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Category: Treatment-Resistant Depression

Perimenopause and Depression: Why It Hits Now, and What Works When SSRIs Don’t

The 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

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Postpartum Depression When You Can’t, or Don’t Want to, Take Medication

If 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

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Why Can’t I Feel Pleasure Anymore? Anhedonia and What Actually Helps

Losing 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

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High-Functioning Depression: When Managing Is Not the Same as Getting Better

You 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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Depression in Older Adults: When Medications Interact, or Stop Working

Depression in older adults is common, undertreated, and often harder to manage with medication alone because of drug interactions, slower metabolism, and side effects like falls and confusion. If you or a parent has tried

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Antidepressant Side Effects: Weight Gain, Emotional Numbness, Sexual Side Effects, and the Alternatives

Weight gain, emotional numbness, and sexual side effects are among the most common reasons people stop taking antidepressants. They are real, they are documented in large studies, and they are not a sign that you

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TMS vs Spravato: Which One Is Right for You?

If you need relief within days and can arrange a ride home twice a week, Spravato is usually the faster option. If you want to avoid another medication, need to drive yourself, and can commit

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Does Medicare Cover Spravato in California?

Medicare Part B generally covers Spravato because it is administered in the office. Here is how the cost and approval work.

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Does Kaiser Cover Spravato in California?

Kaiser generally covers Spravato, but provides it inside its own facilities. Here is what that means for referrals, waits, and going outside.

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Does Blue Shield of California Cover Spravato?

Blue Shield of California generally covers Spravato for treatment-resistant depression with prior authorization. Here is what to expect.

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