Call (415) 636-9700 Phone Mon–Fri 8a–8p · Sat 9a–5p

Author: Nefretiri Abat, JD, PMHNP-BC

Why Anxiety Treatment May Not Work When Trauma Is Still Untreated

When anxiety treatment doesn't reach untreated trauma, it can stall. Why trauma keeps the alarm on, and the trauma-focused options that may help.

Read More

When Therapy Doesn’t Stop Anxiety From Making Your Life Smaller

When therapy hasn't reached the fear pattern, anxiety keeps shrinking your world. Why avoidance maintains anxiety and what treatment has to actually do.

Read More

SSRIs Didn’t Fix the Anxiety: What Other Treatment Options May Help

If an SSRI didn't fix your anxiety, the next step isn't always another pill. How to tell whether the SSRI got a real trial, and the options that may help next.

Read More

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

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.

Read More

What Is Treatment-Resistant Anxiety?

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.

Read More

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

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.

Read More

When Depression Starts Creeping Back: The First Steps to Take

When depression starts creeping back after treatment worked, a returning symptom isn't a verdict — it's a signal to act early. The first steps: catch the early warning signs, tell your provider what changed, rebuild

Read More

What to Expect When You’re Being Evaluated for Treatment-Resistant Depression

When two antidepressants haven't been enough, the next step shouldn't be a faster guess. A treatment-resistant depression consult is a structured re-evaluation — here's what it reviews, what to bring, and how it decides what

Read More

Am I Having Panic Attacks, Social Anxiety, or Generalized Anxiety?

Knowing you have anxiety but not knowing what kind is one of the most common patterns in clinical practice. A board-certified PMHNP and attorney walks through how clinicians actually differentiate GAD, panic, and social anxiety

Read More

Anxiety Is a Learning Problem: Why Treatment Has to Teach the Brain Safety

Anxiety is maintained by avoidance — and effective treatment is the structured experience of doing the things the anxiety insists shouldn't be done. A board-certified PMHNP and attorney walks through inhibitory learning, safety behaviors, the

Read More
Serving the East Bay: Hayward, CA  ·  Castro Valley, CA  ·  San Lorenzo, CA  ·  San Leandro, CA  ·  Union City, CA  ·  Newark, CA  ·  Fremont, CA