Depression treatment in Sacramento

TMS, Spravato, ADHD testing, and medication management, all under one roof in Natomas.

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FDA-cleared optionsSafe and evidence-backed
CoveredBy most insurance
Expert-ledFrom your first visit

Covered by most major insurance plans, including Medicare

How we match

Which treatment is right for you?

The honest answer depends on what you have already tried. This is how a provider reasons through it during your consultation.

  1. 01

    You have not tried medication for depression yet

    Start with medication management

    It is the least invasive place to begin, and roughly half of people improve on a first well-chosen antidepressant. We evaluate properly, then actually measure whether it is working.

  2. 02

    One or two antidepressants failed, or the side effects were intolerable

    TMS therapy is usually next

    TMS is FDA-cleared for exactly this situation. No medication, no sedation, nothing circulating in your bloodstream. Most insurance plans cover it once two medication trials have failed.

  3. 03

    Several medications have failed and symptoms feel urgent

    Spravato, sometimes alongside TMS

    Spravato is taken here in our office under two hours of monitoring. Unlike an oral antidepressant, many patients notice a shift in mood the same day rather than six weeks later.

  4. 04

    Focus and follow-through problems that depression never fully explained

    ADHD testing before anything else

    Untreated ADHD is often misread as depression, and treating the wrong one costs you months. We run a computer-based attention test and take a full history, then give you a written evaluation you keep.

A provider positioning the TMS coil during a session
FDA-clearedNo medication

TMS therapy in Sacramento

Transcranial magnetic stimulation uses focused magnetic pulses, similar in strength to an MRI, to stimulate the area of the brain that regulates mood. You stay awake the whole time, there is nothing in your bloodstream, and you can drive yourself home after. We also offer Accelerated TMS, an off-label option that condenses a full course into as little as one day.

About 20 min
per session
4–6 weeks
five days a week
Most plans
cover it after two failed medications
How TMS therapy works
A patient resting in a Spravato treatment recliner
FDA-approvedTaken in our office

Spravato (esketamine) in Sacramento

Spravato is a prescription nasal spray for treatment-resistant depression. You take it here and stay for two hours of monitoring. It acts on a different brain system than oral antidepressants, which is why many patients notice a shift in days rather than weeks.

2 hours
in-office, fully monitored
Twice weekly
for the first four weeks
Ride home
arranged before you leave
What a Spravato visit is like
The ADHD testing check-in counter
Objective testingWritten evaluation

ADHD testing in Sacramento

A real diagnosis, not a fifteen-minute questionnaire. We pair a computer-based attention test with a full clinical history and rule out the conditions that imitate ADHD, then hand you a written evaluation you can take anywhere.

45 minutes
for the testing appointment
Three parts
attention test, full history, differential
A written report
yours to keep and share
How ADHD testing works
A provider meeting with a patient
Expert-ledMeasured every visit

Medication management in Sacramento

A proper psychiatric evaluation first, then ongoing care with a clinician who tracks whether the medication is actually working. We score the same standardized measures at every visit, so changing a dose is a decision rather than a guess.

60 minutes
for the first evaluation
Every 4–8 weeks
for follow-up visits
Same clinician
not a rotating roster
How we manage medication

Side by side

Compare all four treatments

Time, coverage, and what each one is actually for. Bring this to your consultation if it helps.

Comparison of TMS therapy, Spravato, ADHD testing and medication management
TMS therapy Spravato ADHD testing Medication
Best for Depression after two or more failed medications Treatment-resistant depression, including urgent cases Attention and focus problems that need a real diagnosis A first diagnosis, or ongoing care that is actually tracked
How it is delivered A magnetic coil rests on your head while you sit awake in a chair A nasal spray you take yourself here, then rest under observation A computer-based attention test plus a clinical interview An evaluation visit, then regular follow-ups in person or by video
Time per visit About 20 minutes About 2 hours, including monitoring About 45 minutes 60 minutes first, 20 to 30 after
Full course 5 days a week for 6 to 8 weeks, or an off-label accelerated option in as little as 1 day Twice weekly for the first four weeks, then tapered One testing appointment plus a visit to go through results Ongoing, reviewed every 4 to 8 weeks
Insurance Covered by most plans once two medications have failed Covered by most plans with prior authorization Coverage varies by plan, we verify before you book Covered like a standard psychiatry visit

Common questions

What people ask before they call

If your question is not here, call (916) 800-4363 and a person will answer.

Spravato is typically the fastest, with many patients noticing a shift in mood within days. TMS usually takes around three weeks before a change is clear. Oral antidepressants generally need four to six weeks to show their full effect.

For most plans, yes. Aetna, Anthem Blue Cross, Blue Shield of California, Cigna and Evernorth, UnitedHealthcare, Optum, Carelon, Hill Physicians, Medicare, and Sutter Health Plan cover TMS for major depressive disorder once at least two antidepressants have failed to give adequate relief. We verify your benefits and complete the prior authorization before your first session, so you know your cost before you start.

No. You can book a consultation with us directly. If your primary care provider or therapist prefers to refer you, they can send a referral and we will send a summary back to them after your evaluation.

You do not have to decide. The consultation is a full clinical evaluation. We ask what you have already tried, what happened, and what your symptoms look like now, then recommend one path and explain why. If nothing we offer is the right fit, we will tell you that and point you somewhere useful.

Sometimes, yes. For severe treatment-resistant depression a provider may combine them, or start one and add the other. That is a clinical decision made case by case, and it is one of the advantages of having every treatment in a single practice rather than referred out.

Our clinic is at 4440 Duckhorn Dr, Suite 420, in the Natomas area of Sacramento, CA 95834. We regularly see patients from across the Sacramento region, including Natomas, Roseville, Elk Grove, Citrus Heights, Folsom, Rancho Cordova, Arden-Arcade, and West Sacramento.

Not sure which one
you actually need?

That is exactly what the consultation is for. Tell us what you have already tried, and a provider will tell you which of these fits, or whether none of them do.

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