Treatment-resistant depression care in Bellevue, WAWhen medication hasn’t been enough, there are still options.
NeuroStar® TMS, SPRAVATO® and expert medication management
If you’ve tried antidepressants and still don’t feel like yourself, it’s not your fault, and it doesn’t mean you’re out of options. Our Bellevue clinic offers advanced, proven treatments for depression that hasn’t responded to medication.
- Care for adolescents and adults
- In person in Bellevue or by telehealth
- In-network with most major insurance plans
- No diagnosis needed to reach out
In-Person & Telehealth
Understanding Treatment-Resistant Depression
What is treatment-resistant depression?
Treatment-resistant depression (TRD) is major depression that hasn’t improved enough after trying at least two antidepressant medications at an adequate dose and for long enough. It is common: a significant share of people with depression don’t get full relief from their first treatments.
Having TRD doesn’t mean depression can’t be treated. It means a different approach is needed. Options include adjusting or combining medications, NeuroStar® TMS Therapy and SPRAVATO® (esketamine), and a careful review to make sure nothing else, such as bipolar disorder, thyroid problems or sleep issues, is getting in the way.
When to seek help
If you’ve tried at least two antidepressants and are still struggling, it’s a good time to explore advanced options. If you’re having thoughts of suicide, call or text 988 or call 911 right away.
Signs your depression may be treatment-resistant
You might have treatment-resistant depression if this sounds familiar.
- You’ve tried two or more antidepressants without enough relief
- Medication helped a little, but you still don’t feel like yourself
- Side effects made it hard to stay on medication
- Symptoms keep returning even with treatment
- Low mood, fatigue or loss of interest persist for months
- You feel discouraged about whether anything will work
Our approach
How we treat treatment-resistant depression
We offer the full range of next-step depression treatments under one roof, so you don’t have to start over somewhere new.
A thorough psychiatric evaluation
We take a fresh look at your diagnosis, past medications, doses and side effects, and anything that might be holding back recovery.
NeuroStar® TMS Therapy
An FDA-cleared, drug-free treatment that uses focused magnetic pulses to activate the brain’s mood centers, for adults and as an add-on treatment for adolescents ages 15 to 21. Sessions take less than 20 minutes, with no downtime.
SPRAVATO® (esketamine)
An FDA-approved nasal spray for adults with treatment-resistant depression, given at our certified treatment center under medical supervision.
Medication management
Optimizing doses, switching or combining medications, and pharmacogenetic testing where it may help guide choices.
Questions
Treatment-Resistant Depression FAQs
What counts as treatment-resistant depression?
Depression is generally considered treatment-resistant when it hasn’t improved enough after at least two antidepressants, each taken at an adequate dose for an adequate length of time.
What are the treatment options for treatment-resistant depression?
Options include medication changes or combinations, NeuroStar® TMS Therapy, SPRAVATO® (esketamine), and therapy. We offer evaluation, medication management, TMS and SPRAVATO® at our Bellevue clinic.
Is TMS or SPRAVATO® better for treatment-resistant depression?
Both are effective, and the right choice depends on your history, preferences, health and insurance. TMS is drug-free with daily short sessions; SPRAVATO® is a supervised nasal spray treatment. Your evaluation will help you decide.
Does insurance cover TMS and SPRAVATO®?
Many insurance plans, including Medicare, cover NeuroStar® TMS and SPRAVATO® for treatment-resistant depression when criteria are met. We verify your benefits and handle prior authorization for you.
Can I keep taking my antidepressant during TMS or SPRAVATO®?
Usually, yes. TMS can be used alongside medication, and SPRAVATO® is often taken together with an oral antidepressant. We’ll review your medications as part of your plan.
Can teenagers get TMS for treatment-resistant depression?
Yes. NeuroStar® Advanced TMS Therapy is FDA-cleared as an add-on treatment for depression in adolescents ages 15 to 21. Sessions take place at our Bellevue office. SPRAVATO® is for adults.
How long is the first appointment for treatment-resistant depression?
The first psychiatric evaluation takes about 60 minutes. Follow-up visits take about 30 minutes, in person in Bellevue or by telehealth.
What should I bring to my first appointment?
Please bring a photo ID, your insurance card and a list of current medications. A list of the antidepressants you’ve tried, with doses, how long you took them and any side effects, helps us plan next steps, along with records from earlier treatment.
Can I get care for treatment-resistant depression by telehealth?
Your evaluation and medication management visits are available by secure telehealth anywhere in Washington State, as well as in person in Bellevue. NeuroStar® TMS and SPRAVATO® treatments take place in person at our Bellevue office.
Related conditions we treat
Getting started is easier than you think
Taking the first step toward mental health care can feel like a lot. We keep the process simple and clear, so you always know what’s happening next, from your first call to ongoing care.
Reach out
Call, text or get started online. Our team is happy to answer any questions and help you get scheduled.
Your first visit
An evaluation, in person in Bellevue or by telehealth anywhere in Washington State, to understand your history and goals.
Your personal plan
Together we’ll talk through what may be going on and start building a plan around your needs, explained in plain language.
Ongoing support
We follow your progress closely and adjust as you go, with regular check-ins and the same team beside you at every step.
Get started
Feeling better starts with one appointment
Reaching out is often the hardest part, and you’ve already started by being here. Schedule an evaluation and we’ll help you understand what’s going on and what can help, whether that’s medication, NeuroStar® TMS or SPRAVATO®. Care for children, adolescents and adults, in person in Bellevue or by telehealth throughout Washington State.
- Aetna
- Anthem Blue Cross
- Blue Cross/Blue Shield Plans
- Bridgespan
- Cigna
- First Choice Health
- Kaiser Permanente
- LifeWise
- Lucent Health
- Medicare
- Moda Health
- Premera
- Regence
- Regence Group Administrators
- TRICARE
- TriWest
- United Healthcare
We verify your benefits before your first visit.Self-pay options available.