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Category: Ketamine therapy

What If TMS Doesn’t Work — or You Had to Stop Early?

If TMS didn't help, or you had to stop early, it isn't the end of the road. What a disappointing or interrupted TMS course means, and the next steps that may help.

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Spravato or TMS First: How Panic, Dissociation, and Schedule Change the Decision

When both TMS and SPRAVATO are on the table, the order often comes down to what you can tolerate. How panic, dissociation, and schedule shape the decision.

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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.

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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.

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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

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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

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Why Anxiety Can Make Treatment-Resistant Depression Feel Even More Hopeless

Anxious treatment-resistant depression is the median pattern in real-world studies, not the outlier — 53 percent of STAR*D participants had clinically significant anxious depression. A board-certified PMHNP and attorney walks through why it feels uniquely

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Will My Insurance Cover TMS Therapy? Breaking Down California Parity Law

Most California insurance plans cover TMS for treatment-resistant depression when the file is clean — but every plan requires prior authorization, and the California Mental Health Parity Act (SB 855) governs how denials must be

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How to Get Prior Authorization for TMS in California: A Step-by-Step Patient Guide

Most California commercial insurance plans cover TMS for treatment-resistant depression, but every plan requires prior authorization — and the failure rate on first submission is real. A board-certified psychiatric specialist walks through what documentation insurers

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Is iTBS the Same as Theta-Burst? Clearing Up the TMS Naming Confusion

iTBS, cTBS, theta-burst, Express TMS, accelerated iTBS — the naming around theta-burst protocols can confuse even informed patients. A board-certified psychiatric specialist explains what each term actually means, which protocol you are likely on, and

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