Some people arrive after years of trying to explain why they are still not well.
They have taken the pill. They have changed the dose. They have sat in the chair, week after week, talking through what hurt. They have pushed through work, hidden symptoms from family, held a loved one through episodes that scared everyone. None of that history is a character judgment. It is information.
We read prior treatment for what it tells us: what worked partway, what stopped working, what never quite landed. Sleep, anxiety, trauma, safety, and daily function come into the same picture. From there we discuss whether TMS, PrTMS, ketamine, EMDR, therapy, or medication management is the right next step.
- MedicationHelped for a while, caused side effects, stopped working, or never reached enough relief.
- TherapyGave language and insight. Symptoms still returned or stayed too loud.
- Crisis careKept someone alive. Did not build a long-term outpatient plan that felt steady.
- Caregiver strainLeft loved ones wondering whether they waited too long, pushed too hard, or missed something.