Teens 15-21
Specialized adolescent TMS from the #1 TMS provider for teens in Spokane.
New Chapter TMS
When Medication Isn't Enough
A different, clinically rigorous approach to depression, guided by psychiatric expertise. Real relief, not just another treatment attempt.
FDA-Cleared
Non-Invasive & Drug-Free
No Waitlist, No Referral
Covered by Most Insurance
Recognition
Maybe this feels familiar
If medication hasn't brought you back to yourself, you are not alone, and you are not out of options.
I've tried medication for depression, but I still don't feel like myself.
Everything feels harder than it should.
My energy, motivation, or enjoyment still hasn't come back.
I keep wondering if life is supposed to feel better than this.
You don't have to stay stuck here.
Who we treat
Teens and adults, under one roof
Independently owned, psychiatrist-led care for the people medication hasn't fully helped, including Spokane's #1 TMS provider for adolescents.
Adults
Care for adults with depression, including medication-resistant and treatment-resistant depression.
Specialized Support
Support for OCD, anxiety, perinatal mental health, EMS, and active duty service members.
About TMS
What is TMS and how does it work?
Transcranial Magnetic Stimulation (TMS) is an FDA-cleared treatment that uses targeted magnetic pulses to stimulate areas of the brain involved in mood. It is non-invasive, drug-free, and done in an outpatient setting with no downtime.
Targeted, not systemic
Magnetic pulses focus on mood-related brain circuits rather than circulating medication through your whole body.
Outpatient and practical
Sessions are typically short. Most people drive themselves and return to daily life afterward.
Built for when medication isn't enough
NeuroStar TMS is designed for people who need a different path to relief, including teens 15-21 and adults.
Why New Chapter
Why New Chapter TMS is different
At New Chapter TMS, you deserve real relief, not just another treatment attempt. TMS is a medical intervention, and we treat it with the care, precision, and clinical expertise it deserves.
01
We Put Your Recovery First
Led by psychiatric specialists with advanced TMS training and an active role in ongoing research. Care that is compassionate and clinically rigorous.
02
One Practice. Whole-Person Care.
Teens and adults in the same practice, including complex or medication-resistant depression. A consistent, highly skilled team, not a handoff between clinics.
03
Outcomes Matter, Not Protocols
We measure your progress and adjust treatment in real time so your care evolves with you, not around a one-size-fits-all program.
04
Independent. Local. Focused on You.
Independently owned, not part of a corporate system. Every decision is about what's best for your mental health.
05
Rooted in Spokane's Mental Health Community
From nonprofit partnerships to community events and suicide prevention leadership, we stay involved in improving mental health across our region.
Our providers
Meet the New Chapter TMS team
Psychiatric leadership and experienced TMS specialists who combine clinical expertise with the human connection patients need to feel safe and supported.
Dr. Kiira Tietjen, DNP, PMHNP-BC
Co-Founder & Psychiatric Nurse Practitioner
Over a decade helping children, teens, and adults when traditional care is not enough. PULSES-certified TMS provider and NeuroStar Key Opinion Leader.
Will Normington
Co-Founder & TMS Treatment Specialist
More than 25 years in behavioral health. Known for a calm, approachable style that helps every patient feel supported through precise TMS care.
Juanita Lee
TMS Technician
New Chapter's first TMS technician. Recognized for a charismatic, caring presence that helps patients feel safe and comfortable throughout treatment.
Samantha Anglin
TMS Technician & Clinical Coordinator
Blends clinical skill with compassion in the chair and behind the scenes, keeping each step of care smooth, personalized, and centered on connection.
Rebecca Haynes, MSW, LICSW
TMS Technician & Licensed Clinical Social Worker
Brings therapy and behavioral health experience to every session so clients feel supported, informed, and at ease on their path toward wellness.
Clinic companions
When the Dogtors are in
Healing isn't only about science. It's also connection, comfort, and a touch of joy. Our four-legged team members bring all three, reminding us to slow down, smile, and appreciate the simple moments.
Director of Determination
Gracie Lou
Our black lab mix is as spirited as she is sweet. Known for bold independence and unstoppable determination, whether she's finding her own way or sneaking tomatoes from the garden, Gracie embodies courage, adaptability, and the kind of resilience that inspires us all.
Chief Smile Officer
Posey
Our golden retriever radiates pure sunshine. With her trademark grin and famously floofy coat, she moves through life convinced that everyone she meets wants to be her friend, and honestly, she's not wrong. Posey reminds us that warmth and play are powerful forms of healing.
NeuroStar Advanced Therapy
Credibility you can feel confident in
A non-drug, non-invasive treatment proven to be more effective than medication for many patients with depression, delivered with psychiatric oversight at New Chapter TMS.
- The #1 physician-recommended TMS treatment
- FDA-cleared for depression in adults and teens 15-21
- Non-drug, non-invasive, and covered by most major insurance
- Proven more effective than medication for many patients
Supported by emerging research for bipolar disorder, PTSD, autism spectrum symptoms, and more. Treatment is by prescription only. Results may vary.
Insurance and payment
Covered by most major insurance
Cost should not stand between you and care. NeuroStar TMS is covered by most major insurance plans, and our team can help verify your benefits before you begin.
Also accepted: WA State Medicaid plans · Community Health Plan of WA · Coordinated Care. Coverage depends on your plan. We complete a full benefits check so you know what to expect before starting.
CareCredit financing
Flexible payment options may be available through CareCredit for out-of-pocket costs. Ask our team what fits your situation.
Patient stories
Real relief, in their own words
Patients who came to New Chapter when medication wasn't enough share what changed.
Basic daily tasks felt almost unattainable. Life felt very heavy and hopeless. Now I look forward to things in my life. I'm able to genuinely get excited and feel motivated.
Before TMS I felt like a ghost. I had lost the best parts of me. Now my voice has returned.
I have been seeing a psychiatrist for over 20 years and have never had the results that I got doing the TMS treatments.
I felt super low, had no hope for anything. Now I feel lighter and it's easier for me to do things.
I saw the darkness in my thinking and behavior turn to light and bright thinking. All the years of counseling started to make sense.
I am so lucky to have found New Chapter TMS when I did. I encourage everyone to reach out to get started on a new you.
FAQ
Frequently asked questions
Common questions about NeuroStar TMS, insurance, and getting started at New Chapter.
NeuroStar TMS is covered by most major insurance plans. Our team can help verify your benefits and walk you through next steps at no cost.
Start your new chapter
Real relief is possible
Find out if you qualify for NeuroStar TMS, or call our Spokane team today. No waitlist. No referral needed.