Hormone Replacement Therapy
When mood swings, fog or fatigue have a hormonal cause.
Monday to Friday, 8:30 am to 3:30 pm (904) 686-7771
Longevity
An FDA-cleared, non-invasive and drug-free treatment for depression and anxiety, given as six brief sessions over three to six weeks.
Exomind is an FDA-cleared, non-invasive treatment that uses ExoTMS (transcranial magnetic stimulation) technology to deliver targeted magnetic pulses to areas of the brain involved in mood regulation. It needs no medication, needles or anesthesia. The protocol is six brief sessions over three to six weeks, compared with the 30 to 36 daily sessions of traditional TMS.
Depression and anxiety can affect every part of life, from work and relationships to sleep and physical health. Antidepressant medication and psychotherapy help many people, but they do not work for everyone, and finding the right treatment often takes patience.
Exomind is one more option, used alongside your existing care rather than in place of it. It can be used with antidepressant medication, and you should keep taking prescribed medication unless your prescribing physician directs otherwise. Talk therapy remains an essential part of mental health treatment.
Your consultation is private and confidential. We review your mental health history, current symptoms, medications and goals before recommending treatment, and coordinate with your other healthcare providers where needed.
Key concerns addressed
Exomind targets the neural pathways involved in mood, impulse control and focus. Results vary from person to person.
Persistent sadness, loss of interest and difficulty functioning. Exomind targets the pathways involved in mood regulation.
Excessive worry, restlessness and physical symptoms. Exomind aims to calm overactive circuits and improve stress management.
Exomind modulates activity in brain areas associated with OCD to help reduce the intensity and frequency of symptoms.
Recurring episodes with a sense of lost control. Exomind addresses pathways involved in impulse control and emotional regulation.
Difficulty concentrating and poor mental clarity, often linked to stress, poor sleep, hormonal change or aging.
For people without a diagnosis who want to improve mood, focus and resilience to everyday stress.
Transcranial magnetic stimulation uses magnetic pulses to stimulate nerve cells in specific areas of the brain. Exomind's ExoTMS technology directs those pulses to regions associated with mood regulation and cognition, to help restore healthy brain function and communication pathways.
You sit in a comfortable chair while the device is positioned near your head. You hear a clicking sound and may feel a light tapping on your scalp. It is not painful, and you can return to work and drive straight afterward.
The main difference is time. Traditional TMS, used for treatment-resistant depression, requires 30 to 36 daily sessions, which means visits every weekday for more than a month. Exomind's protocol is six sessions spread over three to six weeks.
The magnetic stimulation itself takes only a few minutes. Allow up to 30 minutes for each visit, and some patients benefit from periodic maintenance sessions after the initial course.
Mental health is shaped by biological, psychological and environmental factors, and several everyday ones can make symptoms worse.
Treatment overview
We discuss your mental health history, symptoms, medications and goals, and explain the technology and process.
No special preparation. Eat, drink and take your usual medication, and avoid metal jewelry or accessories near your head.
You sit in a chair while the device delivers brief magnetic pulses. Expect clicking and light tapping, not pain.
No downtime. You can go straight back to normal activities, including work and driving.
Six sessions scheduled over three to six weeks, with your progress reviewed along the way.
Many patients notice changes in mood within the first few weeks. Maintenance sessions may be recommended later.
Suitability
Compared
| Treatment | How it works | Notes |
|---|---|---|
| Exomind (ExoTMS) | Targeted magnetic pulses to brain areas involved in mood regulation | Non-invasive and drug-free; six sessions over three to six weeks |
| Antidepressant medication | Changes neurotransmitter levels in the brain | First-line treatment for many; can have side effects and does not work for everyone |
| Traditional TMS | Magnetic pulses stimulate nerve cells in the brain | Used for treatment-resistant depression; requires 30 to 36 daily sessions |
| Psychotherapy | Talk therapy to identify and change negative thought patterns | An essential part of care, most effective combined with other treatment |
Cost
The cost of your Exomind treatment plan is discussed at your consultation, and we will work with you on a plan that fits your needs and budget. Insurance coverage for Exomind varies depending on your plan and the indication for treatment; our team will verify your benefits and explore payment options with you.
Costs vary with the number of sessions and the areas treated. We give you transparent pricing at your consultation, before any treatment. Cost and payment options
Questions
No. You hear a clicking sound and may feel a tapping sensation on your scalp, but most patients find it comfortable. The most common side effect is mild, temporary scalp discomfort or tingling.
The standard protocol is six sessions over three to six weeks. Your plan is personalized, and some patients benefit from maintenance sessions later on.
In many cases, yes. Exomind can be used alongside medication, and you should continue your prescriptions unless your prescribing physician directs otherwise. Any change to medication should only happen under medical supervision.
Traditional TMS requires 30 to 36 daily sessions. Exomind's ExoTMS technology allows shorter, more efficient sessions, with a full course of six sessions over three to six weeks.
Many patients begin to notice changes in mood and symptoms within two to three weeks of starting. Improvement can continue over the following weeks, and results vary from person to person.
Many patients experience sustained improvement for months or longer. Some benefit from periodic maintenance sessions to preserve their results.
Exomind is FDA-cleared and non-invasive, with no anesthesia, incisions or medication. Serious side effects are extremely rare. It is not suitable if you have metal implants in or near the head, a history of seizures or certain neurological conditions.
Insurance coverage for Exomind varies depending on your specific plan and the indication for treatment. Our team will verify your benefits and explore payment options with you.
Where
At our office at 100 Executive Way, Suite 114, Ponte Vedra Beach, under the care of Dr. Cappel, a double board-certified dermatologist and dermatopathologist.
Patients see us from Ponte Vedra Beach, Ponte Vedra, Nocatee, Jacksonville Beach, Atlantic Beach, Neptune Beach, Jacksonville, St. Augustine and Palm Coast and across Northeast Florida.
Also consider
When mood swings, fog or fatigue have a hormonal cause.
Personalized protocols for energy, focus and recovery.
Testing for the thyroid, hormone and nutrient factors behind low energy.
Book a visit
Dermatology visits, aesthetic consultations and wellness plans all start the same way: a careful assessment by Dr. Cappel and a plan built around your skin, your health and your goals.