Deep TMS is a non‑invasive, FDA‑cleared treatment that uses magnetic fields to safely stimulate neural regions involved in mood regulation. It’s an outpatient procedure that requires no anesthesia and allows you to resume normal activities immediately afterward.
During a session, a specialized helmet (the “H‑Coil”) gently delivers magnetic pulses that activate neurons in brain areas shown to be under‑active in people with depression, OCD, or nicotine addiction. Over time, this helps restore healthier brain activity patterns.
In the United States, Deep TMS is FDA‑cleared for adults with:
Outside the U.S. (CE‑marked countries), Deep TMS may be used for additional psychiatric and neurological indications.
Each treatment lasts about 20 minutes. You’ll sit comfortably while the helmet delivers brief magnetic pulses that make a tapping sound and mild scalp sensation. You can relax or listen to music, and you can drive immediately afterward.
Most patients receive five sessions per week for 4–6 weeks, followed by optional maintenance sessions as recommended by your provider.
Deep TMS is generally well‑tolerated. The most common side effects are mild scalp discomfort or headache during the first few sessions, which usually resolve quickly. Deep TMS does not have the systemic side effects often associated with medications (such as weight gain or sexual dysfunction). A very small risk of seizure exists but is extremely rare.
Yes. Deep TMS has been extensively studied worldwide and is FDA‑cleared. It does not require anesthesia, sedation, or hospitalization.
No. Deep TMS can be combined with antidepressants or psychotherapy. Your provider will advise on the best approach for you.
Clinical research shows Deep TMS can achieve meaningful outcomes. Many patients experience response or remission over a standard course, with benefits that may continue with maintenance sessions.
Some patients notice changes within the first 1–2 weeks; others may need more sessions before improvement becomes clear. The therapeutic effect is cumulative.
Yes. Deep TMS is an outpatient, non‑invasive procedure. You can drive, work, and continue daily activities right after each session.
Psychotherapy, also known as talk therapy, is a collaborative process that helps individuals, couples, and families understand and resolve emotional difficulties, improve relationships, and develop healthier coping skills. At Pembrooke NeuroWellness Center, therapy integrates scientific evidence with compassionate care to restore balance and promote lasting wellness.
We offer a variety of evidence-based treatments, including Cognitive Behavioral Therapy (CBT), Interpersonal Psychotherapy (IPT), Trauma-Focused Therapy (TF-CBT), Couples and Family Therapy, Faith-Integrated Counseling (upon request), and Psychological Assessment and Testing. Each treatment plan is individualized and may also integrate psychiatric medication management or TMS therapy for comprehensive care.
Our therapy team includes licensed clinical psychologists, psychotherapists, and psychiatric professionals who collaborate closely to ensure each client receives holistic, coordinated care. All clinicians are experienced in treating a wide range of emotional, behavioral, and relational concerns.
If you’ve been feeling anxious, depressed, overwhelmed, or stuck in patterns that no longer serve you, psychotherapy can help. Many clients seek therapy not only for symptom relief but also for personal growth, stress management, and relationship strengthening.
Your first session focuses on understanding your history, current concerns, and goals for treatment. Together, you and your therapist will develop a personalized plan to address your needs and begin identifying immediate coping tools.
Yes. We provide secure telehealth sessions for clients throughout Maryland, ensuring convenience and privacy while maintaining the same high standard of care as in-person appointments.
The duration varies depending on your goals and progress. Some clients see improvement in a few sessions, while others benefit from ongoing support over several months. Your therapist will regularly review progress and adapt treatment as needed.
Therapists focus on emotional and behavioral patterns through conversation and skill-building, while psychiatrists (or psychiatric nurse practitioners) specialize in diagnosis and medication management. At Pembrooke NeuroWellness Center, these services are seamlessly integrated for optimal outcomes.
We accept most major insurance plans, including CareFirst, Aetna, Cigna, and UnitedHealthcare, among others. Our administrative team will help you verify your benefits and estimate any copayments or out-of-pocket costs.
Yes. All sessions are strictly confidential and protected by law. Information is only shared with your written consent or as required by ethical or legal standards (e.g., safety concerns).
Yes. Upon request, we provide therapy that incorporates spiritual and faith-based principles consistent with Christian values. This approach is always respectful and tailored to your level of comfort and belief system.
Our clinicians provide support for a wide range of issues, including depression and anxiety, trauma and PTSD, relationship and family conflict, grief and loss, work-related stress, ADHD and behavioral concerns, and adjustment to life changes.
You can schedule online through our secure client portal, call or text our Waldorf office at (240) 255-9347. New clients will receive digital intake forms prior to the first appointment.
If your symptoms are severe or resistant to traditional therapy, our team may recommend TMS (Transcranial Magnetic Stimulation) or coordinated psychiatric medication management to enhance your treatment response.
We combine clinical excellence, innovative neuroscience-based treatments, and genuine compassion. Our integrated model ensures that your psychological, emotional, and biological needs are all addressed within one coordinated care environment.
Medication management is a collaborative process between you and your psychiatric provider to ensure safe, effective use of medications for mental health conditions. It includes evaluating symptoms, prescribing medications when appropriate, monitoring side effects, and adjusting doses as needed.
Our psychiatric team includes a board-certified psychiatrist and a psychiatric nurse practitioner (PMHNP) who work closely with our psychologists and therapists. Together, they develop comprehensive treatment plans tailored to each individual’s needs.
We provide evaluation and treatment for a range of mental health conditions, including:
- Depression and treatment-resistant depression
- Anxiety and panic disorders
- ADHD and focus difficulties
- Bipolar disorder
- PTSD and trauma-related symptoms
- Sleep disturbances and mood instability
- OCD and intrusive thought patterns
No. Medication is only one part of treatment. We value informed choice and shared decision-making. Many clients benefit from a combination of psychotherapy, lifestyle modification, and—if appropriate—medication to support their overall wellness.
After an initial psychiatric evaluation, your provider will determine whether medication may be helpful. If prescribed, your prescription will be electronically sent to your preferred pharmacy. Follow-up appointments are scheduled to assess how you’re responding to treatment.
Initially, follow-up visits are usually scheduled every 2–4 weeks to monitor response and side effects. Once your treatment stabilizes, visits may occur every 1–3 months, depending on your condition and medication type.
Yes. Pembrooke NeuroWellness Center offers both in-person and secure virtual appointments for medication management across Maryland, providing flexibility and convenience.
We will review your current medication list, assess its effectiveness, and—if you choose to transfer care—continue or adjust treatment as appropriate. Please bring a list of your current medications to your first appointment.
Yes. With your consent, our psychiatric providers collaborate with your therapist, psychologist, or primary care physician to ensure cohesive, integrated care.
Controlled substances are prescribed only when clinically indicated and after a comprehensive assessment. Ongoing prescriptions require regular follow-up visits, adherence to treatment plans, and compliance with all applicable regulations.
Yes. We are in-network with most major insurance plans. Please contact our office to confirm coverage and verify any co-pay or deductible requirements prior to your appointment.
If you miss a dose, take it as soon as you remember—unless it’s almost time for your next one. If you experience side effects, contact our office before stopping your medication. Most side effects can be managed through dosage adjustments or medication changes.
Treatment duration varies by condition and individual progress. Some clients may need medication for a short period, while others benefit from longer-term management. Your provider will discuss this with you throughout your care.
Medication refills should be requested through our secure patient portal or by contacting our office at least 3 business days before you run out. Refill requests are processed only for clients who remain active in care and compliant with follow-up visits.
Our approach is personalized, evidence-based, and compassionate. We integrate psychiatric care with psychotherapy, TMS therapy, and holistic wellness strategies—helping our clients achieve long-term relief and balance, not just symptom control.
SPRAVATO® is an FDA-approved nasal spray that contains esketamine, a more refined form of ketamine. It is prescribed for adults with treatment-resistant depression or those experiencing major depressive disorder (MDD) with suicidal thoughts or behaviors. Most major insurance plans include coverage for SPRAVATO®. In contrast, standard ketamine treatments are not FDA-approved for depression and are often not reimbursed by insurance providers.
SPRAVATO® is designed for adults diagnosed with major depressive disorder who have not achieved sufficient relief after trying at least two oral antidepressants.
Esketamine therapy usually occurs in three distinct phases:
• Induction (Weeks 1–4): Two sessions per week
• Maintenance (Weeks 5–8): One session per week
• Long-term Maintenance (Week 9 and beyond): One session every one to two weeks
Your exact schedule may be personalized based on your clinician’s recommendations and your treatment response.
Before your visit: Avoid eating for at least two hours and limit fluids 30 minutes before your session.
During the session: Treatment takes place in a private, comfortable setting. You’ll relax in a recliner while staff monitor your blood pressure and review your brief intake form. You will then self-administer the nasal spray under supervision after receiving step-by-step instructions.
Your care team will stay with you throughout the session, checking your blood pressure periodically—at the start, midway through (about 40 minutes), and before discharge. Each visit lasts approximately two hours. For safety, you’ll need a responsible adult to drive you home, as driving is not permitted for the remainder of the day.
The prescribed dosage varies according to your individual treatment plan. Each treatment involves administering two to three nasal sprays per nostril, depending on your clinician’s direction.
That’s perfectly fine. Our clinicians will review your progress and help you explore other evidence-based options. If SPRAVATO® isn’t the best approach, alternatives such as NeuroStar® Transcranial Magnetic Stimulation (TMS) are available. TMS is FDA-cleared, non-invasive, and does not involve medication or anesthesia. Your provider can discuss these options or guide you through a brief TMS eligibility questionnaire.
Yes. SPRAVATO® may be used alone or in combination with traditional oral antidepressants. Your provider will customize your plan based on your medical history and treatment goals.
No. SPRAVATO® is administered only at certified outpatient centers enrolled in the FDA-mandated Risk Evaluation and Mitigation Strategy (REMS) Program. Our medical team is fully trained to supervise treatment safely in a comfortable, clinic-based environment.
Currently, esketamine is FDA-approved only for major depressive disorder that has not responded adequately to antidepressant therapy. It is not indicated for anxiety disorders at this time.
Certain health conditions may prevent the safe use of esketamine. Treatment is generally not recommended for individuals who have:
• Uncontrolled high blood pressure
• A history of brain bleeding or stroke
• Vascular abnormalities (e.g., aneurysms or arteriovenous malformations)
• Known allergies or sensitivities to ketamine or esketamine
• Pregnancy or are currently breastfeeding
Please consult your provider for a full assessment to determine if SPRAVATO® is appropriate for you.
Yes. Most major insurance companies—including commercial, Medicare, and Medicaid plans—provide coverage for SPRAVATO® when medically indicated. Your care coordinator can help verify your benefits and explain any costs prior to beginning treatment.
Sessions are conducted via a secure, HIPAA-compliant video platform. You can connect with your provider from your home, office, or any private space using a smartphone or computer.
Yes. Research shows that telehealth sessions can be just as effective as in-person care, especially when trust, consistency, and clear communication are maintained.
Find a quiet, private space with a stable internet connection. We’ll send you a secure link before your session to make logging in simple and stress-free.
A psychological assessment is a structured, evidence-based process that uses interviews, standardized tests, and behavioral observations to understand how a person thinks, feels, learns, and functions. It provides a clear clinical picture and supports accurate diagnosis, treatment planning, and academic or legal decisions.
Individuals of all ages may benefit, including children struggling academically, teens experiencing emotional or behavioral concerns, and adults needing diagnostic clarity for mental health, neurological conditions, career evaluations, and legal/forensic matters.
Most assessments involve:
Yes. You will receive a detailed, easy-to-understand report outlining diagnoses (if applicable), test results, strengths and weaknesses, and personalized treatment or educational recommendations.
Assessment time varies based on the type of evaluation—typically ranging from 30 mins to 4 hours. You’ll receive detailed feedback and a written report once results are reviewed.
It's essential to feel comfortable and understood by your therapist. If you don't feel a connection, it's okay to discuss your concerns.
It's essential to feel comfortable and understood by your therapist. If you don't feel a connection, it's okay to discuss your concerns.
It's essential to feel comfortable and understood by your therapist. If you don't feel a connection, it's okay to discuss your concerns.
It's essential to feel comfortable and understood by your therapist. If you don't feel a connection, it's okay to discuss your concerns.
It's essential to feel comfortable and understood by your therapist. If you don't feel a connection, it's okay to discuss your concerns.
It's essential to feel comfortable and understood by your therapist. If you don't feel a connection, it's okay to discuss your concerns.
It's essential to feel comfortable and understood by your therapist. If you don't feel a connection, it's okay to discuss your concerns.
It's essential to feel comfortable and understood by your therapist. If you don't feel a connection, it's okay to discuss your concerns.
It's essential to feel comfortable and understood by your therapist. If you don't feel a connection, it's okay to discuss your concerns.
It's essential to feel comfortable and understood by your therapist. If you don't feel a connection, it's okay to discuss your concerns.
It's essential to feel comfortable and understood by your therapist. If you don't feel a connection, it's okay to discuss your concerns.
It's essential to feel comfortable and understood by your therapist. If you don't feel a connection, it's okay to discuss your concerns.
It's essential to feel comfortable and understood by your therapist. If you don't feel a connection, it's okay to discuss your concerns.
It's essential to feel comfortable and understood by your therapist. If you don't feel a connection, it's okay to discuss your concerns.
It's essential to feel comfortable and understood by your therapist. If you don't feel a connection, it's okay to discuss your concerns.
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Pembrooke NeuroWellness Center A Division of MacKenzie Counseling & Consultation Services, Inc.
