Do you find it hard to get out of bed in the morning? Do feel down and depressed all the time. Are you frustrated that medications have failed to improve your symptoms? You are not alone; we are here to help.

Unfortunately depression often fails to improve with standard medical treatments. Our Treatment Resistant Depression program provides unique approaches to the treatment of the depression. We incorporate aggressive medication management, psychotherapy, and when appropriate, cutting edge treatment for depression including intra-nasal esketamine (Spravato).


We offer a wide range of therapeutic options to best suit your needs. We believe in finding the right form of therapy to best address your specific needs to optimize your overall response.


Medication management is often a critical component of managing depression. Unfortunately, routine use of medications often fails to improve results. When this occurs, aggressive management may be needed to achieve needed results. Our experts in psychopharmacology will help find the right medications for you.


Intra-nasal S-Ketamine (Spravato) has recently been approved for the treatment and management of treatment resistant depression. While most antidepressants can take months to work, Ketamine is unique in that the antidepressant effects can occur within the first few treatments. The medication is administered in the safety of our office and when appropriate, we will also integrate mindfulness and other therapeutic options to enhance the effectiveness.

Transcranial Magnetic Stimulation

Transcranial Magnetic Stimulation (TMS) is a non-invasive, office-based treatment for severe, treatment resistant depression. By using strong magnetic coils placed against the scalp, we are able to stimulate key areas of the brain that are involved in depression, OCD, and many other brain conditions. Treatments take about 20 minutes each and are covered by most insurances. If you have struggled to medications that treat your depression, TMS may be right for you. Call today to see how we can help you better manage your depression.

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We are happily accepting new patients and are available for forensic evaluations and expert testimony.