Exomind in Lutz, FL: Non-Invasive TMS Therapy for Depression
FDA-cleared magnetic stimulation for depression, with no sedation and no downtime.
- Treatment Time:
- About 20-40 minutes
- Downtime:
- None, no sedation
- Typical Course:
- 5 days a week, 4-6 weeks
- FDA Status:
- 510(k) cleared, 2022
Exomind TMS Therapy at Advanced Optimal Healthcare
Exomind in Lutz, FL is a non-invasive transcranial magnetic stimulation (TMS) system from BTL, cleared by the FDA for major depressive disorder in adults who did not improve enough with antidepressant medication. You sit awake in a treatment chair while a magnetic applicator delivers gentle, rhythmic pulses to the area of the brain involved in mood regulation. There is no anesthesia, no medication in the bloodstream and no downtime, so you drive yourself home. If you have been searching for exomind near me or TMS therapy near me, Advanced Optimal Healthcare offers Exomind by appointment as part of our wellness services, always alongside your existing care rather than instead of it.
Dr. Anilda Ortiz, DNP, APRN, FNP-C is a board-certified family nurse practitioner with more than 14 years in primary care, where depression and antidepressant management are part of everyday chronic care. She confirms the diagnosis, reviews what you have already tried, screens for safety and stays in contact with your prescriber or therapist for patients from Lutz, Land O' Lakes, Wesley Chapel and the greater Tampa area.
Medically reviewed by Dr. Anilda Ortiz, DNP, APRN, FNP-C. Last updated: October 2026.
Why It Matters
Why Exomind When Antidepressants Fall Short
Antidepressants help many people, but not everyone gets enough relief. Some try two or three medications over many months, adjusting doses and waiting weeks to see whether each change works, while low mood, lost interest and poor concentration keep affecting work, family and sleep. Others improve only partly, or stop because side effects outweigh the benefit, and are left wondering what else is available.
A different way to treat depression
Exomind offers a treatment that works on the brain directly, without adding another drug to the bloodstream. Magnetic pulses stimulate the left prefrontal cortex, an area that research links to mood regulation. The FDA cleared it for adults whose depression did not improve enough with medication, and it is used alongside your current medication and therapy, not as a replacement. Every course starts with an evaluation.
What Is Exomind?
Exomind is a repetitive transcranial magnetic stimulation (rTMS) system by BTL, given FDA 510(k) clearance K212723 in 2022 for major depressive disorder in adults who did not improve enough with antidepressant medication in the current episode. It is not cleared for anxiety, insomnia, weight loss or addiction.
An applicator on the scalp creates a brief magnetic field that induces small electrical currents in the left dorsolateral prefrontal cortex, a mood-regulating area. The cleared protocol, 10 pulses per second at 120% of your motor threshold and 3,000 pulses per session, matches the large sham-controlled trials of rTMS for depression.
Treatment Timeline:
- Session Time:
- About 20-40 minutes
- Typical Course:
- Weekdays for 4-6 weeks
- Progress Checks:
- With Dr. Ortiz
- Recovery:
- None
What It Treats
Depression Symptoms Exomind Is Used For
Persistent low mood, loss of interest, poor concentration and low motivation in adults whose antidepressant did not help enough or whose side effects outweighed the benefit.
Persistent Low Mood
Sadness or emptiness most days for two weeks or longer
Loss of Interest
Little pleasure in work, hobbies or time with people you love
Medication Not Enough
Symptoms that remain after an adequate antidepressant trial
Side Effect Burden
A non-drug option when medication side effects limit dosing
Low Motivation
Daily tasks that feel heavy as part of a depressive episode
Poor Concentration
Trouble focusing or deciding that comes with depression
Why Patients Choose It
Benefits of Exomind TMS Therapy
What sets it apart
Caring for members since 2020
- 01
Non-Invasive
No needles, no surgery and nothing implanted, only an applicator
- 02
No Sedation
You stay awake and alert, with no anesthesia or recovery room
- 03
Drive Yourself Home
Return to work or errands right after each session
- 04
No Added Medication
Works on brain circuits directly, not through the bloodstream
- 05
Studied Protocol
Uses the 10 Hz settings tested in sham-controlled trials
- 06
Works With Your Care
Added to your medication and therapy, not instead of them
Compare your options
Exomind vs. Other Depression Treatments
How Exomind compares with other treatments for depression that has not improved enough with medication.
| Treatment | How It Works | Session Time | Typical Course | Sedation | Downtime | Best For |
|---|---|---|---|---|---|---|
| Exomind | Magnetic pulses to the left prefrontal cortex | About 20-40 minutes | Weekdays for 4-6 weeks | None | None | Adults with MDD after antidepressants fell short |
| Antidepressant Medication Adjustment | New dose or medication | Daily dose | Several weeks per change | None | None, side effects possible | First-line and ongoing care |
| Psychotherapy | Structured talk therapy | Usually under an hour | Weekly for months | None | None | Most people with depression |
| Conventional rTMS | Same principle, other TMS systems | 3-40 minutes | Weekdays for 4-6 weeks | None | None | Care at a psychiatry-led TMS center |
| Electroconvulsive Therapy (ECT) | Brief electrical stimulation under anesthesia | Minutes plus recovery | Several sessions a week | General anesthesia | Rest that day, no driving | Severe or urgent depression |
Who Is a Good Candidate for Exomind?
Exomind is for adults with major depressive disorder whose symptoms have not improved enough with antidepressant medication. Every patient starts with an evaluation by Dr. Ortiz before a course is planned.
Ideal Candidates for Exomind
- Adults 18 and older with a diagnosis of major depressive disorder
- People who did not get enough relief from an antidepressant in this episode
- Patients who could not continue a medication because of side effects
- Those who can attend weekday sessions for several weeks
- People who will continue their current medication, therapy or both during treatment
Who Should Wait or Avoid Exomind
- Anyone with metal in or near the head, such as aneurysm clips, cochlear implants or stimulators
- People with a seizure disorder, who need a specialist review first
- Anyone in crisis or with thoughts of self-harm, who needs urgent care first
- People with bipolar disorder or psychosis, whose care belongs with a psychiatry team
- Anyone under 18, since the FDA clearance covers adults
Sleep and energy often suffer alongside low mood. When labs point to a hormonal cause of poor sleep or low energy, Hormone Replacement Therapy for Women or our hormone therapy near me services may be part of a separate plan, and peptide therapy supports sleep and recovery goals. None of these treat depression.
Your Experience
What Happens During an Exomind Session
Evaluation and safety screening with Dr. Ortiz, dose mapping at the first session, then sessions you sit through awake with earplugs while your symptom scores are tracked and shared with your prescriber.
Evaluation
Dr. Ortiz confirms the diagnosis, reviews past medications and screens for metal implants and seizure risk.
Dose Mapping
At the first session the team finds your motor threshold, the intensity that just moves your thumb, to set the dose.
Treatment
You sit awake with earplugs while the applicator delivers pulses you feel as a light tapping on the scalp.
Progress Review
Dr. Ortiz reviews your symptom scores during the course and updates your prescriber or therapist.
Safety Information
Exomind Risks and Side Effects
Most TMS side effects are mild and short-term. Here is what to expect at the scalp, how seizure risk is screened and why your current treatment continues alongside Exomind.
-
Common Side Effects
The most common side effects of TMS are scalp discomfort where the applicator sits, mild headache, and twitching or tingling of the scalp, jaw or face muscles during a session, usually mild. The pulses make a loud clicking sound, so earplugs are worn every session.
-
Seizure Risk and Screening
Seizure is the most serious risk. It is rare, and screening lowers it further. The National Institute of Mental Health notes that most side effects are mild and short-term when expert guidelines are followed, and that long-term effects need more research.
-
Keep Your Current Treatment
Keep taking your current treatments unless your prescriber advises otherwise. If you have thoughts of suicide, call or text 988, or call 911 in an emergency.
Pricing and payment options
How Much Does Exomind Cost in Lutz?
Exomind pricing is discussed at your complimentary consultation, because the cost depends on how many sessions Dr. Ortiz recommends after your evaluation. You will know the full course price before you commit to anything.
| Item | Price |
|---|---|
| Consultation (20 minutes) | Complimentary |
| Exomind session | Discussed at consultation |
| Full course | Discussed at consultation |
Membership and Pricing
Exomind belongs to our separate wellness track (Foundational $399, Advanced $499, Optimal $699 per month), with tier details covered at your consultation. Members of our direct primary care plans receive priority scheduling and discounted pricing on wellness services.
Flexible Payment Options
A course can be paid over time with flexible payment plans through Cherry. Details are on our financing page.
The Advanced Optimal Difference
Why Choose Advanced Optimal Healthcare for Exomind in Lutz, FL
Evaluation first, care coordinated: Dr. Ortiz confirms the diagnosis, screens for safety, keeps your prescriber or therapist informed and offers Exomind only for its FDA-cleared use.
Dr. Ortiz treats Exomind as one part of a depression plan, not a standalone wellness session. She confirms the diagnosis, reviews your medication history, screens for safety and keeps your other clinicians informed, and sessions run under her supervision.
-
Evaluation First
Dr. Ortiz confirms the diagnosis, reviews the antidepressants you have already tried and screens for safety, including seizure risk, before a single session is scheduled.
-
Coordinated Care
Your prescriber or therapist is kept informed about your progress, and Exomind is used alongside your current medication and therapy rather than as a replacement for either.
-
Honest Scope
Exomind is offered only for its FDA-cleared use in adults with major depressive disorder who did not improve enough with medication, not as a wellness or performance session.
-
One Patient at a Time
Sessions are private and unhurried in a calm treatment room, with no sedation and no downtime, so you sit awake, drive yourself home and go on with your day.
Keep your wellness plan going at home
Order practitioner-grade supplements from Dr. Ortiz's Fullscript dispensary and have them delivered to your door.
Explore More
Related Treatments
Exomind is one part of whole-person care, not a standalone session. A primary care membership keeps depression management, medications and labs with one provider, hormone care addresses thyroid and hormone causes of low mood, and wellness services support sleep, energy and recovery alongside the course.
Common Questions
Frequently Asked Questions About Exomind
Your questions answered: what a course costs, how many sessions are needed, whether it hurts, when results are noticed and how Exomind relates to TMS in general.
How much does Exomind cost in Lutz?
Exomind cost is discussed at your complimentary 20-minute consultation, because the price depends on the number of sessions in your plan. Dr. Ortiz recommends a course after your evaluation, and you see the full price before you commit. Cherry payment plans are available.
How many Exomind sessions will I need?
Most people need a full course, not a few sessions. The schedule studied for depression is one session a day, 5 days a week, for about 4-6 weeks. Dr. Ortiz sets and reviews your plan, and some people return for added sessions later if symptoms come back.
Does Exomind hurt?
Exomind is not usually painful, but it is not sensation-free. Most people feel a tapping on the scalp and some twitching of the face or jaw, and a mild headache is common in the first week. These effects typically ease as the course goes on.
When will I notice results from Exomind?
Improvement is gradual. Some people notice changes in mood or energy within a few weeks, and the clinical trials measured results after 4-6 weeks of weekday sessions. Dr. Ortiz checks your progress with a standard depression questionnaire during the course. Individual results vary.
Is Exomind the same as TMS?
Yes, Exomind is a TMS system. It delivers repetitive transcranial magnetic stimulation, and the FDA cleared it in 2022 as substantially equivalent to an existing TMS device for depression, using the 10 Hz protocol studied in the large rTMS trials.
Does Exomind replace my antidepressant or therapy?
No. Exomind works alongside your existing care, not instead of it. Keep taking your medication and seeing your therapist unless your prescriber advises a change. Dr. Ortiz coordinates with your other clinicians, and antidepressant management is also available through our chronic care and medication management service.
Can Exomind treat anxiety, insomnia or weight?
No. Exomind is FDA cleared for major depressive disorder in adults whose depression did not improve enough with antidepressants, and that is the only use offered here. It is not offered for anxiety, insomnia, weight loss, focus or addiction. Dr. Ortiz can discuss other options for those goals at your consultation.
Does insurance cover Exomind?
No. Exomind is a wellness service billed directly to you, and we do not bill insurance for office services at any membership level. Patients who want to spread the cost of a course can apply for flexible payment plans through Cherry.
Where can I read Exomind reviews?
The most reliable evidence is published research on TMS for depression, listed in the references below. You can read what patients say about Advanced Optimal Healthcare on our Google reviews. Be cautious of online claims that Exomind treats conditions beyond depression, since its FDA clearance does not cover them.
Ready to Start?
Schedule Your Exomind Consultation
- Phone
- (813) 330-6224
- Hours
- Mon & Fri 9am - 2pmTue & Thu 9am - 6pmWed 9am - 5pm
References
- O'Reardon et al., Biol Psychiatry. (2007). Efficacy and safety of transcranial magnetic stimulation in the acute treatment of major depression: a multisite randomized controlled trial. PMID: 17573044.
- George et al., Arch Gen Psychiatry. (2010). Daily left prefrontal transcranial magnetic stimulation therapy for major depressive disorder: a sham-controlled randomized trial. PMID: 20439832.
- Carpenter et al., Depress Anxiety. (2012). Transcranial magnetic stimulation (TMS) for major depression: a multisite, naturalistic, observational study of acute treatment outcomes in clinical practice. PMID: 22689344.
- Dunner et al., J Clin Psychiatry. (2014). Among 120 patients who responded to acute TMS, 62.5% continued to meet response criteria throughout 12 months of follow-up. PMID: 25271871.
- Rossi et al., Clin Neurophysiol. (2021). International expert guidance updates safety recommendations, screening and training for TMS use in patients. PMID: 33243615.
- U.S. Food and Drug Administration. (2022). 510(k) K212723 for the BTL-995-rTMS, cleared March 4, 2022 for major depressive disorder in adults who did not achieve satisfactory improvement from prior antidepressant medication in the current episode.