Each patient comes to us with a different set of experiences, symptoms, and body chemistry with a unique response to various medications and other types of therapy. Sometimes a medication or dosage that works for one person will not work for another. The best option may be a non-medication solution such as TMS. We will work closely with you to develop a treatment plan that best fits your needs. As necessary, we will adjust your plan to ensure that you are responding well to treatment and feeling better.

Take a simple, nine-question depression screen below to find out if the symptoms you’re experiencing may be clinical depression. This screen is the Patient Health Questionnaire 9 (PHQ9), the industry-wide gold standard for assessing clinical depression. The PHQ9 is one of the tools we use to regularly assess our patients’ progress.

Disclaimer: This questionnaire is for information only and is not intended as a substitute for medical advice, diagnosis, or treatment.

Not at
More Than
half the days
Every Day
Little interest or pleasure in doing things
Feeling down, depressed, or hopeless
Trouble falling or staying asleep, or sleeping too much
Feeling tired or having little energy
Poor appetite or overeating
Feeling bad about yourself - or that you are a failure or have let yourself or your family down
Trouble concentrating on things, such as reading the newspaper or watching television
Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual
Thoughts that you would be better off dead or of hurting yourself in some way
Your score: 0
WARNING: You may be having thoughts of suicidal ideation or self-harm, and should be further referred, or transferred for emergency psychiatric evaluation as clinically appropriate and depending on clinician overall risk assessment. Contact a qualified health care provider immediately.
Scores < 4 suggest minimal depression which may not require treatment.
Scores 5-9 suggest mild depression which may require only watchful waiting and repeated PHQ-9 at follow-up.
Scores 10-14 suggest moderate depression severity; patients should have a treatment plan ranging form counseling, follow-up, and/or pharmacotherapy.
Scores 15-19 suggest moderately severe depression; patients typically should have immediate initiation of pharmacotherapy and/or psychotherapy.
Scores 20 and greater suggest severe depression; patients typically should have immediate initiation of pharmacotherapy and expedited referral to mental health specialist.

Scores of ten and higher suggest clinical depression; you may need pharmacotherapy or may be a good candidate for TMS or esketamine nasal spray.

If you would like to make an appointment, let’s get you scheduled.

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