When You’ve Tried Meds Already
We see a lot of people who’ve cycled through SSRIs without relief. Sometimes the issue is genetic metabolism — pharmacogenomic testing can save months of guessing. We use it routinely.TMS and Beyond
For treatment-resistant depression, transcranial magnetic stimulation and ketamine-assisted therapy are real options. We coordinate with established providers who do this work safely.Trauma-Adjacent Depression
Sometimes the depression is downstream of unprocessed trauma. EMDR or CPT can shift things in ways pure CBT can’t. We screen for this carefully.The First Six Weeks
Antidepressants take time. We don’t oversell rapid change. What we do offer is structure, real human contact, and the relief of not having to perform at your job while you’re climbing out.