TMS therapy in Sydney — transcranial magnetic stimulation

Two or more antidepressants haven't worked?

TMS is a non-invasive, Medicare-supported treatment for depression — and it's coming to our Bondi Junction clinic.

It starts with a video assessment: an honest answer on whether TMS suits you, and a clear written estimate before anything begins.

Sessions take under an hour. You stay awake throughout and drive yourself home afterwards.

Understanding Our Fees & Rebates

Service
General Psychiatry
Type
New client (metro)
Review appointment
Rural area 1st appointment*
Continuing care (new psychiatrist)
Duration
45-60 mins
30-45 mins
45-60 mins
30-60 mins
Cost
$620-$725
$385-$535
Billed to medicare
$385-$725
Medicare rebate
$262-$456
$134-$285
N/A
$134-$456
Item number
92435 / 92437
92436 / 91829 / 91830 / 91838 / 91839
291 & 294
92435 / 92437 / 91829
92435 / 92437
92436 / 91829 / 91830
291 & 294
92435 / 92437 / 91829

* Bulk-Billing for Regional/Remote Patients (request-based):

Patients located in regional or remote areas may qualify for a bulk-billed comprehensive psychiatric assessment (Conditions apply).

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Please note: This bulk-billed assessment is available provided the item number has not been used by a psychiatrist within the past 12 months. To benefit from this, MBS Item Code 291 (or 92435) needs to be included on the referral. The patient location needs to be within Modified Monash Model MM2-MM7.

Please see the FAQs below for more information.

Workcover: All Workcover and DVA clients will have their bills sent to the relevant entity.
‍
Note : A 1.7% card surcharge is applied to the appointment fee on the day of your booking. This fee is charged by our payment processor and is not received by Dokotela or your specialist. To validate your card when you book, a temporary $1 charge will be placed on your account. This charge is automatically refunded to you shortly after.
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Service
ADHD/ADD
Autism Spectrum Disorder (ASD)
ASD & ADHD/ADD
Type
New client or 1st appointment in 12 months
Review appointment
Medication review
New client or 1st appointment in 12 months
Review appointment
Continuing care (new psychiatrist)
Duration
45-60 mins
30-45 mins
15-30 mins
45-60 mins
30-45 mins
30-60 mins
Cost
$730-$955
$440-$630
$285-$440
$730-$955
$440-$630
$480-955
Medicare rebate
$262-$456
$134-$285
$0-134
$262-$456
$134-$285
$134-$456
Item number
92435 / 92437
92436 / 91829 / 91830 / 91838 / 91839
91828 or nil
92435 / 92437
92436 / 91829 / 91830 / 91838 / 91839
92435 / 91829 / 92437
Item number
92435 / 92437
92436 / 91829 / 91830
91829 or nil
92435 / 92437
92436 / 91829 / 91830
92435 / 91829 / 92437

* The 291/294 Bulk-Billing option is not applicable for Neurodevelopmental appointments.

Weekend surcharge:
There is a surcharge of $50 for appointments on weekends and public holidays.

Workcover: All Workcover and DVA clients will have their bills sent to the relevant entity.
‍
Note : A 1.7% card surcharge is applied to the appointment fee on the day of your booking. This fee is charged by our payment processor and is not received by Dokotela or your specialist. To validate your card when you book, a temporary $1 charge will be placed on your account. This charge is automatically refunded to you shortly after.
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Service
Psychiatry Reporting
Type
DVA reports
Driving assessment (personal)
Driving assessment (commercial)
Firearms licence review
Medico-legal reporting or other
Duration
Varies
45-60 mins
45-60 mins
45-60 mins
Varies
Cost
Billed to DVA
$1255
$1300
$1400
Contact for quote
Medicare rebate
N/A
$134-$455
N/A
N/A
N/A
Item number
N/A
92435
N/A
N/A
N/A
Item number
N/A
92435
N/A
N/A
N/A
Service
Allied Health
Type
Registered psychologist
Clinical psychologist
ADHD/ADD pre-assessment
ADHD/ADD coach
Duration
50 mins
50 mins
30 mins
60 mins
Cost
$210-$230
$300
$135-$170
$145
Medicare rebate
$99-$124
$145
N/A
N/A
Item number
91170 / 80115
91167
N/A
N/A

* The 291/294 Bulk-Billing option is not applicable for Neurodevelopmental appointments.

Weekend surcharge:
There is a surcharge of $50 for appointments on weekends and public holidays.

Workcover: All Workcover and DVA clients will have their bills sent to the relevant entity.
‍
Note : A 1.7% card surcharge is applied to the appointment fee on the day of your booking. This fee is charged by our payment processor and is not received by Dokotela or your specialist. To validate your card when you book, a temporary $1 charge will be placed on your account. This charge is automatically refunded to you shortly after.
‍‍

Item number
91170 / 80115
91167
N/A
N/A

Weekend surcharge: There is a surcharge of $40 for appointments on weekends and public holidays.

Service
Nurse practitioner
Type
Existing Patient Referral
Pathology
New Patient Referral
Clinical Service
Duration
15 mins
15 mins
30 mins
60 mins
Cost
$80
$80
$125
$250
Item number
N/A
N/A
N/A
Service
Geriatrician
Type
New client
Review
Duration
45-60 mins
30 mins
Cost
$635
$404
Medicare rebate
$428
$268
Item number
92623
92624
Item number
92623
92624
Service
Addiction GP
Type
All clients
Duration
15 mins
Cost
$160
Medicare rebate
N/A
Item number
N/A
Item number
N/A
Service
First ADHD Appointment
Ongoing ADHD Appointment
15 ADHD Script
First ASD Appointment
2nd ASD Appointment
Ongoing Review Appointments
Type
Neurodevelopmental patients only
Neurodevelopmental patients only
Neurodevelopmental patients only
Neurodevelopmental patients only
Neurodevelopmental patients only
Neurodevelopmental patients only
Duration
45 mins
30 mins
15 mins
45 mins
45 mins
30 mins
Cost
$750
$450
$250
$750
$750
$450
Medicare rebate
$265.60
$133.00
$76.00
$265.60
$265.60
$133.00
Item number
92422
92423
91825
92422
92140
92423
Item number
N/A

Weekend surcharge:
There is a surcharge of $50 for appointments on weekends and public holidays.

What actually happens in a session

Sit in a chair, stay awake, twenty to forty minutes. Read, listen to something, or chat to the nurse. Then drive yourself home. No anaesthetic, no admission, no day written off.

Medicare supports up to 35 sessions in an initial course for eligible adults, with a shorter retreatment course if symptoms return.

What it costs

Better than most people expect. Medicare rebates apply to sessions in an initial course for eligible patients, DVA and workers compensation pathways may also apply, and your assessment is billed as a standard Dokotela consultation. You'll have a clear written estimate before treatment begins.



Woman sitting at her kitchen table, considering treatment options for depression

TMS may suit you if…

You've been diagnosed with depression and at least two antidepressants haven't done enough.

You haven't had a course of TMS before.

And you'd rather a treatment that doesn't involve anaesthetic or a hospital admission.

Register your interest

Three steps to get started

1
Referral

Ask your GP for a referral to Dokotela, or register your interest and we'll walk you through it.

2
Video assessment

A psychiatrist with rTMS training reviews what you've tried and confirms whether TMS is appropriate for you.

3
Your course of treatment

Sessions at our Sydney clinic, delivered by experienced mental health nurses, with psychiatrist reviews as you go.

Why choose Dokotela

Psychiatrist-led

A psychiatrist assesses you, prescribes your course and reviews your progress throughout — the same doctor, start to finish.

Seen sooner

Your assessment is by video with a psychiatrist from our national network, so you're not waiting on one local clinic's calendar.

Your GP stays in the loop

Your GP receives written updates at every stage, so everyone involved in your care is working from the same information.

Register your interest

TMS appointments at our Bondi Junction clinic open late 2026.

Register now and you'll be among the first we contact when bookings open — it takes under a minute.

GPs and health professionals are welcome to register too.

Registering does not create a referral or an appointment. Please speak with your GP about your current care in the meantime.

Register your interest
Man attending a telehealth psychiatry appointment from his home study

Your questions answered

What is TMS and how does it work?

TMS delivers repeated magnetic pulses to specific brain regions linked with mood regulation, while you sit comfortably and stay awake. A typical session takes 20 to 40 minutes. Most people feel a tapping sensation on the scalp; the most common side effects are mild scalp discomfort and headache that usually settle after the first sessions.

Is TMS covered by Medicare?

Yes, for eligible patients. Medicare supports an initial course of up to 35 sessions, with a shorter retreatment course if symptoms return. DVA covers it for eligible card holders, and it can be approved under accepted workers compensation claims. You'll have a clear written estimate before treatment begins.

How is TMS different from ECT?

TMS uses gentle magnetic pulses while you are awake, needs no anaesthetic, and you can drive yourself home afterwards. ECT is a different, hospital-based treatment performed under anaesthetic. They suit different situations, and your psychiatrist can explain which, if either, applies to you.

Am I eligible for TMS?

Four things decide it: a diagnosis of depression, at least two antidepressants that haven't done enough, no previous course of TMS, and a prescription from a psychiatrist with the required training. A lot of people have quietly met all four for years without knowing it — your assessment confirms whether you're one of them.

We are here to help.

TMS is one of two pathways we offer

Our treatment-resistant depression clinic offers more than one advanced treatment option.

One psychiatrist assessment considers every suitable pathway, so the recommendation is based on what suits you, not what a clinic happens to have.

In a crisis?

This is not an emergency service. If you or someone you know needs help right now: Lifeline 13 11 14 · Suicide Call Back Service 1300 659 467 · Beyond Blue 1300 224 636 · MensLine Australia 1300 789 978 · 13YARN 13 92 76 · Kids Helpline 1800 55 1800. In an emergency, call 000.

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