Frequently Asked Questions
Starting a new treatment can feel overwhelming. Here are answers to the most common questions about psychiatric care, TMS therapy, and Spravato® at Redbud Behavioral Health in Fredericksburg, VA.
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A psychiatric nurse practitioner (PMHNP) is a registered nurse with advanced training in the diagnosis and treatment of mental health conditions. Nurse practitioners can provide therapy, order testing, and prescribe medications.
At Redbud, you’ll always work directly with Jonathan Yoder, PMHNP-BC, FNP-C. No physician services are provided by this practice, and I am not able to provide physician signatures for items such as disability forms.
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Before your visit, you’ll complete an intake form covering your symptoms, history, and past treatments. This allows us to spend your 60-minute consultation focused on:
Your goals
Your current status
Evidence-based treatment options
Afterward, you can decide to continue with your current care team or start a new plan with Redbud Behavioral Health. Either way, you’ll leave with more clarity about your next steps.
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TMS (Transcranial Magnetic Stimulation) is a non-invasive, FDA-approved therapy for treatment-resistant depression. It uses gentle magnetic pulses to stimulate mood-regulating brain areas, helping to “reset” activity patterns.
FDA-approved since 2008
Non-drug, no anesthesia, no downtime
Covered by most insurance, including Anthem/BCBS and Cigna
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Yes. TMS and Spravato are both FDA-approved for treatment-resistant depression and are covered by most major insurance plans, including Anthem/BCBS and Cigna.
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TMS: Many people notice improvements in mood, focus, and energy within 2–4 weeks of starting treatment, but others may not see a difference until a month after treatment completion.
Spravato: A few patients report benefits within hours to days of their first session, others may not see a difference until eight weeks of treatment.
Not all treatments are effective for all individuals and some people will not benefit from TMS or Spravato.
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Spravato® is a nasal spray form of esketamine — a medication related to ketamine. It is the only ketamine-based treatment FDA-approved for depression and is covered by insurance. IV/IM ketamine infusions are not FDA-approved or covered.
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You are not alone — up to one-third of people with depression don’t respond to typical antidepressants. At Redbud, we specialize in treatment-resistant depression, offering:
TMS therapy
Spravato®
Advanced medication strategies (lithium, MAOIs, dopamine agonists, thyroid)
Metabolic psychiatry (inflammation, sleep, insulin resistance)
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Our first visit is 60 minutes. We’ll carefully review your intake form, treatment history, and goals. Together, we’ll decide whether to start treatment with us or recommend other options that may be a better fit.
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No referral is needed. You can schedule a consultation directly. We recommend coordinating with members of your current treatment team to optimize your treatment plan.
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You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, healthcare providers need to give patients who don’t have insurance or who are not using their insurance an estimate of the bill for medical items and procedures.
You have the right to receive a Good Faith Estimate for the total expected costs of for any non-emergency related items of services. This includes related costs like medical tests, prescription drugs, equipments, and hospital fees.
Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, or any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or take a picture of your Good Faith Estimate.
For more information about your right to receive a Good Faith Estimate, visit https://www.cms.gov/nosurprises or call 1-800-985-3059.