Personalized treatment for adults with difficult to treat depression

We help people with treatment resistant depression recover.

If you are considering TMS or esketamine to support your recovery from depression, we can help:

  • After reviewing extensive pre-visit information you provide we will meet for a 60 minute psychiatric appointment to review your symptoms, treatment history, and goals.

    Together we will consider a full range of treatment options so you can decide if TMS or esketamine with our practice are a good fit or if other strategies are better for your situation.

  • Starting August 2025.

    Transcranial Magnetic Stimulation (TMS) therapy is a state-of-the-art, noninvasive treatment that uses magnetic pulses to activate nerve cells in the brain, offering relief from depression symptoms.

    FDA-approved, TMS is approximately twice as effective as traditional medications and is associated with fewer side effects.

  • Esketamine (Spravato) is the first fast-acting medication approved for difficult to treat depression.

    It helps quiet the brain's default mode network — the area linked to anxiety, self-criticism, and repetitive negative thinking.

    Esketamine is the FDA-approved component of ketamine, a treatment for mood disorders for several decades.

Depression treatment that is based on research and personalized to you.

Psychiatric care including medication, TMS (starting August 2025), and esketamine (Spravato) in Fredericksburg, VA.

We believe you deserve relief from suffering and hope for recovery.

We help patients develop a clear understanding of their unique problems, not just a diagnostic label, and an individualized treatment plan, tailored to their specific needs.