For an emergency, call 911. In the United States, call or text 988 for suicide or mental-health crisis support.
Casa Privée is not an emergency service.
Casa Privée scope: private psychiatry, mental-health care and addiction medicine. Regenerative orthopedics is provided through a separate clinical entity.
Neuromodulation
Transcranial magnetic stimulation, considered carefully
TMS is a noninvasive prescription treatment that uses magnetic pulses to stimulate selected cortical regions. It should be presented by indication, not as a general-purpose brain-repair technology.
Clinical information
Clear scope.
Individual evaluation.
Neuromodulation
Transcranial magnetic stimulation, considered carefully
TMS is a noninvasive prescription treatment that uses magnetic pulses to stimulate selected cortical regions. It should be presented by indication, not as a general-purpose brain-repair technology.
Clinical information
Clear scope.
Individual evaluation.
Where TMS may fit
At Casa Privée, TMS is considered within a complete psychiatric formulation and treatment plan.
Adults with a qualifying clinical indication
Prior treatment history reviewed in context
Medical and neurological safety screening
Medication and substance exposure reviewed
Individual discussion of alternatives and expectations
Indication-specific language matters
Device indications vary by manufacturer, model and jurisdiction. The prescribing clinician confirms the exact device labeling and whether a proposed use is cleared, approved, off-label or investigational.
What to expect
A structured course, not a one-time experience
The exact schedule is individualized, but a responsible program includes assessment, prescription, mapping or treatment-parameter determination, repeated sessions and outcome measurement.
1
Psychiatric evaluation
Confirm the working diagnosis, symptom severity, prior treatment and clinical goals.
2
Safety screen
Review implanted metal or devices, seizure history, medications, neurological history and other relevant factors.
3
Treatment planning
Select an indication-specific protocol and explain expected time commitment, alternatives and uncertainty.
4
Monitoring
Track symptoms, tolerability and function during the course and plan continuation care.
Safety
Common and important risks
TMS is generally performed without anesthesia, but it is not risk-free. Patients receive device-specific counseling.
Scalp discomfort or pain at the treatment site
Headache or facial muscle stimulation
Hearing protection during treatment
Rare risk of seizure
Contraindications involving certain non-removable conductive metal or implanted devices near the head
Links open external websites. Manufacturer information should be read together with independent medical sources and individualized advice.
Boundaries
What this page does not promise
TMS does not guarantee remission or recovery.
TMS is not described as a cure for addiction, trauma, cognitive decline or every psychiatric symptom.
A device does not replace diagnosis, psychotherapy, medication management or higher-level care when those are needed.
A consultation is required before any prescription or course recommendation.
Request a TMS suitability evaluation.
Bring a current medication list and a summary of prior treatment. The clinic may request records before recommending a course.
Questions
Frequently asked questions
Is TMS medication-free?
TMS itself is a non-drug intervention, but patients may continue, change or use medication according to their individualized psychiatric plan. It should not be marketed as universally medication-free care.
Does TMS require anesthesia?
Conventional outpatient TMS generally does not require anesthesia. The exact treatment experience depends on the device and protocol.
How many sessions are required?
Course length varies by indication, protocol, response and clinical judgment. The prescribing clinician explains the proposed schedule before treatment.
Can TMS cause a seizure?
Seizure is a rare but recognized risk of TMS, occurring in fewer than 0.1 percent of sessions. Before treatment begins, your physician conducts a thorough screening for seizure history and other risk factors. Treatment parameters are set within established safety guidelines to minimize this risk. If you have concerns, discuss them with your clinician during your evaluation.
Private, physician-led psychiatry and addiction medicine in Brickell, Miami. Careful assessment, clear explanations and individualized follow-up.
1395 Brickell Avenue, Suite 200, Miami, Florida 33131
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Distinct organizations: Professor Bankole Johnson · IRMN education