When Medication Isn't Enough

We Verify Benefits & Send a Written Estimate

30+ Years of Clinical Leadership

TMS, Ketamine & Therapy, Coordinated Into One Plan

Proven Treatments, Tracked Outcomes

Every Question Answered

Short answers and clear next steps.

  • Can everyone undergo TMS?

    Most people are candidates, but we check medical history and do a quick screening to make sure TMS is safe and right for you. 


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  • Does TMS have side effects?

    TMS is non-invasive; some people report local scalp discomfort or mild headache. Serious effects are extremely rare and our team closely monitors every session.


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  • How is Spravato (esketamine) given?

    Spravato is administered in clinic under clinician supervision; you’re observed during dosing and we plan follow-up care to keep you safe.


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  • How quickly does ketamine or Spravato work?

    Most patients notice improvement within a few days to weeks; we’ll explain timing and build a plan so short-term gains lead to longer-term, sustained recovery.


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  • What is Ketamine-Assisted Psychotherapy (KAP)?

    KAP pairs supervised ketamine dosing with focused psychotherapy so medication-driven changes can be integrated into lasting recovery.


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  • Will my insurance cover TMS or Spravato?

    Many plans cover standard TMS and often Spravato; we check benefits for you, handle prior authorization, and provide a written estimate.


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  • What if my insurance doesn't cover TMS or Spravato?

    Our expert team will do our best to obtain insurance coverage for your treatment. However, if your insurance doesn't approve coverage, we'll discuss affordable self-pay treatment options for you.

You changed my life, you made me love it again

Justin D.

My depression is significantly better, I don’t have the gray cloud over my head every day.

Jennifer W.

His suicidal thoughts vanished, he began volunteering and enjoying life again.

DR. RAYMOND CHO

You changed my life, you made me love it again

Justin D.

My depression is significantly better, I don’t have the gray cloud over my head every day.

Jennifer W.

His suicidal thoughts vanished, he began volunteering and enjoying life again.

DR. RAYMOND CHO

treatments that deliver rapid benefits and durable progress.

Our Core Treatments

Evidence-based psychotherapy integrated with advanced treatments to support lasting change.


Psychotherapy

Careful, physician-informed psychiatric medication management — finding the right medicines and coordinating with other treatments in your plan.

Medication

FDA-approved intranasal esketamine for treatment-resistant depression. Administered in our clinic with clinical monitoring throughout.

Spravato

A full TMS course completed in one day or one week. Same clinical efficacy — dramatically compressed timeline for patients who need faster results.



Accelerated TMS

Non-invasive, FDA-cleared magnetic stimulation targeting the brain circuits underlying depression and OCD — no medication, no sedation, no downtime.

TMS Therapy

Supervised ketamine dosing paired with focused psychotherapy. Translates rapid neurobiological change into durable behavioral and psychological recovery.

KAP

We Handle Insurance So You Don't Have To

We accept most major plans for FDA-cleared treatments (including standard TMS and Spravato). We verify benefits, manage prior authorization, and provide a written estimate before treatment so there are no surprises.

  • Do you accept Medicaid?

    No - we accept Medicare but do not accept Medicaid. If you have questions about coverage, call our team and we’ll help.

  • Will my insurance cover TMS?

    Many commercial plans cover standard TMS when medical-necessity criteria are met. Accelerated/fast-track TMS is often self-pay. We verify benefits and submit prior authorization on your behalf.

  • What if I’m out of network?

    This is uncommon because we are credentialed with most plans. If needed, we can provide a superbill for out-of-network reimbursement.

  • How do I get a written estimate?

    Request a free 20-minute expert call. We’ll run a benefits check, explain likely coverage, and send a written estimate of patient responsibility before any treatment.

  • Can I get sliding scale pricing for TMS?

    Yes. We offer sliding scale pricing for eligible patients and can provide a written cost estimate before treatment. To be considered, we’ll ask for proof of income, such as tax documents.


    At this time, sliding scale pricing is not available for Medicare patients or for accelerated TMS protocols.

Your Houston TMS & Brain Health Specialist

30+ years of research-driven, physician-led care in neurostimulation, cognition, and advanced brain-health treatments.


MD & M.Sc. (Neuroscience), University of Toronto

Psychiatry residency, University of Pittsburgh

Professor of Psychiatry, Baylor College of Medicine

Psychology Graduate Fellowship, Princeton University

Dr. Raymond Cho

Founder & Medical Director

Dr. Cho spent three decades asking a question most clinicians avoid: why do some patients fail every standard treatment, and what is happening in their brains when they finally improve? His research program — continuously NIH-funded, spanning NIMH R21, K08, R03, and R61 grants — focused on the neural mechanisms of cognition, prefrontal cortical function, and neurostimulation in psychiatric disorders. He directed the Clinical Cognitive Neuroscience Laboratory at the University of Pittsburgh, founded TMS programs at Baylor, UTHealth, and the VA, and trained under Jonathan Cohen at Princeton — one of the field's foundational computational psychiatry researchers. The clinical protocols used at Houston Mind & Brain are a direct translation of that work into patient care.

Personal Care Team

Compassionate and Experienced

Dr. Cho develops the clinical framework, trains and certifies the team, and participates in weekly case reviews — with particular oversight of TMS protocols and complex cases. Day-to-day care is delivered by our team of experienced MDs, NPs, therapists, and BrainsWay-certified TMS technicians operating within the protocols and standards Dr. Cho has established.

Dr Raymond Cho on Khou 11

A KHOU feature on physician-led TMS and advanced brain treatments.

physician-led care, coordinated treatments, and clear cost support

How Houston Mind & Brain Compares

MD-led care with weekly case review

TMS delivered by BrainsWay-certified technicians with hundreds of hours of training

We check benefits & provide a written estimate

Personalized TMS mapping & accelerated options

Supervised Spravato & Ketamine-Assisted Psychotherapy

Start within 1 - 2 weeks

Coordinated TMS, Spravato & psychotherapy

Clear written treatment plan & tracked outcomes

Typical Clinic

Get a full TMS course on a condensed schedule

One Day. One Week. One Path to Relief.

One-Day TMS: A full course in a single visit, 20 precisely timed sessions over 9.5 hours. 

One Week Accelerated TMS: Multiple short sessions per day (5 sessions/day for six days) compressing a standard course. 

No anesthesia, no sedation, no recovery time, most patients drive themselves home and return to normal activities.

ketamine dose with focused therapy

Feel Change, Then Sustain It.

Structured care: Comprehensive screening, in-clinic dosing with monitoring, and a focused integration session designed to support safe and effective treatment.

Safety-focused: Clinical monitoring during dosing, with guidance and support in managing short-term effects and post-visit care.

Integration-focused therapy: Sessions following dosing help translate early symptom improvement into sustained changes and practical coping strategies.

Integrated Care That Delivers Results

Research-informed care that integrates medication management, psychotherapy, TMS, and Spravato/ketamine into a coordinated treatment plan. Treatments are thoughtfully sequenced and monitored within a structured clinical model to support safety, consistency, and meaningful outcomes.

Hear From Our Patients

100+ Five Star Reviews. Real Stories. Real Recovery.

Free 20 Minutes

Speak to a Specialist

Call us at (832) 699-7922 or complete the form below.

Contact Us

What Happens After I Request My 20-min Call?

We’ll reply within one business day.

A clinician or senior team member will call to discuss next steps (your free 20-minute call).

We’ll verify insurance, send a written cost estimate, and help schedule an evaluation if needed.