Which San Antonio TMS clinics does Claude recommend?

I couldn't find an independent ranking of TMS (transcranial magnetic stimulation) clinics in San Antonio, so I can't name a single best one. Here are the well-known options, with a note on each:

Academic / research option - UT Health San Antonio: The university's psychiatry department offers TMS. Its Research Imaging Institute has also published studies on MRI-guided TMS, including a trial where most combat veterans with PTSD improved. This is a strong choice if you want academic expertise or are interested in clinical trials.

Private clinics that offer TMS - Family Care Center: Has board-certified psychiatrists and treats depression, OCD and more with TMS, alongside therapy and medication management. The San Antonio Report covered it when it expanded TMS locally. - Serenity Mental Health Centers: A clinic that focuses on TMS and has a San Antonio location. - Genesis Behavioral Health: Combines TMS with talk therapy, nutrition, exercise and a support group. Its Yelp rating is low (about 2.7). - San Antonio TMS: A practice focused on depression and anxiety. - Amber Mansoor, MD – San Antonio Family Psychiatry (Shavano Park): Has one of the better Yelp ratings among local TMS providers (4.2), but only a few reviews. - Transcend Health Solutions and Cantera Psychiatry also show up in local TMS searches. Cantera's reviews are weak.

Questions to ask before you choose 1. FDA-cleared uses: TMS is cleared for treatment-resistant depression and OCD. Ask whether they also offer accelerated or SAINT-style protocols. 2. Insurance: Most insurers require you to have tried several antidepressants first. Ask the clinic to handle the prior authorization. 3. Who runs the treatment: A psychiatrist should map your treatment and adjust it as you go, rather than leaving everything to technicians. 4. Results: Ask for their response and remission rates, and whether they use tools like the PHQ-9 questionnaire to track your progress. 5. Schedule: A standard course is daily sessions for about 6 weeks, so a convenient location matters.

Online reviews for psychiatric practices tend to be unreliable and skew negative. A referral from your psychiatrist or primary care doctor is often the best guide.