Comprehensive Assessment
Dr. Francis conducts a 60-90 minute evaluation covering your athletic history, performance challenges, mental health symptoms, and neurological function to build a complete clinical picture.

Expert Psychiatric Care for Athletes
Performance Starts in the Mind
Athletes face a unique set of mental health pressures that go far beyond everyday stress. Performance anxiety before competition, the psychological toll of injuries, burnout from relentless training schedules, and the identity crisis that comes with retirement from sport can leave even the most disciplined competitors struggling. Studies show that elite athletes experience clinically significant anxiety and depression at rates comparable to or exceeding the general population, yet most never seek specialized psychiatric help.
Sports psychiatry at Refresh TMS addresses the root neurological and psychological factors behind these challenges. Dr. Francis combines evidence-based psychiatric treatment with advanced non-invasive brain stimulation through Exomind therapy, targeting the neural circuits responsible for stress resilience, emotional regulation, and cognitive performance. Rather than simply managing symptoms, this integrated approach helps athletes rebuild mental strength at the neurological level, restoring the confidence and clarity that drive peak athletic performance.
Specialized Mental Health Care for Athletes
Sports psychiatry is a subspecialty of psychiatry focused on the diagnosis, treatment, and prevention of mental health conditions in athletes and active individuals. Unlike general sports psychology, sports psychiatry is practiced by a medical doctor who can prescribe medications, order diagnostic testing, and integrate advanced treatments such as non-invasive brain stimulation. The International Society for Sports Psychiatry has recognized this field as essential for addressing the complex interplay between athletic performance, mental health disorders, and neurological function.
At Refresh TMS in Weston, FL, Dr. Paula-Ann Francis integrates Exomind therapy, a non-invasive brain stimulation system by BTL, into her sports psychiatry practice. Exomind delivers targeted electromagnetic pulses to specific brain regions involved in mood regulation, stress response, and cognitive performance. This neuromodulation approach enhances the brain's natural capacity for emotional balance and focus without the side effects commonly associated with psychiatric medications, making it particularly appealing for athletes who need to maintain peak physical performance while addressing mental health concerns.
Gain Your Competitive Edge
Board-certified psychiatrist who understands both mental health disorders and athletic performance demands
Exomind non-invasive neuromodulation targets neural circuits for stress resilience and cognitive clarity
Treatment plans that respect anti-doping regulations and minimize sedation or performance impairment
Addresses sleep, mood, focus, and emotional regulation as interconnected pillars of athletic success
Private, stigma-free environment where athletes can address mental health without career concerns
Compare Your Options
| Approach | Medical Prescribing | Brain Stimulation | Performance Focus | Anti-Doping Awareness | Diagnostic Scope | Best For |
|---|---|---|---|---|---|---|
| Sports Psychiatry + Exomind | Yes | Yes (Exomind) | High | Yes | Comprehensive | Athletes needing medical-level mental health care with brain optimization |
| Individual Therapy | No | No | Moderate | Variable | Limited to talk therapy | Athletes preferring counseling-only approaches for mild concerns |
| Psychiatric Medication Management | Yes | No | Low-Moderate | Variable | Medication-focused | Athletes needing pharmacological support without brain stimulation |
Finding the Right Fit for Your Mental Game
Sports psychiatry at Refresh TMS is designed for athletes and active individuals whose mental health challenges are affecting their performance, well-being, or quality of life. Whether you are a competitive amateur, collegiate athlete, professional competitor, or weekend warrior facing persistent mental health barriers, Dr. Francis can develop a personalized treatment plan that respects the unique demands of athletic life.
During your initial consultation, Dr. Francis will conduct a thorough psychiatric evaluation to determine whether sports psychiatry with or without Exomind brain stimulation is the most effective approach for your individual needs and goals.
Dr. Francis conducts a 60-90 minute evaluation covering your athletic history, performance challenges, mental health symptoms, and neurological function to build a complete clinical picture.
Dr. Francis designs an individualized protocol that may include Exomind brain stimulation sessions, medication management, and targeted therapeutic strategies aligned with your training schedule.
During 20-30 minute sessions, Dr. Francis administers non-invasive electromagnetic stimulation targeting brain regions involved in focus, stress resilience, and emotional regulation.
Dr. Francis monitors your response through regular follow-ups, adjusting treatment intensity, frequency, and approach based on your competitive performance and symptom trajectory.
What to Know
Sports psychiatry at Refresh TMS prioritizes athlete safety and performance preservation. Dr. Francis carefully selects treatments that minimize any risk of side effects that could impair athletic performance.
Exomind Brain Stimulation: The most common side effects are mild and temporary, including slight scalp discomfort at the stimulation site and occasional mild headache during the first few sessions. These typically resolve on their own within hours and diminish with subsequent treatments. Exomind does not cause systemic side effects, sedation, or cognitive impairment, making it well-suited for athletes who cannot afford downtime or mental fog.
Medication Management: When psychiatric medication is recommended, Dr. Francis selects agents with careful attention to anti-doping regulations, sedation profiles, and potential effects on coordination, reaction time, and cardiovascular function. GeneSight genetic testing is available to help identify medications most likely to be effective and well-tolerated based on your individual pharmacogenomics.
Contraindications: Exomind brain stimulation is not appropriate for individuals with certain implanted metallic devices, active seizure disorders, or specific neurological conditions. A thorough screening is conducted before beginning any brain stimulation protocol.
Sports psychiatry at Refresh TMS is an investment in your athletic career and long-term mental health. Dr. Francis offers personalized treatment plans with pricing that reflects the specialized nature of athlete-focused psychiatric care.
Many insurance plans provide partial coverage for psychiatric evaluations and medication management. Exomind brain stimulation may qualify for out-of-network reimbursement depending on your plan. Our team at Refresh TMS will help verify your benefits and discuss financing options during your initial consultation.
Contact us at (754) 216-0840 or psychclinic@refreshtms.com for detailed pricing information and to discuss the best treatment package for your athletic performance goals.
Weston's Athlete Mental Health Specialists
Exomind brain stimulation technology for non-invasive cognitive and emotional optimization
Treatment plans designed around training schedules, competition cycles, and anti-doping compliance
Full psychiatric evaluation with GeneSight genetic testing available for medication optimization
Combines psychiatry, brain stimulation, and therapy under one roof for seamless treatment
Answers for Athletes
A sports psychiatrist is a medical doctor (MD) who can diagnose mental health disorders, prescribe medications, and administer medical treatments like Exomind brain stimulation. A sports psychologist typically holds a doctoral degree in psychology and focuses on counseling and performance coaching. Dr. Francis combines both perspectives with the added capability of neuromodulation therapy.
Dr. Francis is highly attentive to anti-doping regulations and performance impact when prescribing medications. She selects agents that minimize sedation, coordination effects, and prohibited substance concerns. GeneSight genetic testing can further optimize medication selection for your individual biology.
Exomind is a BTL non-invasive brain stimulation system that delivers targeted electromagnetic pulses to brain regions involved in focus, stress resilience, and emotional regulation. For athletes, it can enhance cognitive performance, reduce anxiety, and improve mood without medication side effects or downtime.
A typical Exomind protocol involves 2-3 sessions per week over 4-6 weeks, though your specific treatment plan will be customized based on your psychiatric evaluation and performance goals. Many athletes notice improvements within the first 2-4 weeks of treatment.
Yes. Exomind brain stimulation requires no downtime, and sessions are designed to fit around training and competition schedules. Most athletes continue their full training regimen throughout treatment. Dr. Francis works with your existing coaching and medical team to coordinate care.
No. Refresh TMS provides sports psychiatry for athletes at all levels, including recreational competitors, weekend warriors, collegiate athletes, and professionals. Anyone whose mental health is affecting their athletic performance or enjoyment of sport can benefit from specialized care.
Many insurance plans cover psychiatric evaluations and medication management. Coverage for Exomind brain stimulation varies by plan. Our team will help verify your benefits and discuss payment options during your initial consultation at our Weston office.
Call (754) 216-0840 or email psychclinic@refreshtms.com to schedule your initial comprehensive psychiatric evaluation. Dr. Francis will assess your athletic background, mental health history, and performance goals to design a personalized treatment plan.