Frequently asked questions

Yes — we offer FDA-cleared TMS through the insurance pathway for clinically indicated conditions, including treatment-resistant depression, anxious depression, and OCD. Coverage depends on your specific plan and clinical criteria, and our team walks you through eligibility during intake. We also offer cash-pay pathways (Attention-as-a-Service and Brain Fitness with TMS) for those who don't meet insurance criteria or prefer a different approach. Call (947) 209-5202 to check your coverage.

TMS (Transcranial Magnetic Stimulation) uses focused magnetic pulses to stimulate targeted areas of the brain — primarily the prefrontal cortex. It's painless, non-invasive, requires no anesthesia or medication, and has near-zero side effects for most patients. You sit in a comfortable chair, remain fully awake, and can drive yourself home afterward. Dr. Jagtap has worked with brain stimulation modalities since 2011 and personalizes every protocol.

TMS is painless for most patients — many describe a light tapping sensation on the scalp. There are no systemic side effects like those associated with medications, such as weight gain, sexual side effects, or sedation. Some patients experience mild scalp sensitivity or a headache after early sessions, which typically resolves quickly. TMS is non-invasive: nothing enters the body.

Individual sessions are brief — some of our protocols run as short as 11 minutes. The number of sessions varies by pathway: insurance-covered depression protocols follow a structured multi-week course, while our Attention-as-a-Service and Brain Fitness pathways are personalized to your goals. We'll map out a clear plan at your intake evaluation.

No. While we provide insurance-covered TMS for diagnosed conditions like treatment-resistant depression and OCD, we also offer two cash-pay pathways that don't require a clinical diagnosis: Attention-as-a-Service, for people seeking to restore and sharpen focus and follow-through, and Brain Fitness with TMS, for those managing complex health situations who want a non-pharmacological option. All pathways begin with a clinical evaluation to confirm TMS is appropriate for you.

It's our cash-pay TMS pathway focused on restoring and amplifying attention — the capacity behind focus, learning, and follow-through. Clients use it to get more out of therapy they're already doing, push through mental fatigue, sharpen learning and performance, and close the open loops that drain mental space. It uses the same clinic-grade TMS instrument, aimed at optimization rather than diagnosis, and starts with an evaluation to confirm candidacy.

This is exactly what our Brain Fitness with TMS pathway is designed for. When chronic illness, polypharmacy, inflammation, or long-COVID have left attention and mood running on empty, TMS offers a non-drug, non-invasive option to support prefrontal resilience without adding another medication to the mix. Candidacy requires a clinical evaluation, which is where we start.

Paradigm was founded by Pranav M. Jagtap, MD, an ABPN-certified psychiatrist who has studied neuroimaging, brain networks, and brain stimulation since 2011 and has published research on sustained attention. Rather than a one-size-fits-all corporate protocol, every treatment here is personalized by the physician himself. Paradigm also offers TMS through three distinct pathways: insurance-covered clinical care, Attention-as-a-Service, and Brain Fitness with TMS.

Paradigm Psychiatry is located at 32611 Franklin Rd, Unit A, Franklin, MI 48025 — serving Franklin, Birmingham, Bingham Farms, Beverly Hills, Southfield, West Bloomfield, and Bloomfield Hills. No referral is needed to begin: call (947) 209-5202 or complete the intake form on our website, and our team will respond with a clear path forward.

Our starting point is different: not just whether TMS is right for you, but how. Everyone begins with a clinical evaluation with Dr. Jagtap to confirm candidacy and determine which pathway fits — insurance-covered treatment, Attention-as-a-Service, or Brain Fitness with TMS. If you want a low-stakes first step before intake, try the 30-second Attention gauge below — it doesn’t diagnose anything; it just lets you feel sustained attention under a bit of load. Then reach out through the form or by phone, and we’ll help you decide.