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Anthem Blue Cross plans in California generally cover Spravato (esketamine) for treatment-resistant depression when medical necessity criteria are met, and prior authorization is required in essentially all cases. Approval turns on three things: documented treatment-resistant
Read MoreNearly every insurance decision about TMS or Spravato turns on one phrase: an inadequate response to two adequate antidepressant trials. Patients are often surprised to learn that medications they took for years may not count.
Read MoreSpravato (esketamine) almost always requires prior authorization, and approval turns on documentation: proof of treatment-resistant depression, meaning an inadequate response to at least two adequate antidepressant trials, plus confirmation that treatment will be given at
Read MoreDepression and insomnia feed each other. Poor sleep is not just a symptom of depression; it independently raises the risk of developing depression and of staying depressed through treatment. If you are treating one and
Read MoreIf your depression keeps coming back, or antidepressants make you feel wired, irritable, or strangely worse, one question should be asked before trying yet another medication: is this actually bipolar disorder? The distinction is not
Read MoreDepression alongside a chronic illness like diabetes, heart disease, or an autoimmune condition is common, worsens the course of both conditions, and is frequently left untreated because everyone is focused on the physical disease. If
Read MoreThe years around menopause carry a genuinely higher risk of depression, including for women who have never been depressed before. This is biology, not weakness: the hormonal shifts of the menopause transition affect the same
Read MoreIf you have postpartum depression and do not want to take medication, or cannot tolerate it, you still have evidence-based options. Therapy is a first-line treatment on its own for many cases, and for depression
Read MoreLosing the ability to feel pleasure has a clinical name: anhedonia. Food tastes like nothing, music is just sound, and the people you love feel far away even when they are in the room. It
Read MoreYou go to work, answer the messages, keep the household running, and feel flat, exhausted, or quietly hopeless the whole time. Clinicians do not use “high-functioning depression” as a diagnosis, but the experience it describes
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