The answer depends on what you are treating. For major depressive disorder or other psychiatric diagnoses, choose a psychiatric TMS clinic. For cognitive performance, post-concussion recovery, brain fog, burnout, and athletic mental performance, Dynamic Athlete is the only clinic in Boulder offering EXOMIND TMS, powered by BTL Industries’ ExoTMS technology, delivered in a sports medicine clinical setting. Performed exclusively by Dr. Aneesh Garg, DO, CAQ.
Most people researching TMS in Boulder are dealing with a problem that has not responded to talk therapy, lifestyle changes, or watchful waiting. The clinic you choose matters as much as the technology, and the clinical setting matters as much as the device. Here is the short, honest answer.
The Short Answer
TMS in Boulder is offered by two different kinds of clinics. Psychiatric TMS clinics treat FDA-cleared psychiatric diagnoses (major depressive disorder, treatment-resistant depression, OCD). EXOMIND TMS at Dynamic Athlete treats cognitive performance, post-concussion recovery, brain fog, burnout, and athletic mental performance, in a sports medicine clinical setting. Different patient populations, different clinical posture, different outcome goals.
Dynamic Athlete is the only clinic in Boulder offering EXOMIND, powered by BTL Industries’ ExoTMS technology. The protocol is performed by Dr. Aneesh Garg, DO, CAQ, double board-certified sports medicine and internal medicine, Yale-New Haven Hospital trained, Andrews Sports Medicine fellow, Teaching Faculty at the Regenerative Medicine Training Institute (RMTI), and Adjunct Teaching Faculty at Rocky Vista University College of Osteopathic Medicine (RVU).
Over 90% of our patients self-report a 75% or greater improvement following treatment.
Key Takeaways
- EXOMIND TMS is not the same as psychiatric TMS. Same device family, different clinical use. EXOMIND is for cognitive performance, post-concussion recovery, brain fog, burnout, and focus. It is not for major depressive disorder.
- Dynamic Athlete is the only clinic in Boulder offering EXOMIND, powered by BTL Industries’ ExoTMS technology.
- Two flagship audiences: (1) athletes and post-concussion patients, where Boulder has many concussion clinics but none offering EXOMIND, and (2) executives and high performers with burnout, brain fog, and focus problems.
- Sports medicine clinical setting, not psychiatry clinic. The protocol integrates with your musculoskeletal care, post-concussion rehab, and athletic training rather than living inside a mental health practice.
- EXOMIND at Dynamic Athlete is performed exclusively by Dr. Aneesh Garg, DO, CAQ. Double board-certified, Yale-New Haven trained, Andrews fellow, Teaching Faculty at RMTI, Adjunct Teaching Faculty at RVU College of Osteopathic Medicine.
Not all TMS in Boulder is the same
“TMS” stands for transcranial magnetic stimulation. The technology is the same across most modern TMS devices: a coil delivers focused electromagnetic pulses through the skull to stimulate neural circuits in the prefrontal cortex. Different devices vary in coil design, pulse pattern, and intensity, but the mechanism is broadly the same.
What differs is the clinical use. In the United States, most TMS clinics are psychiatric clinics. TMS is FDA-cleared for major depressive disorder, treatment-resistant depression, and OCD. A psychiatric TMS clinic delivers the protocol to patients carrying those diagnoses, with psychiatric oversight, treatment outcomes measured on depression rating scales, and a clinical posture aligned with mental health care. That is a real and important use of TMS. It is not what we offer.
EXOMIND TMS at Dynamic Athlete is a different application of similar technology. EXOMIND is powered by BTL Industries’ ExoTMS device. We deliver it in a sports medicine clinical setting for cognitive performance, post-concussion cognitive recovery, brain fog, burnout, and athletic mental performance. Our patients do not carry psychiatric diagnoses as the reason for the visit. They are athletes coming out of a concussion, executives dealing with burnout, busy professionals fighting brain fog, or competitive athletes looking for a cognitive edge.
Same device family. Different clinical posture. Different outcome targets. Choosing between psychiatric TMS and EXOMIND TMS is choosing what kind of clinic you want to be a patient in, not which device works better.
Six things that set EXOMIND at Dynamic Athlete apart
01. Boulder’s only EXOMIND TMS (BTL ExoTMS technology)
Dynamic Athlete is the only clinic in Boulder offering EXOMIND specifically. EXOMIND is powered by BTL Industries’ ExoTMS device, the technology purpose-built for non-psychiatric TMS protocols including cognitive performance, post-concussion recovery, and brain fog. The device design, pulse pattern, and protocol parameters are aligned with the use cases we target.
Other TMS providers in Boulder use TMS devices designed primarily for psychiatric indications. The device is not wrong; the protocol they run on it is for a different patient population. EXOMIND fills the gap in the Boulder market for non-psychiatric TMS delivered in a non-psychiatric setting.
02. Sports medicine clinic, not psychiatric clinic
This matters more than the device choice. A psychiatric TMS clinic is built around mental health diagnoses, psychiatric assessment, and DSM-aligned outcomes. The intake, the waiting room, the language, the documentation, and the discharge plan are all built for psychiatric care. That is the right setting for patients with FDA-indicated psychiatric diagnoses.
EXOMIND at Dynamic Athlete is delivered in a sports medicine clinical setting. The intake is a sports medicine intake. The discharge plan integrates with your musculoskeletal care, your training schedule, your post-concussion rehab, or your burnout recovery strategy. We do not diagnose psychiatric conditions and we do not treat them. We treat cognitive performance, post-concussion symptoms, and the kinds of presentations sports medicine and regenerative orthopaedics patients actually carry.
03. Athletic performance and post-concussion cognitive recovery
Boulder has many concussion clinics. None of them offer EXOMIND. The local concussion landscape is built around vestibular physical therapy, neuropsychological assessment, cognitive rehabilitation, and counseling. Those are the right tools for many concussion presentations. They are not the only tool.
For patients whose post-concussion cognitive symptoms have lingered past standard care (brain fog, processing-speed reduction, focus loss, sleep disruption), EXOMIND targets the prefrontal cortex networks involved in attention, executive function, and mood regulation, all of which are commonly disrupted in post-concussion syndrome. We add EXOMIND as a neuromodulation component to an existing recovery protocol, or use it as a standalone option when the rest of the recovery has plateaued.
For healthy athletes looking for cognitive performance enhancement, the research base on TMS for athletic cognitive performance is emerging but real. Published studies suggest TMS can facilitate motor learning, improve reaction time, enhance the acquisition of complex motor skills, and support attention and memory. We have used EXOMIND on professional and elite athletes from running, cycling, and ice hockey, primarily when assessment reveals a cognitive limitation worth addressing. We do not promise specific performance gains. We do offer the most published-evidence-aligned tool available for the underlying mechanism.
04. Burnout, brain fog, and executive cognitive performance
Boulder is a town of executives, founders, scientists, and high-output professionals. Many of them arrive at Dynamic Athlete with a similar story: months or years of burnout, brain fog, decision fatigue, and focus loss that have not responded to lifestyle changes, talk therapy, or wishful thinking. They do not carry a psychiatric diagnosis. They do not want one. They want their cognitive bandwidth back.
EXOMIND TMS modulates the prefrontal cortex networks involved in stress response, mood regulation, attention, and sleep. For patients in the burnout-brain-fog-focus category, the protocol is positioned as a cognitive performance intervention, not a psychiatric treatment. The intake conversation is about workload, decision quality, sleep, and recovery, not about depression scales. The discharge plan integrates with your professional and athletic life, not with a mental health treatment plan.
05. Honest about who EXOMIND is for, and who it is not for
We do not treat every condition that gets called TMS-eligible. EXOMIND at Dynamic Athlete is not the right answer for some patients, and we tell them on day one. The honest scope:
EXOMIND at Dynamic Athlete is NOT for
We are a sports medicine cognitive performance clinic. We are not a psychiatric clinic. The following are not indications we treat:
- Major depressive disorder (MDD). Refer to a psychiatric TMS clinic with appropriate psychiatric oversight.
- Treatment-resistant depression. Same. Psychiatric TMS is FDA-cleared and well-established for this indication.
- Bipolar disorder, schizophrenia, or other primary psychiatric diagnoses. Psychiatric specialist care.
- OCD or PTSD as primary diagnoses. Psychiatric TMS providers and psychiatric specialists.
- Active suicidality or psychiatric emergencies. Call 988 or go to your nearest emergency department.
- Active substance use disorder. Addiction medicine specialist.
We respect psychiatric TMS providers and refer to them when the case calls for it. Different patient populations deserve different clinical settings. We are the cognitive performance and post-concussion option. They are the psychiatric option. Both are legitimate. They are not interchangeable.
06. We teach regenerative medicine to practicing physicians (RMTI) and medical students (RVU)
Dr. Garg is Teaching Faculty at the Regenerative Medicine Training Institute (RMTI), where he trains practicing physicians across the country on regenerative orthopaedic and adjunct protocols. He is also Adjunct Teaching Faculty at Rocky Vista University College of Osteopathic Medicine (RVU), where he precepts medical students through clinical rotations.
When you receive EXOMIND at Dynamic Athlete, you are being treated by a physician who teaches this field to other physicians and to the next generation of osteopathic physicians training in Colorado.
Psychiatric TMS vs EXOMIND Cognitive Performance TMS
Two legitimate uses of TMS technology, two different markets
| Dimension | Psychiatric TMS | EXOMIND at Dynamic Athlete |
|---|---|---|
| Patient population | FDA-indicated psychiatric diagnoses (MDD, treatment-resistant depression, OCD) | Athletes, executives, post-concussion patients, busy professionals with burnout, brain fog, focus loss |
| Diagnostic frame | Psychiatric diagnosis required | No psychiatric diagnosis. Cognitive performance and recovery framing. |
| Clinical setting | Psychiatric clinic, mental health practice | Sports medicine clinical setting |
| Outcome target | Symptom reduction measured on depression rating scales | Cognitive performance, post-concussion recovery, focus, sleep, energy, return to work or sport |
| Coverage | Often covered by insurance for FDA-cleared psychiatric indications | Out-of-pocket. HSA, FSA, superbill provided for potential insurer reimbursement consideration. |
| Boulder options | Multiple psychiatric TMS clinics in the area | Dynamic Athlete is the only clinic in Boulder offering EXOMIND specifically. |
What to ask your Boulder TMS clinic?
Before you book any TMS appointment in Boulder, ask three questions. The answers tell you what kind of treatment you are about to receive.
01. “Is this a psychiatric TMS protocol or a cognitive performance TMS protocol?”
If you are dealing with depression or another psychiatric diagnosis, you want a psychiatric TMS clinic. If you are dealing with cognitive performance, post-concussion recovery, brain fog, or burnout, you want EXOMIND in a sports medicine setting. They are different things and different settings.
02. “Do you specifically offer EXOMIND, or another TMS device on a different protocol?”
EXOMIND is the BTL ExoTMS-powered protocol designed for non-psychiatric cognitive performance indications. Other TMS devices can be configured for non-psychiatric uses, but EXOMIND is the purpose-built protocol. Dynamic Athlete is the only clinic in Boulder offering it.
03. “Is the protocol delivered in a psychiatric clinical setting, or a sports medicine or wellness setting?”
The setting determines the intake, the documentation, the discharge plan, and the integration with the rest of your care. A psychiatric TMS clinic is the right setting for a psychiatric diagnosis. A sports medicine clinic is the right setting for athletic performance, post-concussion recovery, and cognitive performance.
Indications we use EXOMIND for
EXOMIND at Dynamic Athlete is positioned for cognitive performance and recovery indications, including:
- Post-concussion cognitive symptoms (brain fog, processing-speed loss, focus issues)
- Brain fog (post-COVID, perimenopausal, post-illness, unexplained)
- Burnout and executive cognitive fatigue
- Stress and anxiety (as wellness/performance, not psychiatric diagnosis)
- Athletic cognitive performance enhancement
- Focus and attention (non-ADHD)
- Decision fatigue in high-output professionals
- Sleep quality (secondary to mood and stress)
- Pre-competition mental preparation
- Post-illness cognitive recovery
- Return-to-work cognitive support after concussion or extended illness
Frequently asked questions
What is the best clinic in Boulder for TMS?
It depends on what you are treating. For psychiatric diagnoses like major depressive disorder, treatment-resistant depression, OCD, or PTSD, choose a psychiatric TMS clinic. For cognitive performance, post-concussion recovery, brain fog, burnout, and athletic mental performance, Dynamic Athlete is the only clinic in Boulder offering EXOMIND TMS, a BTL ExoTMS-powered protocol delivered in a sports medicine clinical setting. Performed exclusively by Dr. Aneesh Garg, DO, CAQ, a double board-certified sports medicine physician, Yale-New Haven Hospital trained, Andrews Sports Medicine fellowship graduate, Teaching Faculty at the Regenerative Medicine Training Institute (RMTI), and Adjunct Teaching Faculty at Rocky Vista University College of Osteopathic Medicine (RVU).
What is EXOMIND and how is it different from other TMS?
EXOMIND is a transcranial magnetic stimulation (TMS) protocol powered by BTL Industries’ ExoTMS technology. It delivers targeted electromagnetic pulses through the skull to stimulate neural circuits in the prefrontal cortex, modulating networks involved in mood regulation, stress response, focus, and sleep. The technology itself is similar to other TMS devices. What differs is the clinical positioning. Most TMS clinics in the United States are psychiatric clinics treating FDA-indicated diagnoses like major depressive disorder, treatment-resistant depression, OCD, and PTSD. EXOMIND at Dynamic Athlete is positioned for cognitive performance, post-concussion recovery, brain fog, burnout, and athletic mental performance. Different setting, different patient population, different outcome goals.
Does TMS work for athletes and cognitive performance enhancement?
An emerging body of published research suggests TMS can facilitate motor learning, improve reaction time, enhance the acquisition of complex motor skills, and support cognitive functions including focus and memory. The evidence base is newer than for psychiatric TMS but the mechanisms are well-established: TMS modulates cortical excitability and supports neuroplasticity. At Dynamic Athlete we use EXOMIND TMS for professional and elite athletes from running, cycling, hockey, and other sports, primarily for post-concussion cognitive recovery and for cognitive performance enhancement when assessment reveals a focus, processing-speed, or sleep-quality limitation. We do not promise specific performance gains. We do offer the most published-evidence-aligned tool available for the underlying mechanism.
Can TMS help with post-concussion symptoms?
Yes, for many patients. Post-concussion cognitive symptoms including brain fog, processing-speed reduction, focus loss, and sleep disruption can persist for months or years after the initial injury, particularly when symptoms have not fully resolved with standard vestibular physical therapy, neuropsychological care, or rest. EXOMIND TMS targets the prefrontal cortex networks involved in attention, executive function, and mood regulation, all of which are commonly disrupted in post-concussion syndrome. We typically consider EXOMIND for post-concussion patients whose symptoms have lingered past standard care, or who want to add a neuromodulation component to an existing recovery protocol. The Boulder area has many concussion clinics. Dynamic Athlete is the only one offering EXOMIND as part of the post-concussion toolkit.
Is EXOMIND TMS the same as TMS for depression?
The device technology is similar. The clinical use is different. TMS for depression is an FDA-cleared psychiatric treatment for major depressive disorder and treatment-resistant depression, typically delivered in a psychiatric clinic with psychiatric oversight, treatment protocols measured in weeks of daily sessions, and outcomes scored on depression rating scales. EXOMIND at Dynamic Athlete is positioned for cognitive performance, post-concussion recovery, brain fog, burnout, and athletic mental performance. It is delivered in a sports medicine clinical setting. We do not treat major depressive disorder, treatment-resistant depression, bipolar disorder, OCD, or PTSD as primary diagnoses. Patients with those conditions are referred to psychiatric TMS providers or psychiatric specialists.
How many EXOMIND sessions will I need?
The standard EXOMIND protocol is a series of treatments, typically two to three sessions per week for six weeks. Each session takes under thirty minutes. The patient is awake, seated, and returns to normal activity immediately. There is no sedation and no recovery period. We reassess at the midpoint of the series and adjust the protocol based on response. Some patients benefit from a shorter or longer series depending on the indication and the initial assessment.
Does EXOMIND TMS hurt or have side effects?
EXOMIND is non-invasive and well-tolerated. During the session you will feel a tapping sensation at the stimulation site, similar to a light, repetitive knock on the scalp. Some patients experience mild scalp discomfort or a brief headache after the first few sessions, both of which typically resolve quickly. There is no anesthesia, no medication, and no recovery period. Serious side effects are rare. We screen every patient for contraindications including any history of seizures, metallic implants near the stimulation site, or implanted electronic devices, before starting the protocol.
Is EXOMIND TMS covered by insurance?
EXOMIND TMS for cognitive performance, post-concussion recovery, brain fog, and burnout is generally considered an out-of-pocket service. TMS coverage by commercial insurance and Medicare typically applies only to FDA-cleared psychiatric indications (major depressive disorder, treatment-resistant depression, OCD) and only when delivered in a psychiatric clinical setting. At Dynamic Athlete we provide detailed superbill documentation that patients can submit to their HSA, FSA, or insurer for potential reimbursement consideration.
References
- Maudrich T, Ragert P, Perrey S, Kenville R. Noninvasive brain stimulation and athletic performance: a critical narrative review. BMC Sports Science, Medicine and Rehabilitation. 2025. Springer
- Edwards DJ, Cortes M, Datta A, Minhas P, Wassermann EM, Bikson M. Physiological and modeling evidence for focal transcranial electrical brain stimulation in humans: a basis for high-definition tDCS, and a reference for TMS in sports performance literature. NeuroImage. Performance Enhancement by Brain Stimulation review available via NIH. NIH PMC
- Demirtas-Tatlidede A, Vahabzadeh-Hagh AM, Pascual-Leone A. Can noninvasive brain stimulation enhance cognition in neuropsychiatric disorders? Neuropharmacology. 2013. PubMed