Touchstone TMS

Touchstone TMS in Puyallup, Washington brings Spravato esketamine and TMS to patients across the Puget Sound region whose depression has resisted traditional medication. As a specialty clinic, its entire focus is FDA-approved interventional psychiatry for treatment-resistant depression.

Spravato is administered as a nasal spray alongside a daily oral antidepressant and works through the brain's glutamate system, while TMS uses magnetic pulses to stimulate mood-regulating neurons without medication. Both have shown strong response rates in difficult-to-treat depression.

The Puyallup team also supports patients dealing with anxiety, PTSD, and OCD, and its insurance specialists work to secure coverage and manage prior authorizations whenever possible.