Treatment-Resistant Depression (TRD)


Hightop Health specializes in treating treatment-resistant depression using advanced therapies like transcranial magnetic stimulation (TMS), ketamine infusions, and SPRAVATO® (esketamine) , offering hope for patients unresponsive to traditional treatments.




FINDING LASTING RELIEF

Our Individualized Offerings

Hightop Health’s leading-edge approach to treatment-resistant depression utilizes a combination of longstanding and advanced therapies backed by the latest research to help patients find healing faster. Our innovative methodologies and personalized care plans provide hope and improved outcomes for patients who have not responded to traditional treatments, ensuring a path toward better mental health and overall well-being.

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WHAT TO EXPECT

Treatment-Resistant Depression Plan

Treatment-resistant depression can be particularly challenging, but Hightop Health has developed a comprehensive process for evaluating patient needs and developing personalized care plans.

1

INITIAL EVALUATION

We perform a thorough assessment to understand the unique aspects of each patient’s condition and identify potential barriers. This comprehensive evaluation often includes an intensive psychiatric diagnostic assessment, evaluation of previous treatments and their effectiveness, collaboration with previous providers, and review of prior medical records and screenings with validated psychological assessments.

2

TREATMENT PLANS

We develop a customized plan incorporating innovative strategies and evidence-based practices tailored to the individual. Laboratory testing, formal psychological or neuropsychological testing, and follow-up diagnostic tests are frequently recommended in addition to other biological and psychotherapy treatments.

3

MONITORING

Regular follow-ups and adjustments are made to ensure the effectiveness of treatments and to support continuous improvement.

TREATING SEVERE DEPRESSION

TRD Center of Excellence

According to Johns Hopkins Medicine, “Treatment-resistant depression affects about 30% of individuals diagnosed with major depressive disorder (MDD).” 

At Hightop Health, we believe that everyone deserves life-changing treatments that lead to lasting wellness. We recognize that mental health care is often focused on symptom management only, but we know there’s so much more. There is hope for better care and lasting healing. We are dedicated to helping those who have not found long-term relief through traditional treatments by addressing treatment-resistant depression with a comprehensive approach grounded in advanced therapies and our proprietary clinical research.

Our holistic approach goes beyond merely addressing symptoms; we aim to enhance the overall quality of life for our patients. Understanding the complexities of treatment-resistant depression, our clinicians and support staff take the time to understand each patient’s unique needs and work with our network of providers and clinical leaders to arrive at better outcomes.

We emphasize the importance of continuous support and careful monitoring to ensure that our patients experience ongoing improvements in their mental health. Our teams of expert clinicians are always ready to adjust treatment plans to better serve our patients’ evolving needs.

By providing advanced treatments and dedicated support from a team of top-tier clinicians, renowned clinical leaders, and compassionate staff, we offer a renewed sense of hope and stability for patients with even the most challenging conditions.

GET ANSWERS

Frequently Asked Questions

Find answers to commonly asked questions about treatment-resistant depression and Hightop Health’s approach to offering comprehensive, integrative care. 

Treatment-resistant depression (or difficult-to-treat depression) refers to depressive disorders that do not respond sufficiently to standard treatments such as antidepressants and psychotherapy after multiple treatment trials. Patients with TRD often feel a sense of hopelessness or helplessness in regards to ever feeling better, so mental health clinics are often challenged to think “outside the box” for interventions that may not be considered first-line options for most people with depressive disorders.

Hightop Health specializes in treatment-resistant depression by leveraging a comprehensive and integrative approach that blends traditional methods with advanced and innovative therapies.  Systematic outcomes assessments are also completed throughout treatment to help determine how to continuously improve the plan.

We utilize a mix of traditional and cutting-edge treatments tailored to individual patient needs, including therapies like intravenous (IV) ketamine infusions, intranasal SPRAVATO®, Intensive Outpatient Programs (IOPs), Partial Hospitalization Programs (PHPs), and transcranial magnetic stimulation (TMS).

Related Blog Posts

Discover more about Hightop Health’s approach to treatment-resistant depression and other mental health care offerings through the following blog posts.

  • What’s Better for Treatment-Resistant Depression? Transcranial Magnetic Stimulation (TMS), Ketamine, or SPRAVATO®(Esketamine)?

    Many of my patients who come to me for a treatment resistant evaluation wonder what’s wrong with them that the…

    Read More

  • Ketamine for Depression? How Do I Know If It’s Right For Me?

    Ketamine is an anesthesia and pain management medication developed over 40 years ago that doctors and patients soon recognized had…

    Read More

  • Should I Get Ketamine Through the Vein (IV), by Mouth, as a Nasal Spray, or Shot in the Muscle/Skin?

    I would love to answer this question in a very precise scientific manner with extensive research studies to support my…

    Read More

  • Is Ketamine a Cure for Depression?

    When patients with depression who have not done well with traditional oral antidepressants come to my clinic for other options,…

    Read More

  • How to Maintain Your Ketamine Success

    Patients’ stories abound demonstrating the rapid and robust antidepressant and antianxiety effects of ketamine. And there is substantial scientific research…

    Read More

  • Psychedelics in Psychiatry: Coming Back Down to Reality

    If you have any interest in new treatments for mental health conditions, you cannot escape being bombarded by the hype…

    Read More
Load More
Blog Post Image

What’s Better for Treatment-Resistant Depression? Transcranial Magnetic Stimulation (TMS), Ketamine, or SPRAVATO®(Esketamine)?

Many of my patients who come to me for a treatment resistant evaluation wonder what’s wrong with them that the…

Learn More
Blog Post Image

Ketamine for Depression? How Do I Know If It’s Right For Me?

Ketamine is an anesthesia and pain management medication developed over 40 years ago that doctors and patients soon recognized had…

Learn More
Blog Post Image

Should I Get Ketamine Through the Vein (IV), by Mouth, as a Nasal Spray, or Shot in the Muscle/Skin?

I would love to answer this question in a very precise scientific manner with extensive research studies to support my…

Learn More
Blog Post Image

Is Ketamine a Cure for Depression?

When patients with depression who have not done well with traditional oral antidepressants come to my clinic for other options,…

Learn More
Blog Post Image

How to Maintain Your Ketamine Success

Patients’ stories abound demonstrating the rapid and robust antidepressant and antianxiety effects of ketamine. And there is substantial scientific research…

Learn More
Blog Post Image

Psychedelics in Psychiatry: Coming Back Down to Reality

If you have any interest in new treatments for mental health conditions, you cannot escape being bombarded by the hype…

Learn More
quotes

“Treatment-resistant depression can be devastating to patients and their families who may not be aware that there are alternative treatment options outside of standard medication and counseling. Our clinicians are on the cutting-edge of innovative therapies that can provide relief for those who haven’t responded to traditional treatments. We are committed to providing comprehensive clinical care, education, and research, so all of our patients can find the right path for them for a full recovery.”

– Michael Banov, MD

Medical Director, Psych Atlanta




Learn More About Care for Treatment-Resistant Depression

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