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    Patient's Guide · Part 2

    How Brain Mapping Works in SAINT

    SAINT doesn't guess where to aim. It maps your brain first — and that's one of the biggest differences between SAINT and standard TMS.

    How standard TMS finds its target

    Standard TMS aims for a region of the brain involved in mood. To find it, a technician usually finds your "motor threshold" — the stimulation level that makes your thumb twitch — and then measures forward on your scalp by a standard rule.

    This works, and standard TMS has helped many people. But the measurement is based on averages. Every brain is a little different, so the coil may end up on a spot that's approximately right for you — but not exactly right.

    What SAINT does differently

    SAINT starts with an MRI scan — about 45 minutes in the scanner. The scan shows how different regions of your brain are connected.

    A computer then analyzes that scan to find the exact spot on the surface of your brain that has the strongest connection to a deeper mood-regulating area. That spot is unique to you — it doesn't come from an average. The system then uses that exact coordinate for every session.

    Speed

    Five days instead of six to nine weeks

    Personalized

    Your brain map, not a population average

    Precise

    Computer-guided placement, not scalp measurement

    What the scan can and can't do

    • It doesn't diagnose depression. No MRI can do that. The scan tells us where to aim — it doesn't confirm you have depression or predict whether you'll respond.
    • It's a targeting tool, not a magic step. The research behind SAINT comes from small but well-designed studies. The main trial enrolled 29 patients. Those results are striking, and they're also from a small sample.
    • No brain scan means it isn't SAINT. A five-day accelerated schedule without MRI mapping may be a perfectly reasonable treatment — but it's a different protocol and shouldn't be called SAINT.

    Practical questions about the scan

    Where is the scan done — at the clinic or at an imaging center? Is it billed separately? How long between the scan and your first session? If you have claustrophobia, metal implants, or a pacemaker, mention it early — both the scan and the treatment have screening requirements.

    Related Resources

    SAINT® Accelerated TMS

    FDA-cleared, 5-day accelerated TMS protocol

    Standard TMS Therapy

    Non-invasive magnetic stimulation for depression

    SPRAVATO® (Esketamine)

    FDA-approved nasal spray for TRD

    Prism for PTSD

    EEG neurofeedback for PTSD symptoms

    Proliv®Rx At-Home TMS

    At-home neuromodulation device

    Ampa One System

    Single-day accelerated TMS protocol

    IV Ketamine Infusions

    Rapid-acting IV ketamine therapy

    Ketamine-Assisted Psychotherapy

    KAP combines ketamine with therapy

    PrTMS Therapy

    Personalized repetitive TMS

    Psychotherapy & Counseling

    CBT, DBT, EMDR, and more

    Medication Management

    Psychiatric medication oversight

    Ampa One Day Accelerated Protocol

    Single-day accelerated protocol

    Traveling for Treatment

    What the week looks like, hotels, what to bring

    Verify a SAINT Provider

    How to confirm a center truly offers SAINT

    SAINT vs. Standard TMS

    Key differences in targeting, schedule, and duration

    I've Already Tried TMS

    Prior TMS doesn't disqualify you

    How Insurance Works

    Benefits verification, authorization, appeals

    Am I a Candidate?

    Screening factors — not disqualifiers

    Compare Treatments

    Side-by-side matrix of all treatments

    For Families & Caregivers

    Supporting someone through treatment

    Cost & Insurance

    Financing options and insurance information

    You're Not Alone in This

    Let's find your path forward — together

    Reaching out is the hardest part, and you've already started. Tell us a little about yourself and our compassionate care team will reach out within one business day to answer your questions, verify your insurance, and help you take the next step — at no cost and no obligation.

    Two pathways to care: self-pay offers the fastest access (most patients start within days, with appointments available seven days a week), or we accept Blue Cross Blue Shield in select states and the BCBS Federal Employee Program in select states. We'll help you find the right path for your situation.

    • Warm, judgment-free consultation — no pressure, just answers
    • Flexible scheduling: Zoom or in-person, including weekends
    • Same-day or next-day appointments often available

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