Maybe it was the weight gain. The emotional numbness. The fatigue that made even small tasks feel impossible. Maybe the first antidepressant helped a little, the second one didn't, and by the third you started wondering if anything was going to work.
If you're a parent reading this, maybe you've watched your teenager struggle through the same cycle — medication adjustments, therapy appointments, missed school days — and you're exhausted too.
That exhaustion — the one that comes from treatment after treatment that doesn't deliver — is real. And it's not your fault.
TMS works differently. It doesn't enter your bloodstream. It doesn't cause the side effects you've been enduring. It targets the part of your brain that regulates mood — directly, gently, and while you're fully awake.
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It's been wonderful working with Dr. Roth. I really do appreciate him, as I've been through many psychiatrists since I was a kid due to my brain injury. He’s definitely been the most understanding by far.
You're in a comfortable chair, fully alert and aware — no sedation, no IV. Some patients read, listen to music, or simply close their eyes.
A padded helmet is positioned gently on your head. You'll hear a clicking sound and feel a light tapping sensation on your scalp as the magnetic pulses are delivered.
When it's over, you drive yourself home or back to work. No downtime, no sedation — no one will know you were in treatment.
01 · Evaluation
A board-certified psychiatrist reviews your treatment history and confirms whether TMS is right for you — no assumptions, no rush.
02 · Set & Aware
The BrainsWay device rests gently against your head. You're alert the entire time — no anesthesia, no downtime.
03 · 20-Minute Sessions
Standard or accelerated protocols, five times a week or condensed into days. Read, listen to music, or just rest.
Dr. David Roth personally oversees every TMS treatment plan and adjusts your protocol based on how you're actually responding.
The H-coil reaches deeper and broader than a standard figure-8 coil — targeting the prefrontal cortex areas most implicated in depression.
Traditional daily TMS, or accelerated protocols including condensed 5-day options for busy schedules.
A non-medication option for young people, with families included in the healing process.
We're not a corporate chain — we're your neighbors. Bluegrass was founded by Dr. Roth, a third-generation Louisvillian, and built on relationships, trust, and community.
Dr. David Roth is a triple-board-certified psychiatrist specializing in adult psychiatry, child and adolescent psychiatry, and pediatrics — the only combination of its kind in Louisville.
After years of clinical innovation in the San Francisco Bay Area, working alongside national leaders in interventional psychiatry and neuromodulation, Dr. Roth made a deliberate choice: return home to Kentucky and build a center of hope and healing for the community he loves.
When you come to Bluegrass, you'll sit down with Dr. Roth. He'll listen to your story, answer every question, and build a treatment plan that makes sense for your life.
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Not everyone's life looks the same. That's why Bluegrass offers two TMS protocols — so your treatment fits your schedule, not the other way around.
Dr. Roth will help you determine which protocol is right for you during your initial consultation. There's no wrong choice — only the one that fits your life.
We're in-network with most major insurers, and our team handles the entire prior authorization process for you. Before treatment begins, we'll provide complete cost transparency — no surprise bills, no guessing.
For patients without insurance or with high deductibles, we offer flexible payment options designed to reduce financial barriers. Let's have the conversation — openly, honestly, and without pressure.
Bluegrass accepts most major insurances. Our team handles prior authorization — so coverage is one less thing for you.
Triple-board-certified
Dr. Roth answers your questions with clear, physician-led guidance.
Still have questions? Dr. Roth answers them in a free consultation.
Most patients say no. You'll feel a tapping sensation on your scalp, and some experience mild scalp tenderness during the first week that fades quickly. Unlike ECT, TMS requires no anesthesia — you're awake and comfortable throughout.
Yes. TMS is FDA-cleared for adolescents aged 15 and older with major depressive disorder. Dr. Roth is board-certified in child and adolescent psychiatry, and our clinic is designed to feel safe and age-appropriate for teens.
Completely different treatments. ECT uses electrical currents to induce a seizure and requires anesthesia. TMS uses magnetic pulses — no electricity, no seizure, no anesthesia, no memory loss. You can drive yourself home afterward.
Some patients notice improvement as early as week two or three. Dr. Roth monitors your progress and adjusts your protocol based on your individual response. About 80% of patients see significant improvement; two-thirds reach full remission.
Most major plans cover TMS for treatment-resistant depression when certain criteria are met, typically a history of trying at least one antidepressant without adequate relief. Our team handles all prior authorizations.
No treatment works for everyone, but TMS has strong evidence behind it. If TMS isn't the right fit, Dr. Roth also offers Spravato (esketamine) therapy and comprehensive medication management.
Fill out the form and our care coordinator will follow up within 24 hours to answer questions, verify your insurance, and schedule your first appointment with Dr. Roth.
Hear from people who've been where you are.
Years of medical excellence
Board Certified — Therapeutic Expert
Eduardo
“It's been wonderful working with Dr. Roth. I really do appreciate him, as I've been through many psychiatrists since I was a kid due to my brain injury. He’s definitely been the most understanding by far.”
Angelica
"Dr. Roth is the best thing that could have happened to me. As someone who was once very skeptical of medications and the realm of psychiatry, I’m glad I allowed myself the opportunity to try something new and to be guided by him."
Aaron
"Dr. Roth is very knowledgeable about the latest OCD research and treatment approaches which allows him to provide the best options. He has a very warm bedside manner and is a pleasure to work with."