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Category: Ketamine therapy

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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TMS for Anxiety: What the Research Says and What It Doesn’t

TMS is FDA-cleared for depression, OCD, and smoking cessation — but not generalized anxiety disorder. Off-label use is growing as evidence accumulates. A board-certified psychiatric specialist walks through what the research actually says about TMS

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TMS Maintenance and Relapse Prevention: What Comes After Session 36

Forty-six percent of TMS responders are still in response at 12 months without further treatment. For the other 54%, some form of maintenance — monthly sessions, scheduled taper, or pre-arranged retreatment — extends the gains.

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Does TMS Hurt? What It Actually Feels Like — and What Your Provider Can Adjust

TMS can hurt, but it does not have to. A board-certified psychiatric specialist explains what TMS actually feels like, why the first few sessions are the hardest, what your provider can adjust in real time,

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