Treatment-resistant depression
When several medications have failed, the answer is rarely a seventh trial. We look for what has never been measured.
Conditions We Treat
You do not need to know which service you need. Find what you are living with, and we will show you the treatment pathways our team turns to most often for it. These are the most likely starting points, not the full menu of what we offer, and your own plan is built with you.
When several medications have failed, the answer is rarely a seventh trial. We look for what has never been measured.
Medication where it helps, therapy alongside it, and the physical contributors checked rather than assumed: thyroid, nutrients, sleep.
Therapy and brain-based training first for many patients, panic included; medication is an option, not the default starting point.
Careful medication management with the whole picture in view, and therapy that supports stability between episodes.
Exposure and response prevention with clinicians trained in it, and medication support where symptoms make the work impossible to start.
EMDR and somatic work, with neurofeedback where the nervous system stays in a state the talking cannot reach.
Exhaustion that sleep no longer fixes, and a fuse that keeps getting shorter. We treat it as a physiological state, not a character flaw.
Pregnancy, postpartum, perimenopause and menopause each change the ground under mood. Hormones are measured, not inferred from the calendar.
Grief is not a disorder, and we do not medicate it by default. Support first, with a closer look when it stops moving at all.
A brain map before a stimulant trial tells us far more than another questionnaire, and gives families a medication-free route worth trying.
A medical lens rather than a behavioral-only one: gut, nutrients and inflammation examined alongside support at home and school.
Sudden behavior change after an infection is a medical question first. We test for it rather than treating the behavior alone.
Attention and memory complaints after a concussion show up on a brain map, which then sets the training protocol.
When psychiatric symptoms have a medical driver, such as autoimmunity, infection, or inflammation, the psychiatry only works once that driver is found.
Rarely a standalone diagnosis here; sleep is measured because it changes the response to almost everything else we do.
When routine labs came back normal but nothing feels right, the work-up needs to go further than it usually does.
Pain and mood run through the same nervous system, so treating either one alone tends to stall. Both are worked on together here.
Thyroid, blood sugar, iron, B12, sex hormones: ordinary things, often unmeasured, that change how every other treatment lands.
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