TMS and VR Therapy for ADHD

Experience Rapid, Effective ADHD Treatment with TMS

At Mobile Psych Direct in San Antonio, we offer a cutting-edge, cash-only accelerated Transcranial Magnetic Stimulation (TMS) protocol specifically designed for adult ADHD. This intensive treatment – delivered over just 4 days – provides a fast and effective alternative for adults who have struggled with traditional ADHD treatments. While ADHD often begins in childhood, frequently persisting into adulthood, our focus is on treating adult patients (though similar neuromodulation approaches are being explored for adolescents as well). We combine high-frequency TMS sessions with a self-guided virtual reality (VR) therapy component to maximize engagement and therapeutic benefit. The result is a comprehensive program that can jump-start improvement in attention and impulse control within days, not months.

Why 4 Days? Our accelerated 80-session TMS protocol condenses what might be a 6-8 week course of daily TMS into an intensive 2–4 day schedule. By targeting both the left and right dorsolateral prefrontal cortex (DLPFC) – brain regions implicated in focus, impulse regulation, and mood – we aim to produce rapid neuroplastic changes that translate into symptom relief. This accelerated approach is inspired by recent breakthroughs in neuromodulation that show higher treatment density can yield faster, potent effects. For busy adults (and families) this means minimal disruption: you can receive the full treatment in a single extended weekend. It’s one reason why patients from across the country are choosing to travel to San Antonio for our program, rather than undergo drawn-out therapies elsewhere.

Treatment Overview

Our TMS for ADHD program includes thorough evaluation, an intensive multi-day stimulation regimen, and follow-up assessments to track outcomes. Here’s what to expect:

Pre-Treatment Assessment

Every patient begins with comprehensive baseline evaluations. We conduct cognitive testing to measure attention, memory, and executive function, and often perform a quantitative EEG (qEEG) “brain mapping.” These assessments establish your starting point and help personalize the treatment. You’ll also meet with our clinician to review your ADHD history and set specific goals. This detailed pre-treatment assessment ensures we have objective markers to gauge improvement and tailor the TMS targeting to your brain’s needs.

Full Treatment Package:

Price: $8,000 (transparent cash-pay, no insurance required)
Duration: 2–4 days of concentrated TMS sessions (approximately 80 total treatments)
Protocol: High-frequency TMS delivered to 2 brain regions (both left & right DLPFC) in alternating sequences. Sessions are spread across morning and afternoon blocks each day, with rest breaks as needed.
VR Therapy: Integrated virtual reality therapy modules are interspersed with TMS sessions. Using a VR headset, you’ll engage in guided therapeutic exercises (such as mindfulness, focus training, or cognitive behavioral scenarios) in between stimulation sessions. This self-guided VR component helps reinforce attention control strategies and provides a calming, immersive experience to complement the neuromodulation.
No Insurance Hassles: This is a cash-only program to keep the process streamlined and transparent. The flat rate (starting at $8,000) covers the entire 4-day treatment, including all TMS sessions, VR therapy, and pre- and post-treatment evaluations. There are no surprise fees. By avoiding insurance constraints, we can focus entirely on delivering the most intensive and innovative care in a short time frame.

Post-Treatment

Immediately upon finishing the 4-day treatment, we repeat the cognitive assessments (and EEG, if performed initially) to measure changes in your brain function and ADHD symptoms. This post-treatment testing provides an objective look at improvements in attention, reaction time, and other metrics. Many patients report noticeable subjective improvements – such as better focus, less internal restlessness, and improved mood – by the end of the final day. The data from your post-treatment assessment will be reviewed with you, so you can see concrete results. We also provide guidance on maintaining gains, whether through follow-up booster sessions (if needed in the future), ongoing therapy, or coaching. Because TMS’s effects on brain networks continue to evolve after the last session, we will check in with you in the weeks following treatment to monitor sustained benefits.

Key Program Highlights:

• 80 Treatments – High-dose TMS sessions (far more than standard protocols)
• 2–4 Days – Ultra-accelerated schedule (complete treatment in under a week)
• $8,000 – Flat starting cost (cash-only package)
• 2 Brain Regions – Bilateral DLPFC targets for maximal effect

Why Choose TMS for ADHD?

TMS offers a non-medication, non-invasive treatment option that is showing promising results for managing ADHD symptoms. Unlike traditional approaches that rely on daily stimulant medications (which can cause side effects like insomnia, appetite loss, or increased blood pressure), TMS uses targeted magnetic pulses to gently stimulate specific brain areas involved in attention and behavior. By directly modulating neural activity, TMS may improve focus, impulse control, and overall cognitive function without the systemic side effects of drugs. This makes it an attractive option for adults who cannot tolerate ADHD medications or who prefer a drug-free intervention.

Critically, TMS does not require any anesthesia or surgery – you remain awake and alert during sessions. The primary sensation is a tapping on the scalp during stimulation. There’s no downtime; you can resume normal activities shortly after each session. For adults balancing work and family responsibilities, TMS can be a convenient alternative, especially when delivered in our accelerated format. Additionally, many patients with ADHD also experience mood instability or anxiety – TMS has well-documented benefits for mood and anxiety disorders, so our protocol may provide secondary improvements in those areas as well. Choosing TMS means choosing a therapy that treats the brain directly to rewire the networks implicated in ADHD, guided by neuroscience rather than trial-and-error medication adjustments.

Another reason to consider our program is the unique combination of TMS with VR therapy. The immersive VR sessions enrich the treatment experience by actively engaging your mind between TMS sessions. This dual modality approach addresses ADHD from two angles – neurobiological and behavioral – in one comprehensive package. Our patients often find the VR exercises fun and relaxing, a beneficial contrast to the intensity of back-to-back TMS sessions.

Backed by Science: Evidence Supporting TMS for ADHD

TMS for ADHD isn’t just an experimental idea – it’s supported by a growing body of scientific research. Over the past decade, multiple studies and clinical trials have investigated using magnetic brain stimulation to alleviate ADHD symptoms in both adolescents and adults. The results are encouraging: nearly half of patients receiving TMS show meaningful improvement in core symptoms (whereas fewer than one in five improve with sham/placebo treatment), according to published trials. Impressively, these improvements have been observed to last at least 1 month beyond the treatment period in follow-up assessments. Below is a summary of key findings from the research literature that bolster our confidence in offering this innovative ADHD treatment:

• Significant Symptom Improvement: A 2025 systematic review and meta-analysis of clinical trials (Fu et al., Brain and Behavior) found that TMS significantly improved core ADHD symptoms – specifically inattention and hyperactivity/impulsivity – compared to sham therapy【1】. This analysis pooled results from 8 randomized studies (encompassing 325 patients) and reported robust reductions in symptom severity with TMS. In practical terms, patients who received TMS had noticeably better attention scores and reduced impulsive errors after a course of treatment, whereas those in control groups showed minimal change. Notably, the researchers reported only minor side effects in TMS-treated patients (such as mild headache or scalp discomfort), highlighting that the therapy is well-tolerated overall. No serious adverse events were attributed to TMS in these trials.
• Lasting Benefits: Importantly, the benefits of TMS appear to persist beyond the immediate treatment window. In the meta-analysis above, patients were evaluated again about one month after completing TMS treatment. The improvements in attention were still present one month post-treatment in the TMS group (relative to baseline and to the control group)【1】. In other words, TMS wasn’t just a short-lived boost – it induced neural changes that continued to support better focus and self-control weeks after the sessions concluded. This sustained effect suggests that TMS helps “reset” brain activity in a more lasting way, which is crucial for a chronic condition like ADHD. (Longer-term follow-ups are ongoing in some studies, but these initial data are very promising in showing that the gains hold up over time.)
• Proven Efficacy Across Multiple Studies: An independent 2025 review by Han et al. (Frontiers in Psychiatry) examined outcomes across several TMS trials and also concluded that repetitive TMS produces meaningful alleviation of ADHD symptoms relative to control conditions【2】. This review, which combined results from 7 different studies, reinforces that the positive effects of TMS aren’t limited to a single research group – multiple investigators in different settings found benefit. The authors of the Frontiers review highlighted TMS as a “promising therapeutic tool in ADHD,” while calling for further research to refine protocols (for example, determining optimal stimulation targets and schedules for maximum benefit). Our 4-day bilateral DLPFC protocol is at the forefront of these efforts to optimize TMS delivery, translating the latest scientific insights into a real-world treatment. By concentrating 80 sessions into one extended session, we aim to capitalize on the neuroplasticity principles that these studies suggest are key to symptom improvement.
• Noninvasive and Well-Tolerated Treatment: Medical experts emphasize that TMS is a low-risk, well-tolerated intervention – an important consideration for any new treatment. A 2021 clinical commentary (Patel et al., published in a psychiatric journal) noted that TMS is “noninvasive and well tolerated” as a therapeutic approach for adolescents and adults with ADHD【3】. Unlike stimulant medications which can cause systemic side effects (insomnia, appetite suppression, blood pressure increases) or carry risks of misuse, TMS’s side effects are generally limited to the treatment sessions and are mild (transient scalp discomfort, tingling, or headache in some patients). There have been extremely rare reports of more serious effects like seizures with TMS, but such events are exceedingly uncommon and were not reported in any ADHD trials to date. Our team at Mobile Psych follows stringent safety protocols modeled on those used in research studies – including screening for any factors that would increase risk – to ensure each session is as safe as possible. The take-home message from the research: TMS offers a favorable safety profile while delivering therapeutic benefits, making it an appealing option for individuals (or parents of teens) seeking an alternative to medication-centric ADHD care.

Ready to Transform Your ADHD Treatment?

Our mission at Mobile Psych Direct is to provide innovative, science-backed solutions that empower you to take control of your mental health. With our intensive 4-day TMS program for ADHD, we leverage the latest in neuroscience and technology to deliver results in a fraction of the time of conventional treatments. Patients who have completed the program often describe it as “life-changing,” allowing them to experience quiet focus and mental clarity that they hadn’t felt in years. Whether you’re from the San Antonio area or traveling from out of town, we strive to make the process smooth and accommodating. In fact, our accelerated schedule is ideal for those coming from afar – you can complete the entire treatment in one trip. (Many out-of-town patients prefer this single-visit approach, rather than making daily clinic visits for several months as required with standard TMS or therapy.) San Antonio is easily accessible and our clinic staff can help you coordinate the logistics of your visit. We firmly believe that the brevity of this program is part of what makes it so special: it’s an ADHD “reset” in under a week – a concentrated intervention that can set you on a new trajectory with improved attention, organization, and impulse control.

Don’t let ADHD continue to dictate the pace of your life. If you’ve found medications ineffective, intolerable, or if you’re just seeking a new approach grounded in research, accelerated TMS with VR therapy might be the breakthrough you’ve been waiting for. It’s a chance to address your symptoms at their neurological source with a proven, non-drug therapy. Our team will be with you every step of the way, from the initial assessment to post-treatment follow-up, ensuring a personalized and supportive experience.

Book your appointment today and take the first step toward transformative relief from ADHD. In just 4 days, you could unlock improvements that reignite your productivity, relationships, and overall quality of life. We are ready to help you rewrite your ADHD story – with advanced care that is compassionate, convenient, and backed by clinical evidence.

‍

References

1. Fu B, Zhou X, Zhou X, Li X, Chen Z, Zhang Y, Du Q (2025). Efficacy and Safety of Transcranial Magnetic Stimulation for Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis. Brain and Behavior, 15(1): e70246. DOI: 10.1002/brb3.70246.
2. Han Y, Wei Z-Y, Zhao N, Zhuang Q, Zhang H, Fang H-L, Zang Y-F, Feng Z-J (2025). Transcranial Magnetic Stimulation in ADHD: A Systematic Review and Meta-Analysis of Cortical Excitability and Therapeutic Efficacy. Frontiers in Psychiatry, 16: 1544816. DOI: 10.3389/fpsyt.2025.1544816.
3. Patel RK, Saeed H, Mekala HM, Lippmann S (2021). Transcranial Magnetic Stimulation for Adolescents With ADHD. Primary Care Companion for CNS Disorders, 23(3): 21.3.20br02602. Published online May 27, 2021