When medication hasn’t been enough, there’s still a path forward.
Transformational Therapy Services offers NeuroStar TMS for depression — led by Dr. Tamarah Gehlen and a team of more than 25 mental health providers.
The science
What is TMS, exactly?
Transcranial Magnetic Stimulation (TMS) is an FDA-cleared, non-invasive treatment for depression. Rather than working through the bloodstream like a medication, TMS uses focused magnetic pulses — similar in strength to an MRI — to gently stimulate the specific area of the brain associated with mood regulation.
No systemic side effects
Because TMS is localized to the brain, it avoids the fatigue, weight change, and other whole-body side effects that can come with antidepressant medication.
No anesthesia, no downtime
Sessions are outpatient and fully awake. You can drive yourself to and from your appointment and return to work or school the same day.
Targeted, not systemic
Magnetic pulses stimulate the underactive region of the prefrontal cortex linked to depression — addressing a likely root cause, not just symptoms.
Backed by evidence
NeuroStar is one of the most studied TMS systems available, with a strong record of clinical outcomes for treatment-resistant depression.
Is TMS right for you?
You may be a good fit for TMS if…
- You’ve tried one or more antidepressant medications without adequate relief
- You’ve been diagnosed with major depressive disorder
- Medication side effects have made it difficult to continue treatment
- You’re looking for a non-drug approach to managing depression
- You want a treatment that fits around work, school, or family life
This is always confirmed during a personal consultation with our clinical team — this list is a starting point, not a diagnosis.
Find Out If You Qualify
What to expect
Your treatment journey
TMS is a gradual, closely monitored process. Here’s what the path looks like from your first conversation with us to completing a course of treatment.
Consultation & assessment
We review your history, prior treatments, and goals to determine if TMS is an appropriate fit for you.
Mapping session
Your provider identifies the precise treatment location and calibrates the correct dose for your first session.
Daily sessions
Most patients complete short daily sessions on weekdays over several weeks, with no sedation and no recovery time needed.
Ongoing support
Your care team monitors progress throughout treatment and works with you on a plan for maintaining results.
Why Transformational Therapy Services
Care built around getting you real results
An established practice
Led by Dr. Tamarah Gehlen alongside a team of more than 25 mental health providers, delivering evidence-based care under one roof.
Advanced technology
We use NeuroStar TMS, an FDA-cleared, non-invasive treatment purpose-built for depression — not a general-purpose device repurposed for the job.
An inclusive environment
We welcome patients of all ages and are proud to be an explicitly LGBTQIA+ affirming practice.
Meet our founder
Dr. Tamarah Gehlen, LMFT, LADC, CCTP, FLE
Dr. Tam (she/her) is a national-level speaker with 3 TEDx talks available online, an author, and a graduate-level professor of addiction and mental health at St. Mary’s University Twin Cities. She’s passionate about working with the LGBTQIA+ community and helping individuals and families address addiction, mental health, and grief and loss — including those in demanding positions navigating stress, anxiety, depression, and burnout.
She favors Solution Focused Therapy, Adlerian Counseling, and Internal Family Systems approaches, bringing humor, directness, and deep compassion to the work she does with clients and with the more than 25 mental health providers she leads at Transformational Therapy Services.
Get StartedFull-spectrum support
Beyond TMS
TMS is our focus, but our providers also support your care in other ways when it makes sense for your treatment plan.
Medication management
Ongoing psychiatric medication oversight for patients who benefit from a combined approach.
Psychotherapy
Talk therapy alongside TMS or as a standalone service, delivered by our broader clinical team.
Telehealth
Virtual visits for therapy and medication management, for the parts of care that don’t require an in-person visit.
Get started
Ready to talk about TMS?
Reach out and a member of our clinical team will follow up to schedule a consultation and answer any questions about eligibility, insurance, or scheduling.