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Day: June 18, 2026

Sunlit stone staircase — what to know before TMS, SPRAVATO, or ECT, Exxceed Wellness, Hayward CA
Ketamine therapy

What Patients Should Know Before Considering TMS, Spravato, or ECT

Nefretiri Abat, JD, PMHNP-BC0 Comments

When depression needs a higher level of care, TMS, SPRAVATO, and ECT each work differently. A clear, side-by-side look at what to know before considering any of them.

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Smooth colorful river pebbles — understanding treatment-resistant anxiety, Exxceed Wellness, Hayward CA
Anxiety

What Is Treatment-Resistant Anxiety?

Nefretiri Abat, JD, PMHNP-BC0 Comments

Treatment-resistant anxiety means an anxiety disorder hasn't improved enough after appropriate, evidence-based treatment. What that really means, what counts as a fair trial, and what a re-evaluation should check.

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Antique skeleton keys on dark textured paper — TMS vs SPRAVATO decision for treatment-resistant depression, Exxceed Wellness, Hayward CA
Ketamine therapy

TMS vs. SPRAVATO: Which Option Makes More Sense for Your Depression

Nefretiri Abat, JD, PMHNP-BC0 Comments

TMS and SPRAVATO are both options for depression that hasn't responded to standard treatment, but they aren't interchangeable. How each works, who each fits, and what a good consult weighs.

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