How we decide what to recommend
There is no universal best treatment. The recommendation depends on:
- What you have already tried. Which antidepressants, at what dose, for how long, with what response. Which therapy modalities, with what outcome. Whether you have had TMS, ketamine, or other neuromodulation before, and how it went.
- The clinical picture now. Symptom severity, functional impact, safety considerations, co-occurring conditions, medical history.
- Evidence base for your specific situation. The strength of the evidence is different for major depression, OCD, PTSD, anxiety, postpartum depression, and other conditions. We say clearly where the evidence is strong, where it is emerging, and where it is honestly thin.
- What you can actually do. A daily-weekday TMS course is right for someone whose schedule can accommodate it; weekly EMDR is right for someone in a different rhythm. We design plans that you can keep.
- Insurance and cost. We verify benefits and explain expected out-of-pocket cost before scheduling treatment. Coverage varies meaningfully across these options.