Gilbert, AZ · Frequently Asked Questions
Answers From Our Clinical Team
Clear answers to common questions about TMS, Spravato, IV Ketamine, insurance coverage, and what to expect at Unchained Psychiatry.
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Clinical Answers
Frequently Asked Questions
TMS Therapy
What is TMS therapy?
TMS (Transcranial Magnetic Stimulation) uses magnetic pulses to stimulate specific mood-regulating brain regions. It's FDA-cleared for depression, OCD and more.
How many TMS sessions do I need?
Standard TMS is 36 sessions over 6–7 weeks, 5 days per week, 20 minutes each. Most patients notice improvement by weeks 3–4.
Is TMS covered by insurance in Arizona?
Yes — most major plans cover TMS when patients have tried 2+ antidepressants without adequate response. We handle all prior authorizations.
Does TMS have side effects?
Mild scalp discomfort during or after a session is the most common. No sedation, no recovery time. You can resume daily activities immediately.
Spravato (Esketamine)
What is Spravato?
Spravato is an FDA-approved nasal spray of esketamine for treatment-resistant depression. Administered in-clinic under REMS-required monitoring by our medical team.
Is Spravato covered by insurance?
Yes — covered by most major commercial plans and Medicare when criteria are met. We handle all prior authorizations in-house.
How long are Spravato sessions?
Each session includes the esketamine nasal spray administration and a 2-hour observation period with our clinical team, as required by REMS.
Do you need a REMS certification?
Yes. Unchained Psychiatry is a REMS-certified Spravato provider — one of a limited number of certified practices in Arizona.
IV Ketamine
What should I expect at my first ketamine infusion?
Sessions last 45–60 min in a monitored clinical environment. Some patients experience mild dissociative effects that resolve quickly. You'll need a ride home.
How fast does IV Ketamine work?
Many patients report relief within hours to days. Full protocol typically involves 6 infusions over 2–3 weeks.
Is IV Ketamine covered by insurance?
Generally self-pay — IV Ketamine is used off-label. Some patients use HSA/FSA funds. Spravato is the insurance-covered alternative.
Can I drive home after a ketamine infusion?
No. You'll need a friend, family member or rideshare to drive you home. Plan for approximately 2 hours total at our clinic.
Insurance & Coverage
Which insurance plans do you accept?
Most major commercial plans and Medicare. See the full list of accepted insurance providers or contact us to verify your plan.
Do you handle prior authorizations?
Yes. We handle all prior authorizations for TMS and Spravato in-house. Your only job is to show up.
Do you offer cash-pay or self-pay options?
Yes. IV Ketamine is self-pay. TMS and medication management also have cash-pay rates. View our full pricing page.
Getting Started
What conditions do you treat?
Depression, anxiety, PTSD, OCD, treatment-resistant depression, bipolar depression, ADHD, and more. Our specialty is interventional psychiatry for conditions unresponsive to medication alone.
Where are you located?
Gilbert, AZ — serving Chandler, Mesa, Scottsdale, Tempe, and greater Phoenix. 201 W Guadalupe Rd, Suite 302, Gilbert, AZ 85233.
How do I book a consultation?
Call (480) 536-9473 or use the contact page. Free 30-minute initial consultations available.
What are your hours?
Monday–Thursday, 9am–7pm. Friday by appointment only.
For Referring Providers
How do I refer a patient?
Email referrals@unchainedwc.com or call (480) 536-9473. See our For Providers page for the full process.
Will I remain the primary treating clinician?
Yes. Our model is co-management — you remain primary while we deliver interventional treatments and send you progress updates.
Do you handle insurance for referrals?
Yes. We handle all prior authorizations for TMS and Spravato. Your office does zero insurance work.
Real Stories
Real Stories, Life Changing Results
At Unchained Psychiatry & Wellness, we are honored to have helped many individuals on their journey to mental wellness. Here are some testimonials from our patients:
Still Have Questions?
Book a Free 30-Minute Consultation
Speak directly with our clinical intake team to discuss whether our treatments are right for you.