Clinic Companions
At New Chapter TMS, healing isn’t just about science; it’s also about connection, comfort, and a touch of joy. Our four-legged team members bring all three in abundance, reminding us to slow down, smile, and appreciate the simple moments. They may not visit the clinic every day, but when they do, tails wag, spirits lift, and it’s clear the Dogtors are in.
Gracie Lou: Director of Determination
Gracie Lou, our black lab mix, is as spirited as she is sweet. She has always been known for her bold independence and unstoppable determination. Those qualities still shine bright today. Whether she’s confidently finding her own way or sneaking tomatoes from the garden, Gracie embodies courage, adaptability, and the kind of resilience that inspires us all.
Posey: Chief Smile Officer
Posey, our golden retriever, radiates pure sunshine. With her trademark grin and famously floofy coat, she moves through life convinced that everyone she meets wants to be her friend, and honestly, she’s not wrong. Whether she’s fetching, leaning in for a hug, or wagging in encouragement, Posey reminds us that warmth and play are powerful forms of healing.
If antidepressants haven't worked for you, that doesn't mean you're out of options. TMS therapy can help.
Locally Owned, Patient-Focused
We’re not a corporate chain. As a locally owned clinic, we genuinely care about our community. Our founders are passionate about helping patients find hope and healing. You’ll never feel like a number here — we tailor each treatment plan to your unique story in a supportive, welcoming environment. We’re also active in the Spokane community, sponsoring and participating in local mental health and wellness events as part of our commitment to building hope beyond our clinic walls.
Our 'Why'
Dr. Kiira Tietjen has worked extensively with children, teens, and adults who are struggling with acute and chronic mental illness. She and her husband, Will Normington, have seen how psychiatry treatment can be difficult to access and leave individuals short of their treatment goals. Ultimately this led the ownership duo to leave large healthcare systems and create New Chapter TMS in order to provide more personalized support to individuals struggling with mental illness.
Best-in-Class Technology
We’ve invested in the NeuroStar® TMS system, the most widely used and trusted TMS device on the market. NeuroStar is FDA-cleared for both adults and teens, with strong outcomes and a proven safety record. By choosing New Chapter TMS, you’re choosing the most advanced, evidence-based technology available.
Accelerated Treatment Options & Expertise
Not all clinics are equipped to offer accelerated TMS. At New Chapter, we provide this cutting-edge option based on the latest research, so you don’t have to leave Spokane for world-class care. Our team is highly trained in TMS and committed to using every tool available to help patients feel better — faster.
The Cost of Waiting
Depression doesn’t just take an emotional toll; it’s costly in lost productivity, missed time with loved ones, and added healthcare expenses. Studies show untreated depression can more than double healthcare costs each year. Investing in TMS means investing in your health, your future, and your quality of life.
Our Goals
For Clients
Provide individualized support via a non-medication treatment option for mental illness.
For Clinicians in the Community
Offer treatment to mutual clients with easy two-way coordination of care.
Why Choose New Chapter TMS
Dr Kiira Tietjen has worked extensively with children, teens, and adults who are struggling with acute and chronic mental illness. She and her husband, Will Normington, have seen how psychiatry treatment can be difficult to access and leave individuals short of their treatment goals. Ultimately this led the ownership duo to leave large healthcare systems in order to provide more personalized support to individuals struggling with mental illness.
TMS Can Help. Start Your Journey to Wellness!
We are Unique
New Chapter TMS is a TMS-only clinic looking to provide clients with treatment that will augment their existing mental health care. We service the greater Spokane area including the Spokane Valley, Liberty Lake, Post Falls and Coeur d'Alene.
All of our staff members have extensive training in various areas of behavioral healthcare and bring that experience to supporting clients through their course of TMS.

Dr. Kiira Tietjen, DNP, PMHNP-BC
Will Normington
Samantha Anglin
Rebecca Haynes, MSW, LICSW