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280 W River Park Drive Suite 110 Provo, UT
+1 385-446-4161
hello@cognitivefxusa.com

 

Patient Outcomes

79

 
     Remission rate of depression utilizing a personalized fMRI-guided TMS treatment protocol.

33

 
  Typical remission rate for individuals taking SSRIs and other antidepressant medications. Based on STAR*D trial and Cipriani et al 2018.

38

 
Typical remission rate for non-guided TMS treatment for people suffering from depression and treatment-resistant depression.

Functional Brain Scan

 

  • Functional MRI of the brain.

 

  • Determines the exact coordinates of the DLPFC for each patient.

 

  • Ensures the treatment target area is correctly located, leading to better outcomes.

Pre and Post Tx Brains TMS-04-03
Pre and Post Tx Brains TMS-04-04
Brain Regions 1

Precision Targeting

 

  • Creates a 3D map of your brain based on your fMRI.

 

  • Utilizes neuronavigation to guide the magnetic coil to the precise location for stimulation.

 

  • High targeting accuracy nearly doubles the chance of depression remission.

Treatment 

 

  • 1 week of intensive therapy includes 10 accelerated TMS sessions per day for 5 days.

 

  • Multidisciplinary team to help treat all aspects of depression.

 

  • Treatment is customized to your brain.

TMS-01

Treatment Results

 

  • 79% achieve remission utilizing a fMRI guided theta burst approach.

 

  • Theta burst treatment has been FDA-approved since 2018.

 

  • Rapid-acting, minimal side effects, durable results.

TMS Depression Response Rate
fMRI Guided Treatment almost doubles the effectiveness. (Caulfield et al 2022)
fMRI TMS vs Sham Treatment

Grey represent fMRI guided TMS and black is sham treatment. (Cole et al 2022)

Patient Reviews

Jennifer H.

⭐⭐⭐⭐⭐

"Cognitive FX gave our daughter her life back! ... Cognitive FX is incredible; I can not adequately put into words how much we believe in their recovery program. We love the staff, and diagnostic measures, the recovery program, and the post-care follow up. I honestly can not think of one negative thing to say. The therapists are so attentive, skilled, caring and fun. Dr. Fong and RN Kaydee Severs are so incredibly smart, thorough in their explanations and exceptionally compassionate."

 

Review Source:

https://g.co/kgs/B5hSJ8

Liesel G.

⭐⭐⭐⭐⭐

"Everyone was super nice and encouraging. The therapies were tailored to my individual strengths, weaknesses, and needs. I have had significant improvement and my last FMRI came back looking significantly better than the first one. I feel like I am getting back to my old self after nearly 5 years of problems and pain. I'm so grateful to everyone at Cognitive FX who helped me on my journey!"

 

Review Source:

https://g.co/kgs/5SLZpJ

Will H.

⭐⭐⭐⭐⭐

"This place saved the life of someone we love. I was so impressed with the level of professionalism and care that we received. This facility is a blessing and I wouldn't hesitate at all to work with this team."

 

Review Source:

https://g.co/kgs/Hz35Pp

Chidinma O.

⭐⭐⭐⭐⭐

"Cognitive Fx is a great place to receive treatment for post-concussive syndrome. They definitely listen to all the symptoms you experience in an objective manner. Their exams provide great validation of the weird post-concussive symptoms that neurologist typically have a hard time diagnosing. Also, just after a few days of treatment, I began noticing improvements on my symptoms. I’m very thankful for Cognitive Fx and I look forward to their science and research being utilized more in the treatment of brain injuries and complications."

 

Review Source:

https://g.co/kgs/W15sui

Michelle F.

⭐⭐⭐⭐⭐

"...EPIC treatment at Cognitive FX was a lifesaver. I was shocked at how much better I felt after my week there! The fog lifted and the fatigue finally began to let up. I could focus, read, and attend better. I felt like myself! When the fNCI scan scientifically backed up what I was feeling, I cried with joy! The entire team is great! Everyone was so caring and helpful! The value of brain function is well worth the cost. I would recommend anyone who is struggling with PCS to meet with Dr. Fong. It was worth every penny I paid and more! I continue to work the program for brain health given to me when I completed the treatment."

 

Review Source:

https://g.co/kgs/zBo59R

Constantin L.

⭐⭐⭐⭐⭐

"Best decision of my life, great experience, absolutely the best staff in health care, learned more about my injury than I would’ve dreamed of and got to know people that have gone through the same hardship as me, very helpful! If you’ve been suffering with PCS, think no further!"

 

Review Source:

https://g.co/kgs/hYv6uo

Stacy B.

⭐⭐⭐⭐⭐

"I found this clinic during an online search of my symptoms. These guys are the first people to have ever taken me seriously and are some of the kindest human beings I have ever met. The program is extremely intensive and while I have not recovered fully yet, I feel like I have hope for the first time in 5 years. They give you a customized program to follow when you go home and I hopeful that by following this I will continue to improve. If you are struggling with brain function issues, please give them a shot - they are expensive but truly the best of the best."

 

Review Source:

https://g.co/kgs/SwJYMW

Hannah N.

⭐⭐⭐⭐⭐

"This therapy treatment program was a lot of work but after just my first 2 days I had already seen so many positive impacts in my health. My body started to begin functioning like it did before my concussion. Everyone was very helpful and patient with me. I also loved that all the treatments were catered to my physical needs everyday."

 

Review Source:

https://g.co/kgs/uLhW6G

Annemieke V.

⭐⭐⭐⭐⭐

(Original Dutch/Nederlandse)
"Zeer kundige, betrokken mensen. Mijn resultaat na 4 maanden is 80% herstel. Ik heb mijn leven grotendeels terug. Ik raad het iedereen met (niet aangeboren) hersenletsel aan."

 

(English Translation)

"Very knowledgeable, committed people. My result after 4 months is 80% recovery. I have most of my life back. I recommend it to anyone with (non-congenital) brain injury."

 

Review Source:

https://g.co/kgs/AbTdC1

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Frequently Asked Questions

How confident should I be that fMRI guided Transcranial Magnet Stimulation can help?

TMS has been around for over 20 years. rTMS the most common type of TMS is delivered once a day for six weeks. fMRI-guided Theta Burst TMS is administered in 10-minute sessions, 10 times a day for one week.  This new approach has been shown to almost double the efficacy of treatment. 79% of patients reported their depression in remission after treatment.

TMS Depression Response Rate

 

Why is the fMRI important for TMS treatment success?

For patients with depression or treatment-resistant depression, the target site is called the Dorsolateral Prefrontal Cortex (DLPFC). This site is found in rTMS therapy by finding the motor cortex and measuring down 5.5cm. This approach can lead to many different targets based on head size and shape which vary from patient to patient.  The fMRI allows us to precisely target the DLPFC and ensure we place the coil in the right location every time.

efield Transcranial Magnetic Stimulation Chen et al 2024

Chen et al 2024

How is the Cognitive FX TMS protocol different from other TMS clinics?

There are two main differences: 1) We target the correct site with fMRI, and 2) We have a neuro-navigation device that ensures that we are right on target for every treatment session. Most clinics don't have these devices and use rule-of-thumb measurements to get the coil placed in the area they think is correct. This can lead to coil placement in less-than-optimal locations.

 

Ant Neuro Neuro Navigated TMS for Depression Treatment

 

What is the TMS depression treatment like?

Treatment will last one week, 10 hours a day. The stimulation protocol will last about 12 minutes each hour, and then the remaining time will be used for cardio or rest. You will have your own private room to relax in during the rest period of treatment. TMS is a very safe protocol. Less than one in 10,000 treatments has an adverse outcome; the most commonly reported side effects are headache, scalp tenderness, and muscle twitching during treatment.  

How do I know if treatment is right for me?

If you are dealing with symptoms of depression, TMS treatment could be right for you. If SSRIs haven't worked or you don't like the way you feel on medication, TMS could be a good option. As of now, fMRI-guided TMS has been shown to be the most effective treatment option for those dealing with depression.

How much does fMRI Guided TMS cost?

Pricing ranges from $7000 to $12000 depending on what other services you might need. Currently, insurance only covers the rTMS protocol, which lasts six weeks and is about 45% effective. Given the recent FDA clearance of fMRI-guided Theta Burst treatment, most insurance companies have yet to add it to the formularies they cover.

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