ServicesTreatment-Resistant Depression

Treatment-Resistant Depression

When standard treatments have not worked, advanced options offer hope.

Overview

Understanding Treatment-Resistant Depression

Treatment-Resistant Depression (TRD) refers to major depressive disorder that has not responded adequately to at least two adequate trials of antidepressant medication. It affects a significant number of people with depression and can feel discouraging — but it is not a dead end. Advanced, evidence-based interventional treatments such as TMS, Ketamine, and Spravato offer new pathways to relief for patients who have not found success with standard approaches.

Common Symptoms

  • Persistent depression despite antidepressant use
  • Inadequate response to multiple medication trials
  • Severe, recurring depressive episodes
  • Loss of hope after repeated treatment failures
  • Significant impairment in daily functioning
  • Co-occurring anxiety or other conditions

Potential Causes & Risk Factors

  • Biological differences in brain circuitry
  • Genetic factors
  • Misdiagnosis or incomplete diagnosis
  • Inadequate medication dose or duration
  • Co-occurring medical or psychiatric conditions
  • Substance use interfering with treatment

How We Treat It

Evidence-Based Treatment Options

Transcranial Magnetic Stimulation (TMS) — FDA-cleared, non-invasive
Ketamine infusion therapy — rapid-acting relief
Spravato (esketamine) nasal spray — FDA-approved for TRD
Medication augmentation strategies
Comprehensive re-evaluation and diagnosis
Integrated therapy and lifestyle support

Frequently Asked Questions

Common Questions About Treatment-Resistant Depression

What makes depression "treatment-resistant"?

Depression is considered treatment-resistant when symptoms have not improved after at least two adequate antidepressant trials (proper dose and duration). A thorough re-evaluation can also uncover factors like misdiagnosis or co-occurring conditions.

How does TMS help treatment-resistant depression?

TMS uses targeted magnetic pulses to stimulate underactive brain regions involved in mood regulation. It is FDA-cleared specifically for treatment-resistant depression and is non-invasive with minimal side effects.

How quickly does Ketamine work?

Unlike traditional antidepressants that take weeks, Ketamine can produce noticeable improvement within hours to days — making it a valuable option for severe, treatment-resistant cases.

Ready to Get Help?

If you or a loved one are experiencing symptoms of treatment-resistant depression, our team is here to help. Schedule a confidential evaluation today.

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