’ll come in five days a week for about six weeks, followed by a brief taper. You’re awake the whole time, and you can drive yourself home right after.
Most patients describe it as a tapping or clicking sensation on the scalp. Mild scalp discomfort or a headache is common in the first week and usually fades within a few sessions. No pain, no sedation.
The most common thing patients notice is mild scalp discomfort or a headache during the first week, both of which usually settle down as treatment continues. Unlike antidepressants, TMS doesn’t cause weight gain, sexual side effects, fatigue, stomach problems, or emotional flatness.
Most patients start noticing changes in sleep, energy, and mental clarity within the first two to three weeks. Mood usually catches up in weeks three or four, and improvement often keeps building for weeks after treatment ends.
In most cases, yes. TMS works alongside virtually every psychiatric medication, and many patients stay on their current antidepressants throughout treatment. Dr. Hashem reviews everything you’re taking at your evaluation.
ECT uses electrical current, requires anesthesia, and induces a controlled seizure. TMS uses focused magnetic pulses, no anesthesia, no seizure. You’re awake, you drive yourself home, and you’re back to your day.
TMS is FDA-cleared for adolescents ages 15 and older for major depression. Whether it’s appropriate for a specific teenager depends on their history, and coverage varies by plan.
Still thinking it over?
A first conversation. That’s all this is.
You’ve read the details. If you’re ready to see whether TMS fits, our Rockwall team will follow up to verify your insurance before you schedule anything. No commitment.
Your information is confidential and HIPAA-secure.
Service Area
Serving Rockwall and East DFW
Our Rockwall clinic welcomes patients from across the East Dallas metro and nearby communities, with easy access from I-30 at Ralph Hall Parkway.
Visit us
Find our Rockwall clinic
Conveniently located on E Ralph Hall Parkway, just off I-30, with easy access from Rockwall, Heath, Rowlett, and the wider East Dallas metro.
SMHWI, Rockwall
Rockwall, TX 75032
Medically reviewed
Reviewed by Ryan H. Hashem, MD
Board-certified psychiatrist and Medical Director of SMHWI Rockwall, TX.
You’ve been living with this long enough
A first conversation is exactly that, a conversation. It’s confidential, we’ll verify your insurance before you commit to anything, and most patients start treatment within about two weeks.
In a crisis
Get help right now
SMHWI is an outpatient clinic and cannot respond to emergencies. If you or someone you know is in danger or thinking about suicide, use these free, confidential resources, available 24/7.
- Call 911Life-threatening emergency, or someone at immediate risk of harm.
- Call or text 988Suicide & Crisis Lifeline, 24/7. Chat at 988lifeline.org/chat.
- Dial 988, then press 1Veterans Crisis Line, or text 838255.
- Text HOME to 741741Crisis Text Line, free 24/7 support with a trained counselor.
