Treatment Resistant Depression
When you’ve tried everything, and still don’t feel like yourself.
Depression is not one-size-fits-all. For many people, traditional treatments alone (like SSRIs or talk therapy) don’t bring the relief they deserve.
This is called Treatment-Resistant Depression, and it’s more common than people think, and it is treatable.
Why Depression Sometimes Doesn’t Respond to Medication
Depression isn’t only about chemical imbalance, it affects both the neural pathways that help the brain communicate and the emotional patterns that shape how we process our experiences. Traditional medications can support mood chemistry, but they don’t always address neural activity, persistent or “stuck” thought loops, or the long-term effects that stress and trauma can have on the brain’s functioning. When these deeper layers are involved, it’s common to still feel weighed down even after trying multiple medications. This is where innovative treatments can make a meaningful difference.
Our Approach to Treatment-Resistant Depression
We don’t rely on one method.
We utilize multiple treatment techniques to get you to the best version of yourself.
TMS - Transcranial Magnetic Stimulation
IV Ketamine Therapy
Combined Care: TMS + Ketamine + Psychotherapy
TMS is a non-invasive treatment that gently stimulates the areas of the brain involved in mood regulation. When depression has persisted for a long time, these regions can become under-active, making it difficult to feel motivation, pleasure, or emotional responsiveness. TMS uses magnetic pulses to encourage these pathways to “wake up” and reconnect. There are no systemic medication effects, and you can return to your normal day immediately after each session. For many people who have tried multiple medications without meaningful relief, TMS can open the door to progress that once felt out of reach.
Ketamine works differently from traditional antidepressants. Instead of acting slowly over weeks, it can create a rapid shift in mood by interrupting the “stuck” neural loops that sustain hopelessness, rumination, and emotional numbness. During and after treatment, many people describe a sense of mental “breathing room,” increased perspective, or the ability to access feelings and insights that were previously blocked. Each infusion is carefully monitored, supported by a licensed provider, and followed by gentle integration to help the clarity and openness translate into meaningful, lasting progress.
For many people, the most meaningful relief comes from a treatment plan that supports both the brain and the emotional system at the same time. In our combined care model, TMS helps reactivate under-functioning mood circuits, while Ketamine opens a window of neuroplasticity, a period where the brain is more flexible, receptive, and able to form new, healthier patterns. During this window, psychotherapy becomes even more effective because the mind is less stuck, more open, and able to integrate insights with a greater sense of clarity and possibility.
This approach does more than reduce symptoms, it supports true internal change. The combination helps shift long-standing patterns, ease emotional heaviness, and rebuild a felt sense of hope. With the brain more responsive and the mind more flexible, patients often find they can reconnect with themselves, their goals, and their relationships in a way that feels more grounded, meaningful, and alive.
You’re Not “Too Much.” You’re Not Broken. You’re Not Out of Options.
Sometimes, what you’ve been given so far simply wasn’t the right fit.
Relief is still possible.Your story isn’t over, and you don’t have to navigate the next step alone.
