About the Clinic

Small by design.
Consultant-led by principle.

TMS Cheltenham is an independent, boutique rTMS clinic offering consultant psychiatrist-led treatment in a calm, unhurried setting. We see a small number of patients at any one time - because that is the only way to do this properly.

Consultant-led

All assessment, treatment planning and reviews are done by our Consultant Psychiatrist - ensuring you receive the highest standard of expertise and care.

Boutique & Intimate

Our small team and a carefully managed caseload means you are never a number. We know our patients well.

Clinically Rigorous

NICE-recommended protocols, careful monitoring, and honest conversation about whether treatment is working.

Fully Independent

We are independently owned and committed to helping improve our clients lives.

A different kind of psychiatric clinic

Most patients who come to us have already navigated a long and often frustrating path through the mental health system — multiple antidepressants, referrals, waiting lists. They arrive wanting something different. We believe they deserve something different.

TMS Cheltenham was founded on a simple conviction: that high-quality psychiatric care should feel personal. Our clinic is deliberately small. We do not operate at scale. Every patient who walks through our door is assessed personally by our consultant psychiatrist, who then designs, prescribes and monitors their treatment from start to finish.

There are no handoffs to junior staff. There are no automated booking systems that lose messages. When you call or email, you speak to someone who knows your case. This is how psychiatry should work — and in a small, independent clinic, it actually can.

We are based in Cheltenham and serve patients from across Gloucestershire, Worcestershire, Herefordshire, and further afield. Many patients travel significant distances for consultant-led care — and we welcome that.

Dr Joseph Ramsay

Consultant Psychiatrist · MRCPsych

Our clinic is founded and led by a consultant psychiatrist with extensive experience in mood disorders, treatment-resistant depression, and neuromodulation therapies. All clinical decisions — from assessment through to discharge — are made at consultant level.

  • GMC registered consultant psychiatrist
  • Member of the Royal College of Psychiatrists
  • Specialist interest in treatment-resistant depression
  • Experienced in rTMS, pharmacotherapy & lifestyle psychiatry

"In a large clinic, you might see a different person each visit. Here, your consultant knows your history, remembers what you said last week, and is genuinely invested in whether you get better."

Our approach to care
Why Choose Us

What sets a boutique clinic apart

Private rTMS is available at a growing number of providers. Here is what makes a small, consultant-led clinic a meaningfully different experience.

You see the same consultant every time

Continuity matters in psychiatry. At TMS Cheltenham, the same consultant psychiatrist conducts your assessment, designs and prescribes your treatment, and reviews your progress throughout. There are no handoffs.

No pressure to proceed

We will tell you honestly if we think rTMS is not right for you. Before proceeding with any course of treatment you will undergo a full and standalone initial psychiatric consultation. If your consultant does not think that TMS is the right option for you they will help you understand what options may be better suited to you.

Unhurried appointments

Our sessions are not rushed. You will have time to ask questions, raise concerns, and discuss how treatment is going. The assessment appointment alone typically lasts 60–90 minutes.

Holistic clinical thinking

rTMS is one tool. Where relevant, your consultant will also consider medication optimisation, lifestyle factors, sleep, nutrition, and psychological therapies — and coordinate with your existing care team.

Transparent from the outset

Pricing, expected outcomes, realistic timelines, and what happens if treatment doesn't work — we cover all of this before you commit to anything. No surprises, no pressure, no small print.

Easy to reach, easy to communicate with

Small practices are responsive practices. You will always be able to speak to someone who knows your case — not navigate an automated phone system or wait days for a callback.