A comprehensive review of symptoms, as well as personal and family history to help us understand what works for you and what doesn’t when it comes to treatment. We provide a complete overview of medications that are always discussed in full for your comfort.
Follow up appointments:
Appointments are never rushed. We take our time to initiate, review, and adjust a treatment plan specifically designed for you.
Should a patient require medication, we work collaboratively to find the most effective option. We take several things into consideration when making this decision, such as medical history, allergies/intolerances, and lifestyle. Medication can be an important piece of comprehensive care. At CBH, we monitor our patients’ medications by regularly scheduled check-ins, and encourage open and honest communication from our patients.
TMS is an innovative technology for treatment-resistant depression that uses magnetic pulses to restore the limited activity of a depressed brain. It is FDA-approved, non-invasive, covered by most insurance providers, and virtually free of side effects.
TMS is very effective for treating depressed patients who have tried medications but did not achieve adequate results. Over half of patients respond to TMS and more than one-third achieve remission.
TMS is a long-lasting treatment for depression. Over two-thirds of patients retain their response one year post-TMS. For those patients who relapse, over 80% of them respond to a second round of TMS.
Over 40% of patients with depression do not achieve remission from antidepressants. Medications can often produce unwanted side effects, such as fatigue, drowsiness, weight gain, nausea, and sexual problems, to name few.
TMS is virtually free of side effects because it is non-systemic and does not enter the blood stream like medications. The magnetic pulses pass through your scalp and into the desired brain location. You’ll hear clicking sounds and it can feel like a knocking, tapping, or tingling sensation on your head. Some patients may experience a headache or scalp sensitivity in the treatment location.
Our therapists provide a safe and trusting environment to help you learn about your mood, feelings, thoughts and behaviors. We have a diverse staff who all have their individual approach and style to their therapy. Having a multidisciplinary team enables our patients to work with the therapist that best fits their unique needs. Whether you have a clinical diagnosis or not, therapy is a wonderful opportunity to grow as an individual with the guidance of our well-informed and nonjudgmental professionals.
Esketamine, or Spravato, is the first nasal spray medication that is a treatment for depression. Combined with an antidepressant, Spravato is FDA-approved to treat depression and has been clinically shown to improve symptoms of depression over just 4 weeks.
For the first month your Spravato treatment is twice weekly for 30 days, then once weekly for 30 days; thereafter it’s once weekly or every two (2) weeks.
In clinical studies involving short- and long-terms trials across more than 1,700 adult patients, improvement of depressive symptoms was demonstrated at four weeks by Spravato treatment plus an oral antidepressant, compared with placebo nasal spray plus an oral antidepressant. These studies evaluated the efficacy and safety of Spravato, both short-term and long-term for up to one year, for treatment‑resistant depression.