TMS Therapy and Psychiatric Care in Sanger, TX
Prime Behavioral Health is a licensed psychiatric practice providing board-certified psychiatric care and FDA-approved NeuroStar TMS therapy for children, teens, and adults in Sanger, TX and throughout the greater Dallas-Fort Worth region. Our practice is led by Dr. Vishal Shah, MD, Board Certified in Adult and Child/Adolescent Psychiatry and serving North Texas for over five years, alongside four certified psychiatric mental health nurse practitioners. We accept most major insurance plans including Aetna, BlueCross BlueShield PPO, Optum, United Healthcare, and Cigna. Services include NeuroStar TMS therapy for depression, comprehensive psychiatric evaluations, medication management, adolescent psychiatry, adult psychiatric care, and telemedicine appointments for eligible patients. Read verified patient reviews on Google, or schedule your new patient appointment online, or call 817-778-8884 to speak with our team.
About Sanger, TX: Mental Health Care in a Growing Community
Sanger is a growing city in southern Denton County with a population of approximately 10,500 residents. Located along I-35 north of Denton, Sanger has experienced steady residential growth as families seek a quieter community with access to DFW metro employment. The city is served by Sanger ISD, and its growing population includes a rising number of children, teens, and working adults who need accessible, high-quality mental health services. According to the National Alliance on Mental Illness (NAMI), approximately 1 in 5 adults in the United States experiences a mental health condition each year, yet Texas ranks among the lowest states for mental health care access. Prime Behavioral Health bridges this gap with comprehensive psychiatric care and telemedicine options that reduce geographic barriers for North Texas communities like Sanger.
NeuroStar TMS Therapy for Depression in Sanger, TX
NeuroStar TMS therapy is an FDA-approved, non-invasive treatment that uses precisely focused magnetic pulses to stimulate regions of the brain linked to mood regulation. It is particularly beneficial for patients who have tried antidepressant medications without adequate relief, or who cannot tolerate medication side effects. Unlike antidepressants, TMS therapy does not enter the bloodstream and does not cause systemic side effects such as weight gain, sexual dysfunction, or fatigue.
How NeuroStar TMS Works
A small electromagnetic coil is positioned against the scalp above the prefrontal cortex. Magnetic pulses stimulate nerve cells in areas of the brain responsible for mood regulation. Sessions last approximately 19 to 37 minutes. Patients remain fully awake, require no sedation, and can drive home immediately after treatment. Clinical evidence shows 50% of patients with treatment-resistant depression experience significant improvement, and one-third achieve full remission lasting twelve months or more.
TMS Therapy for Adolescents Ages 15 and Older in Sanger
NeuroStar is the first TMS therapy to receive FDA approval for patients ages 15 and older. Teens in Sanger dealing with treatment-resistant depression who have not found adequate relief through antidepressants or therapy alone may qualify for evaluation. Learn more about TMS therapy for teens and adolescents to understand how this treatment option works.
TMS Therapy for OCD
NeuroStar TMS is also FDA-cleared as an adjunct treatment for adults with Obsessive Compulsive Disorder. Patients who have not responded adequately to SSRI medications and behavioral therapy may benefit from adding TMS to their current OCD treatment plan.
Psychiatric Evaluations for Sanger Patients
Accurate diagnosis is the foundation of effective psychiatric treatment. Evaluations at Prime Behavioral Health cover symptom history, family psychiatric history, prior treatment responses, medical background, and current life stressors. This process distinguishes between overlapping conditions such as depression, anxiety, ADHD, PTSD, bipolar disorder, and OCD, leading to more targeted and effective treatment.
Medication Management for Sanger Patients
Medication management at Prime Behavioral Health is an active, ongoing clinical process covering depression, anxiety, ADHD, insomnia, OCD, PTSD, and bipolar disorder. Providers monitor symptom changes, assess side effects, review daily functioning, and adjust treatment at every follow-up. GeneSight DNA testing is available to provide genetic insight that helps guide prescribing decisions and reduce ineffective medication trials.
Adolescent Psychiatry for Sanger Families
Teen mental health requires a specialized approach. Symptoms present differently in adolescents than adults, and untreated conditions can significantly affect academic performance, family relationships, and long-term development. Prime Behavioral Health provides adolescent psychiatric evaluations, medication management, therapy referrals, and family guidance for Sanger families. For qualifying teens ages 15 and older, NeuroStar TMS therapy offers an alternative path when medications have not provided adequate relief.
Adult Psychiatric Care for Sanger Residents
Adults in Sanger often manage mental health symptoms while meeting work, parenting, and relationship responsibilities. Left untreated, conditions such as depression, anxiety, bipolar disorder, PTSD, and OCD can worsen and affect every area of life. Prime Behavioral Health provides structured adult psychiatric care beginning with thorough evaluation and continuing through consistent follow-up. Treatment options include medication management, TMS therapy for treatment-resistant depression, and telemedicine follow-up care.
Mental Health Conditions Treated in Sanger, TX
Prime Behavioral Health provides psychiatric care for a wide range of conditions affecting children, teens, and adults in Sanger and surrounding Denton County communities:
- Depression and Mood Disorders
- Anxiety Disorders
- ADHD and Attention Difficulties
- PTSD and Trauma-Related Conditions
- OCD and Repetitive Behavior Disorders
- Bipolar Disorder
- Insomnia and Sleep Disorders
- Schizophrenia and Childhood Schizophrenia
- Neurodevelopmental Disorders including Autism Spectrum
- Tics and Tourette Syndrome
- Body Dysmorphic Disorder
- Addiction Evaluation and Aftercare
- Disruptive and Impulsive Behavior Disorders
Meet Our Providers
Dr. Vishal Shah, MD – Psychiatrist and Medical Director
Dr. Vishal Shah is a board-certified psychiatrist and Medical Director of Prime Behavioral Health. He earned undergraduate degrees in Genetics and Computer Science from Rutgers University and his Medical Doctorate from Saba University of Medicine, graduating with honors. Dr. Shah completed a three-year Adult Psychiatry Residency at Howard University Hospital and a two-year Child and Adolescent Psychiatry Fellowship at Akron Children’s Hospital. He is Board Certified in both Adult Psychiatry and Child/Adolescent Psychiatry and brings clinical expertise in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Interpersonal Therapy (IPT), Motivational Interviewing, and crisis management.
Barbara Schoen Johnson, PhD, APRN, PMHNP – Psychiatric Mental Health Nurse Practitioner
Dr. Barbara Schoen Johnson holds a PhD in Nursing from Texas Woman’s University, a Master of Science in Nursing in Psychiatric Nursing (Texas Woman’s University, 1976), a Master’s in Human Development (University of Texas at Dallas, 1983), and her PMHNP certification from the University of Texas at Arlington (1996). She is board certified in Child and Adolescent Psychiatric Nursing by the American Nurses Credentialing Center. She served 16 years as a Child and Adolescent Psychiatric Nurse Practitioner at Cook Children’s Behavioral Health Outpatient Clinic and has authored two nationally recognized psychiatric nursing textbooks. She received the Clinical Practice Award from the International Society of Psychiatric-Mental Health Nurses (2007) and was named among the Great 100 Nurses of Dallas-Fort Worth.
Mariah Mathews, MSN, APRN, PMHNP-BC – Psychiatric Mental Health Nurse Practitioner
Mariah Mathews is board certified in Child, Adolescent, and Adult Psychiatric Nursing by the American Nurses Credentialing Center and certified as a Psychiatric Mental Health Nurse Practitioner by the State of Texas. She holds a Master of Science in Nursing from Eastern Kentucky University and a Bachelor of Science in Nursing from the University of Missouri-Columbia. She brings seven years of pediatric RN experience from Children’s Health Dallas and completed clinical rotations at UT Southwestern Outpatient Adult Psychiatry and Children’s Health Plano’s Center for Pediatric Eating Disorders.
Keri Kendall, MSN, APRN, PMHNP-BC – Psychiatric Mental Health Nurse Practitioner
Keri Kendall is board certified in Child, Adolescent, and Adult Psychiatric Nursing by the American Nurses Credentialing Center and certified by the State of Texas as a Psychiatric Mental Health Nurse Practitioner. She holds a Master of Science in Nursing from the University of Texas at Arlington, specializing in Psychiatric Mental Health. Prior to her psychiatric career, she practiced as a cardiac nurse and an elementary school nurse, giving her a strong foundation in the mind-body connection. Her goal is to help each patient live the life they envision for themselves.
Pragya Pathak, MSN, APRN, PMHNP-C – Psychiatric Mental Health Nurse Practitioner
Pragya Pathak is a Certified Psychiatric Mental Health Nurse Practitioner by both the American Academy of Nurse Practitioners and the State of Texas. She holds a Master of Science in Nursing from the University of Texas at Arlington (May 2025) and a Bachelor of Science in Nursing from Texas Woman’s University (May 2016). She brings over eight years of psychiatric inpatient nursing experience from UT Southwestern Medical Center and completed clinical rotations in UT Southwestern Outpatient Adult Psychiatry and the ECT Service. She takes a collaborative, patient-centered approach to individualized treatment planning.
View full provider credentials and bios
Why Sanger Residents Choose Prime Behavioral Health
| What We Offer | What It Means for You |
| Board-Certified Psychiatrist (Dr. Shah, MD) | Physician-led care with dual board certification in adult and child/adolescent psychiatry |
| 4 Licensed Psychiatric Nurse Practitioners | Multidisciplinary team with broad availability across all age groups |
| FDA-Approved NeuroStar TMS Therapy | Clinically proven non-medication depression treatment with documented 12-month results |
| TMS Approved for Ages 15 and Older | Sanger teens qualify for the same advanced treatment available to adults |
| Major Insurance Accepted | Aetna, BlueCross BlueShield PPO, Optum, United Healthcare, Cigna |
| Telemedicine Available | Virtual follow-ups reduce travel for busy families and working professionals |
| Full Lifespan Psychiatric Care | Children, adolescents, and adults all served under one practice |
| GeneSight DNA Testing Available | Genetic guidance to reduce medication trial-and-error |
| 5+ Years Serving DFW | Established psychiatric practice with deep North Texas community roots |
FAQs About Psychiatric Care and TMS Therapy in Sanger, TX
Does Prime Behavioral Health serve patients from Sanger, TX?
Yes. Prime Behavioral Health serves children, teens, and adults from Sanger, TX through in-office appointments at the Southlake location and telemedicine visits for eligible patients. Many Sanger residents use telemedicine for routine follow-ups and medication management while attending in-person for initial evaluations and TMS therapy sessions.
What is NeuroStar TMS therapy and how does it help with depression?
NeuroStar TMS therapy is an FDA-approved, non-invasive treatment that uses targeted magnetic pulses to stimulate brain regions involved in mood regulation. It is designed for patients who have not achieved adequate relief from antidepressants or who cannot tolerate medication side effects. Sessions last approximately 19 to 37 minutes, require no sedation, and allow patients to return to normal activities immediately.
Is TMS therapy covered by insurance for Sanger patients?
Most major insurance plans including Medicare and Tricare cover TMS therapy for depression after patients have tried antidepressants without sufficient relief. Prime Behavioral Health accepts Aetna, BlueCross BlueShield PPO, Optum, United Healthcare, and Cigna. Our team verifies your specific benefits before treatment begins.
How long does a full course of TMS therapy take?
A standard TMS therapy course involves five sessions per week over four to six weeks, totaling approximately 20 to 36 sessions. Each session lasts 19 to 37 minutes. Most patients begin noticing symptom improvement around weeks three to four, with continued progress through treatment completion.
Can teenagers in Sanger receive TMS therapy?
Yes. NeuroStar TMS therapy is the first TMS treatment of its kind to receive FDA approval for patients ages 15 and older. Teens in Sanger who have not found adequate relief from antidepressants or therapy may qualify for a TMS evaluation. Adolescent TMS treatment requires parental involvement and a thorough psychiatric evaluation before beginning.
What mental health conditions does Prime Behavioral Health treat?
Prime Behavioral Health treats depression, anxiety disorders, ADHD, PTSD, OCD, bipolar disorder, insomnia, schizophrenia, neurodevelopmental disorders, tics, Tourette syndrome, body dysmorphic disorder, disruptive behavior disorders, and addiction evaluation with aftercare, for children, teens, and adults.
Do I need a referral to schedule a psychiatric evaluation?
No referral is required. Sanger patients can call 817-778-8884 or use the online appointment form to schedule directly. Bringing current medications, prior treatment history, and relevant medical records to your first appointment helps the evaluation process.
Can I continue taking my current medication while receiving TMS therapy?
Yes. TMS therapy can be used alongside antidepressant medications. Clinical trials confirmed TMS is safe for patients taking antidepressants. Your psychiatrist will review your current medication regimen before starting TMS and monitor your overall treatment response throughout.
What is the difference between a psychiatrist and a therapist?
A psychiatrist is a medical doctor who can prescribe medications, order diagnostic tests, and manage complex mental health conditions medically. Therapists provide talk therapy but cannot prescribe medication in Texas. Many patients benefit from both. Prime Behavioral Health provides referrals to therapists who work alongside our psychiatric team.
How does telemedicine psychiatry work for Sanger patients?
Telemedicine appointments are conducted via a secure HIPAA-compliant video platform. Patients need a smartphone, tablet, or computer with a camera and internet connection. Available for medication management, follow-up visits, and symptom reviews. Initial evaluations and TMS therapy require in-person visits at the Southlake office.
What should I expect during my first psychiatric appointment?
Your first appointment is a comprehensive evaluation lasting approximately 60 to 90 minutes. Your provider reviews current symptoms, mental health history, medical history, family history, medications, and daily functioning. Based on this, they share a preliminary diagnosis and discuss treatment options. You are encouraged to ask questions throughout.
Does Prime Behavioral Health offer GeneSight DNA testing?
Yes. GeneSight DNA testing is available at Prime Behavioral Health. This test analyzes genetic variations that may influence how your body processes psychiatric medications, helping providers make more informed medication decisions and reducing the likelihood of ineffective trials or unwanted side effects.
Is Prime Behavioral Health accepting new patients from Sanger?
Yes. Prime Behavioral Health is currently accepting new patients from Sanger, TX. Schedule by calling 817-778-8884 or completing the online appointment request form. Please have your insurance information and a list of current medications available when you contact us.
How far is Prime Behavioral Health from Sanger, TX?
Prime Behavioral Health is located at 122 River Oaks Drive in Southlake, TX 76092. The drive from Sanger takes approximately 40 to 50 minutes via I-35 south. Telemedicine is available for eligible patients who prefer not to travel for every appointment.
What happens if TMS therapy does not work for me?
Your provider tracks progress using standardized assessments throughout treatment. If expected benefit is not occurring, your psychiatrist discusses alternative options including medication adjustments, combination therapies, or other evidence-based approaches. TMS is one tool within a comprehensive treatment strategy.
Can children under 15 receive TMS therapy at Prime Behavioral Health?
NeuroStar TMS therapy is currently FDA-approved for patients ages 15 and older. Children under 15 who struggle with depression or other mental health conditions can still receive comprehensive psychiatric care including thorough evaluation, medication management, and therapy referrals tailored to their age and developmental stage.
How is ADHD treated at Prime Behavioral Health?
ADHD treatment begins with a comprehensive psychiatric evaluation to confirm diagnosis and rule out co-occurring conditions. Treatment typically involves medication management, which may include stimulant or non-stimulant options depending on age, history, and preferences. Therapy referrals and behavioral strategies are also recommended as part of a complete plan.
What is involved in medication management for psychiatric conditions?
Medication management involves initial evaluation to determine appropriate medication, followed by regular follow-up appointments to monitor response, assess side effects, review daily functioning, and make adjustments as needed. It is an active, ongoing clinical process focused on maintaining effective, well-tolerated treatment over the long term.
Does Prime Behavioral Health treat trauma and PTSD?
Yes. PTSD and trauma-related conditions are treated at Prime Behavioral Health. Treatment may include medication management, therapy referrals, and in some cases TMS therapy for co-occurring depression. Providers take a thorough history to understand trauma nature and severity before designing an individualized treatment plan.
Can I schedule a telemedicine appointment if I live in Sanger?
Yes. Telemedicine appointments are available for eligible patients in Sanger who need ongoing psychiatric support, medication management, or follow-up care. Initial evaluations and TMS therapy require in-person visits. Many patients successfully manage ongoing care through a combination of in-office and telemedicine appointments.
Areas Near Sanger We Also Serve
Prime Behavioral Health serves patients throughout the North Texas and DFW region. Nearby communities include:
- Denton, TX
- Keller, TX
- Fort Worth, TX
- Flower Mound, TX
- Argyle, TX
- Justin, TX
- Ponder, TX
- Haslet, TX
- View all service areas
Get Psychiatric Care and TMS Therapy in Sanger, TX
If you or a family member in Sanger is dealing with depression, anxiety, ADHD, PTSD, or another mental health condition, Prime Behavioral Health is ready to help. Our board-certified team offers evaluations, medication management, and FDA-approved NeuroStar TMS therapy for patients who need more than standard antidepressants provide. We accept major insurance plans and offer telemedicine follow-up care to make ongoing treatment more accessible.
Call Prime Behavioral Health at 817-778-8884 or schedule your new patient appointment online today.