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Carolina Psychiatry, Taral Sharma, Psychiatrist

TMS vs. Spravato: Which Depression Treatment Is Right for You at Carolina Psychiatry, South Carolina?

At Carolina Psychiatry in South Carolina, we understand the emotional toll that treatment-resistant depression can have on your life. If you’ve tried multiple antidepressants with little to no relief, you’re not alone—and you have options. Two of the most advanced treatments available today are Transcranial Magnetic Stimulation (TMS) and Spravato (esketamine nasal spray).

But how do they compare? Which one is more effective for your situation? In this post, we break down the advantages of TMS vs. Spravato, so you can make an informed decision about your mental health treatment.


🧠 What Is TMS?

TMS (Transcranial Magnetic Stimulation) is a non-invasive therapy that uses magnetic fields to stimulate nerve cells in the brain. It targets the prefrontal cortex—an area involved in mood regulation.

TMS Benefits at Carolina Psychiatry:

  • Non-invasive, outpatient procedure

  • No medications involved

  • Minimal side effects

  • Covered by most major insurance providers

  • No need for sedation or downtime

  • Safe and FDA-approved for treatment-resistant depression

At Carolina Psychiatry, TMS is delivered in a comfortable and supportive setting, supervised by trained professionals who tailor the treatment to your individual needs.


💧 What Is Spravato?

Spravato is a nasal spray form of esketamine, derived from ketamine, and approved by the FDA for treatment-resistant depression and major depressive disorder with suicidal ideation.

Spravato Benefits at Carolina Psychiatry:

  • Fast-acting relief—often within hours or days

  • Ideal for patients with suicidal thoughts

  • Administered under medical supervision

  • Targets different receptors (glutamate) than traditional antidepressants

  • Used alongside an oral antidepressant for best results

Patients at Carolina Psychiatry receive Spravato in a calming, secure environment with full monitoring throughout each session.


🆚 TMS vs. Spravato: Key Differences

Feature TMS Spravato
Type of Treatment Non-invasive brain stimulation Intranasal medication
FDA Approval For treatment-resistant depression For treatment-resistant depression & suicidal thoughts
Onset of Relief Gradual (weeks) Rapid (hours to days)
Medication Required No Yes, paired with oral antidepressant
Setting Outpatient, no sedation Supervised medical sessions
Ideal For Patients who prefer drug-free options Patients needing fast symptom relief

🏥 Why Choose Carolina Psychiatry in South Carolina?

Located in the heart of South Carolina, Carolina Psychiatry is committed to providing personalized, evidence-based care for individuals battling depression. Whether you’re considering TMS therapy or Spravato treatment, our expert team will assess your needs and help determine the best course of action.

We offer:

  • Comprehensive psychiatric evaluations

  • Insurance pre-authorization support

  • Highly trained clinical staff

  • Compassionate, patient-centered care


🧭 Which Depression Treatment Is Right for You?

If you’re unsure whether TMS or Spravato is the right path, a consultation with one of our psychiatrists will provide clarity. We’ll take into account your medical history, current symptoms, and treatment goals to guide your decision.


📞 Ready to Take the Next Step?

Don’t let depression control your life. At Carolina Psychiatry, we’re here to help you reclaim your peace of mind. Contact us today to schedule a consultation and find out if TMS or Spravato is right for you.