Treatment-Resistant Depression

When Standard Treatments Don’t Work, Real Hope Still Exists

If you’ve tried antidepressants, therapy, or lifestyle changes and still feel stuck in the same darkness, this is the next step. We specialize in helping adolescents, adults, and older adults reclaim their lives with evidence-based, advanced interventions.  

Advanced Therapies for When Antidepressants Fall Short

 

When depression doesn’t improve with standard medication, it can feel hopeless. But it’s not. Treatment-resistant depression (TRD) means your symptoms haven’t responded to at least two antidepressants, but it doesn’t mean you’re out of options.

We offer advanced treatment-resistant depression treatment that goes beyond the basics. Backed by clinical expertise and modern therapies like TMS and esketamine, we personalize care for real, lasting change.

If you’re searching for effective therapy for treatment-resistant depression, we’re here. Our science-based, compassionate approach to treatment-resistant depression therapy helps patients find hope when nothing else has worked.

Let today be the turning point.

 

 

What We Offer

We provide more than just the standard, cookie-cutter approach to treatment-resistant depression.

 If you’ve tried multiple antidepressants without lasting relief, we offer advanced, science-backed options tailored to your unique needs. 

Our focus is not just on managing symptoms, but on finding solutions that work when others haven’t. With compassionate care, cutting-edge therapies, and a team deeply experienced in complex depression cases, we help you move forward. With real hope and real results.

Advanced Evaluation

Comprehensive psychiatric assessments that uncover the root of your symptoms and guide treatment.

Personalized Treatments

Customized care strategies built around your unique history, biology and previous treatments.

TMS Therapy

Safe, non-invasive brain stimulation that targets areas linked to mood regulation and depression.

 

Esketamine (Spravato®)

A fast-acting, FDA-approved nasal spray designed for those who haven’t responded to traditional medications.

Medication Optimization

Thoughtful prescribing and fine-tuning of medications for the best possible response with minimal side effects.

Whole-Person Care

Holistic support that considers your mental, emotional, and physical wellbeing because it’s all connected.

Commonly Treated Issues Under Treatment-Resistant Depression

Major Depressive Disorder that hasn’t improved with two or more antidepressants 

Suicidal thoughts or self-harming behavior 

Depression with anxiety features 

Bipolar depression (when episodes of low mood are difficult to manage) 

Bipolar depression (when episodes of low mood are difficult to manage) 

Depression linked to chronic illness or pain 

Recurrent depressive episodes 

Emotional numbness or loss of interest in daily life 

Fatigue, low motivation, and poor concentration that persist despite treatment 

Co-occurring depression and PTSD 

Depression in adolescents or older adults that hasn’t responded to therapy or medication 

Care That’s Covered and Accessible

We accept major insurance providers, offer out-of-network support, and provide payment plans for uninsured patients.

Take the First Step Toward Feeling Like Yourself Again

If you’re still struggling with depression despite your best efforts, it’s not your fault and it’s not the end of the road. Let’s explore what’s next together.  

It means you’ve tried at least two different antidepressants—and maybe therapy too—but your symptoms haven’t improved much, or they’ve come back. It doesn’t mean your depression is untreatable. It just means your brain may need a different approach.  

If you’ve taken antidepressants as prescribed for several weeks and haven’t seen a meaningful improvement in mood, energy, or motivation, you may be dealing with treatment-resistant depression. We can help confirm this during a psychiatric evaluation.  

We look beyond the standard checklist. Our team uses a combination of psychiatric insight, brain-based therapies, and genetic testing (when appropriate) to understand what’s not working—and why. Then we create a plan tailored specifically to you.  

We offer several options, including Transcranial Magnetic Stimulation (TMS), Ketamine Infusion Therapy, Esketamine (Spravato®), and personalized medication management based on pharmacogenetic testing. Your plan may include one or more of these therapies depending on your needs.  

No. We treat adolescents, adults, and older adults with treatment-resistant depression. Each group has different needs, and we tailor our approach based on your age, medical history, and lifestyle.  

Adolescents may need developmentally appropriate therapy, family involvement, and close monitoring. Older adults often have complex medical histories or cognitive symptoms that require more nuanced care. We tailor everything, from medications to communication style, to each person’s age and stage of life.  

Not necessarily. We’ll review what you’re currently taking during your evaluation. In many cases, we can build on your existing plan, making adjustments where needed. You won’t be asked to change anything until we have a clear, safe plan in place.  

That depends on your symptoms, response to treatment, and overall mental health goals. Some patients need ongoing support, while others improve significantly after a focused treatment course. Either way, we’ll help you build a plan that works for your life not just for today.  

Yes. With your permission, we’re happy to collaborate with your current providers. Integrated care leads to better outcomes, and we believe teamwork is part of what makes treatment successful.