Led by psychiatric nurse practitioner Dr. Kiira Tietjen, DNP, PMHNP, our clinic focuses on evidence-based, non-medication treatments that support the brain’s ability to heal and reconnect. TMS is a noninvasive treatment that uses targeted magnetic pulses to stimulate areas of the brain involved in mood regulation. It is FDA-cleared and commonly used for individuals whose depression has not improved enough with medication or therapy.

At New Chapter TMS, care is personal and data-driven. Each patient receives individualized treatment planning, ongoing symptom tracking, and careful monitoring throughout their course of care. Our team stays closely connected to emerging research and advanced training in neuromodulation to bring the latest treatment approaches to the Spokane community.

We are also deeply engaged locally—partnering with mental health organizations, participating in community events, and contributing to suicide prevention initiatives across Spokane County. Our goal is not only to treat depression, but to strengthen the broader mental health network in our region