When medications
haven't worked.
TMS and Spravato® for treatment-resistant depression and OCD
in Louisville, KY.
Proven Results with Accelerated TMS
87.8%
Response rate
78%
Achieve Remission
6 Days
Acute Treatment
* Source: Landmark Data Validate BrainsWay’s SWIFT™ Deep TMS, Beginning a New Era in Depression Treatment. Hanlon CA, et al., Brain Stimulation, 2026 (HDRS-21)
Meet Dr. David Roth
Dr. Roth grew up in Louisville, trained with national leaders in interventional psychiatry in California, and came home to bring those treatments to the patients who need them most.
He founded Bluegrass Advanced Mental Health because too many of his patients had tried multiple medications without relief. They deserved a next step that actually worked. He is triple board-certified in Child and Adolescent Psychiatry, Adult Psychiatry, and Pediatrics.
Transcranial Magnetic Stimulation (TMS)
- FDA-Cleared, non-invasive brain stimulation proven effective for TRD and OCD
- Can be used alongside psychiatric medication for enhanced results.
- Accelerated TMS available: full course in 3 weeks using BrainsWay SWIFT protocol.
- No sedation
- No downtime
Spravato (Esketamine Nasal Spray)
- FDA-approved rapid-acting treatment for treatment-resistant depression and for depressive symptoms in adults with major depressive disorder with suicidal ideation or behavior
- Works through a different brain pathway than traditional antidepressants
- Administered under medical supervision
- Can be used alone or to enhance other antidepressant medications
Mental Health Care That Works With Your Insurance
TMS and Spravato (esketamine nasal spray) are covered by most major health insurance plans when criteria are met. For patients who are out-of-network or who want accelerated TMS treatment, third-party financing may be available.
A 5-minute screening tells you if TMS or Spravato may be a fit, verifies your insurance coverage, and connects you with our Patient Care Team to schedule your first appointment.
What Patients Are Saying
“It's been wonderful working with Dr. Roth. I really do appreciate him, as I've been through many psychiatrists since I was a kid due to my brain injury. He’s definitely been the most understanding by far.”
- Eduardo
"Dr. Roth is the best thing that could have happened to me. As someone who was once very skeptical of medications and the realm of psychiatry, I’m glad I allowed myself the opportunity to try something new and to be guided by him."
- Angelica
"Dr. Roth is very knowledgeable about the latest OCD research and treatment approaches which allows him to provide the best options. He has a very warm bedside manner and is a pleasure to work with."
- Aaron
Frequently Asked Questions
Q. Does insurance cover TMS therapy or Spravato?
A. TMS therapy and Spravato (esketamine nasal spray) are covered by most major commercial insurance plans when medical criteria are met, including Aetna, Anthem, Cigna, Medicare, Tricare, and UnitedHealthcare.
Our Patient Care Team handles insurance verification, prior authorization, and qualification on your behalf from start to finish.
Patients who are out-of-network or who want accelerated TMS treatment may have access to third-party financing options.
Q. How is TMS different from antidepressants?
A. TMS (Transcranial Magnetic Stimulation) and antidepressants work through completely different mechanisms. Antidepressants are medications that adjust neurotransmitter levels throughout the body and brain systemically. TMS delivers focused magnetic pulses directly to the specific brain regions involved in mood regulation, without systemic medication effects.
TMS has no sedation, no weight changes, no side effects, and no daily pills. It is FDA-cleared for treatment-resistant depression and OCD, and is typically used when medications have not worked or have caused intolerable side effects.
BrainsWay’s SWIFT protocol can complete a full TMS course in just 6 days of acute treatment.
Q. What is the difference between standard TMS and Accelerated TMS?
A. Standard TMS involves one 20-minute session per day, five days a week, over six weeks. Accelerated TMS using BrainsWay’s SWIFT protocol delivers multiple sessions per day over a condensed 6-day acute treatment period, completing the full course in three weeks total including follow-up.
Both use the same BrainsWay H1 Deep TMS coil and are FDA-cleared for treatment-resistant depression.
Accelerated TMS is ideal for patients who need faster results or have scheduling constraints that make daily six-week treatment impractical.
Clinical data from the SWIFT protocol shows an 87.8% response rate and 78% remission rate (Hanlon et al., Brain Stimulation, 2026).
Q. Is Spravato (esketamine) safe? What should I expect during a session?
A. Spravato is FDA-approved and is administered under direct medical supervision in our clinic. You will self-administer the nasal spray under Dr. Roth’s or one of our clinician's oversight and remain in our clinic for a two-hour monitoring period following each dose.
Most patients experience mild dissociative effects or dizziness that resolve before they leave. You cannot drive on the day of a Spravato session, so you will need a ride home.
Spravato is approved as a monotherapy for treatment-resistant depression and as an add-on treatment with an oral antidepressant. It works through a different brain pathway than traditional antidepressants, providing rapid-acting relief for patients who have not responded to other treatments.
Q. How do I know if TMS or Spravato is right for my family member?
A. TMS is appropriate for adults and adolescents (15+) with treatment-resistant depression or OCD who have tried antidepressants without adequate response. Spravato is approved for adults with treatment-resistant depression or major depressive disorder with acute suicidal ideation or behavior.
Dr. Roth will review your family member’s diagnosis, medication history, prior treatments, and medical profile to determine which approach is the best fit.
Many patients at Bluegrass Advanced Mental Health use a combination of treatments tailored to their specific situation.
Ready to talk?
A 5-minute screening call with our patient care team tells you if TMS or Spravato may be a fit, verifies your insurance coverage, and can schedule your first appointment.
