Are you or a loved one searching for an innovative treatment for severe depression? Both electroconvulsive therapy (ECT) and transcranial magnetic stimulation (TMS) are powerful options for those who haven’t found relief with other treatments. When comparing ECT vs. TMS therapy, it’s important to know both are FDA-approved and involve stimulating brain cells to alleviate symptoms. However, there are key differences in how they work, their side effects, and the treatment experience. Read on to learn more about these depression treatments to determine which may be right for you. What Is ECT? Modern electroconvulsive therapy (ECT) has been used for nearly a century to treat severe depression, bipolar disorder, and other mental health conditions. The procedure involves sending small electrical currents through the brain to trigger a brief, controlled seizure. This activity is thought to reset brain chemistry and provide relief from severe symptoms. The procedure is performed under general anesthesia in a medical facility to ensure patient safety and comfort. Electrodes are placed on the scalp, typically on one side of the head or both. Each session lasts only a few minutes, but the preparation and recovery time can extend the visit. Treatments are usually administered two to three times a week over several weeks. Pros of ECT Often effective for treatment-resistant depression. Rapid relief for severe or life-threatening symptoms. Suitable for patients who cannot take antidepressants due to medical reasons. Cons of ECT Requires anesthesia and a hospital setting. Common side effects: memory loss (temporary or, in rare cases, permanent) and confusion. May disrupt daily activities due to recovery time after treatment. What Is TMS? Transcranial magnetic stimulation (TMS) is a newer, non-invasive treatment that targets specific areas of the brain associated with mood regulation. Using a magnetic coil placed against the scalp, TMS generates focused electromagnetic fields that stimulate neuronal activity in the prefrontal cortex—the region often underactive in people with depression. Unlike ECT, TMS does not require anesthesia or work by inducing seizures. TMS therapy is ideal for those who prefer a less intensive option for treatment-resistant depression . During a TMS session, the patient remains awake and seated comfortably in a chair. Each session lasts approximately 20 minutes, and the patient can immediately resume daily activities afterward. A typical course of treatment involves five sessions per week over a six-to-eight-week period. Response rates are as high as 70% and remission rates as high as 50%, especially with the newest TMS technology known as deep TMS.  Pros of TMS Non-invasive and generally painless, with no anesthesia required. No memory loss or cognitive side effects. Some studies indicate it can actually improve cognitive performance. Patients can resume normal activities immediately after sessions. Cons of TMS Multiple sessions are required for effectiveness. Mild side effects, including scalp discomfort or headache, may occur. Not suitable for individuals with metal implanted near the head or those who have a history of seizures. Which Treatment Is Right for You? Deciding between ECT and TMS depends on the severity of your symptoms, your medical history, and your preferences regarding side effects and procedure intensity. The chart below outlines key differences between the two treatment options to help you make an informed decision.  Aspect ECT TMS Invasiveness Invasive (requires anesthesia) Non-invasive Side Effects Memory loss, confusion Mild headaches, scalp discomfort Setting Hospital or specialized facility Outpatient clinic Treatment Time Minutes, but recovery required 20-40 minutes, no recovery time Effectiveness Rapid for severe cases Gradual improvement over weeks ECT may be the right choice if you are dealing with life-threatening depression, severe suicidal ideation, or conditions that require immediate relief. Its rapid efficacy makes it a valuable option in crises or for those who have tried multiple medications without success. However, ECT requires a hospital setting, anesthesia, and longer recovery time. Severe memory loss is not common, but it’s important to be aware of the risk.  On the other hand, TMS might be better suited if you are seeking a less invasive treatment with minimal downtime. TMS is particularly appealing to those who have not responded to medication but want to avoid the risks and longer recovery time with ECT.  Ultimately, the decision should be made in consultation with a mental health professional who can evaluate your unique circumstances, medical history, and treatment goals. At Michigan Advanced Psychiatry, our team specializes in TMS therapy and is dedicated to helping you find the best path toward relief and recovery. Next Steps: Explore TMS at Michigan Advanced Psychiatry At Advanced Psychiatry, we specialize in TMS therapy to help individuals find relief from treatment-resistant depression. If you’re seeking a non-invasive, effective treatment option, our experienced team is here to guide you. Contact us today to schedule a consultation and take the first step toward reclaiming your life.

Do you often feel a wave of sadness when you step into your room? Does your bedroom, the space meant to be your sanctuary, instead carry feelings of loneliness, anxiety, or depression? If you find yourself struggling to relax or feel at peace within your own space, you're not alone.  The way we experience our surroundings has a profound impact on our mental health. It’s vital to recognize the root causes of these distressing feelings in your room. Once you know the why, then you can take the first step toward creating a healthier, more uplifting environment. The Connection Between Your Room and Mental Health Your environment shapes your emotions and well-being more than you might realize. Factors like clutter, lack of natural light, and poor air quality can contribute to feelings of depression or anxiety. Studies have shown a clear link between our physical spaces and mental health: A 2020 study highlighted how cluttered rooms can exacerbate depression by creating a sense of overwhelm and chaos. A Yale University study revealed that clutter and disorganization, especially in people who struggle with hoarding tendencies, are directly tied to feelings of stress and sadness. If your room feels like a source of distress rather than comfort, it’s time to evaluate what might be triggering these emotions and explore actionable solutions. If you feel overwhelmed, it’s helpful to speak with an experienced mental health provider to create an action plan.  Why You Feel Depressed in Your Room The reasons your room may feel depressing vary from person to person. We’ve compiled a list of common culprits that are causing your depression symptoms.  1. Cluttered or Unorganized Space A messy room can be a constant reminder of incomplete tasks and responsibilities, especially when you're already feeling overwhelmed. Clutter can intensify feelings of inadequacy and make relaxing at the end of the day feel impossible. 2. Lack of Natural Light Natural light plays a crucial role in regulating your circadian rhythm , which affects your sleep and mood. Rooms without adequate sunlight can feel gloomy and disrupt your body’s natural cycles, leading to fatigue and irritability. 3. Poor Air Quality or Ventilation Stale air or poor ventilation can make your room feel suffocating. Temperature extremes, like excessive heat or cold, also affect your comfort level and overall mood. 4. Noise Pollution Rooms are meant to be havens of peace, but constant noise—whether from outside traffic, household activities, or thin walls—can lead to irritation and anxiety. This is especially common for those who live in a city.  5. Lack of Personalization or Privacy If your room doesn’t feel like it reflects your personality or if you lack privacy within it, it’s hard to feel truly at ease. A space that’s not yours can feel alienating and cause feelings of detachment.  How to Transform Your Room into a Positive Space Thankfully, small changes can have a big impact on how your space makes you feel. Here are practical steps to brighten your room and your mood: 1. Declutter and Organize Start by removing items you no longer use or love. Break the process into manageable sections if it feels overwhelming. When your space is tidy, you’ll find it easier to relax and focus. 2. Let in Natural Light Open the curtains, rearrange furniture to maximize sunlight, or add mirrors to reflect light around the room. If natural light is limited, consider investing in daylight-simulating lamps to improve your mood. 3. Enhance Air Quality Introduce houseplants to purify the air, or use air purifiers and humidifiers for a more comfortable environment. Ensure windows are regularly opened to let in fresh air. 4. Reduce Noise Rugs, curtains, and other soft furnishings can help dampen noise. For more severe noise issues, explore soundproofing options to make your room a quieter retreat. If you live in a city, another helpful option is using a white noise machine to mask distressing sounds. 5. Personalize Your Space Make your room feel uniquely yours by adding elements that bring you joy: photos, artwork, or favorite colors. Your room should feel like a safe and welcoming haven. 6. Prioritize Mental Health If your feelings of depression or anxiety persist, despite changes to your environment, it’s important to seek professional support . Your mental health matters, and sometimes environmental changes alone aren’t enough. Testimonials from Those Who Found Relief Many individuals who struggled with depression or anxiety found significant relief through TMS therapy and Spravato treatment. Click here to explore testimonials from those who’ve reclaimed their space and improved their mental health.  Take the Next Step with Advanced Psych If your bedroom’s environment is causing you depression or anxiety, Advanced Psych in Ann Arbor is here to help. We specialize in treatments like TMS (Transcranial Magnetic Stimulation) and Spravato to address depression and anxiety effectively. Take our self-assessment to better understand your symptoms and learn how we can support your journey to better mental health. A brighter, more peaceful life begins with one step— reach out today.  .

If you’re feeling the stress pile up, you’re not alone. According to the American Psychiatric Association’s 2024 Mental Health Poll , 43% of U.S. adults are feeling more stress than the previous year (up from 37% in 2023). The economy, the results of the election and personal finances are some of the leading causes of increased stress over the past year.  Despite a rise in stress levels, the poll found that only one in four adults said they talked with a mental health professional. While research shows that some stress is good for you, chronically-elevated stress hormones put you at greater risk for obesity, heart disease and depression.  If you’ve been feeling stressed out, this blog will help you identify the difference between stress and depression. You’ll learn strategies for managing stress and know if it may be time to speak with a mental health professional.  Can Stress Cause Depression? The short answer is yes—chronic stress can be a factor that leads to depression, and depression can make stress worse. Chronic stress develops from prolonged exposure to stressful circumstances that elevates cortisol in the body to abnormally high levels. Over time, this can lead to depression, as well as other problems, including: anxiety, headaches, digestion trouble, memory and concentration problems, insomnia and heart disease. Anxiety plays a role in the relationship between stress and depression. The effect of chronic stress on the body can lead to the development of anxiety disorders. Under the DSM-5-TR , some anxiety disorders are:  Generalized Anxiety Disorder (GAD) – when anxiety symptoms occur in a variety of environments and in response to multiple situations. Generalized anxiety symptoms are usually not attributed to a specific and known cause.  Panic Disorder –when immediate and severe anxiety symptoms (aka “panic attack”) arise in response to an array of causes. These panic attacks also can happen in response to the worry of having a panic attack.  Obsessive-Compulsive Disorder (OCD) – when anxiety symptoms take the form of obsessive and intrusive thoughts or compulsive behaviors (or mentally rehearsed behaviors).  Posttraumatic Stress Disorder (PTSD) – when long-term anxiety symptoms develop after a trauma or in response to stimulants which trigger memories of that trauma.  Anxiety and depression can heighten the symptoms of one another. For example, people suffering from anxiety disorders might withdraw from social situations and other life activities to avoid triggering anxiety symptoms. This withdrawal can trigger depressive episodes or intensify their symptoms. And people with depression can magnify their symptoms by pulling away from social interactions and vital activities, also leading to more anxiety.  The Common Symptoms of Stress and Depression  It’s not always easy to figure out if you’re dealing with stress, depression or a mix of both. If you’re trying to figure out which one you’re dealing with, know that many symptoms overlap. The chart below provides an overview of each set of symptoms to help you see what you might be experiencing. Symptom Type Stress Depression Emotional Feelings Irritability, frustration, or being overwhelmed Sadness, emptiness, or hopelessness Energy Levels May feel heightened or anxious Constant fatigue or lack of motivation Sleep Patterns Difficulty sleeping or staying asleep Sleeping too much or too little Appetite Changes Eating too much or too little during stressful periods Significant, ongoing appetite changes (increase or decrease) Interest in Activities Can still find enjoyment but may feel distracted Loss of interest in things you once loved Understanding the difference between stress and depression can help you identify what’s going on and take the right steps forward. Stress is usually tied to specific challenges and often improves when the cause is resolved. However, chronic stress can linger and leave you feeling constantly on edge and increases your risk for physical and mental health issues. When left unchecked, chronic stress and anxiety can contribute to depression, creating a cycle that feels hard to break. If you’re struggling with a significant drop in energy levels and loss of interest in your life, you may have depression. Other key indicators of depression include persistent feelings of sadness and low self-esteem.  If you’re unsure, take note of overlapping symptoms or how long they’ve lasted. When symptoms begin to negatively impact your life, it’s recommended to speak with a mental health professional . An experienced provider will evaluate your symptoms and determine an appropriate course of treatment to help you find relief.  How to Reduce Stress in Your Life If stress has become a constant in your life, you’re not powerless. Managing stress is about adopting habits that help you cope in healthy ways, so it doesn’t take over your life. Here are some practical strategies to help you reduce stress and regain control. 1. Pinpoint Your Triggers Take a step back and identify what’s causing your stress. Whether it’s work deadlines, financial pressures, family dynamics, or something else, recognizing your triggers helps you approach them with a clear plan. 2. Incorporate Relaxation Practices Stress activates your body’s fight-or-flight response. Counteract it with relaxation techniques like deep breathing, meditation, or yoga. These can calm your mind and reduce physical tension. 3. Stay Physically Active Exercise is a natural stress reliever. It releases endorphins that improve your mood and reduce the effects of stress hormones . Even a brisk 20-minute walk can make a big difference. 4. Prioritize Your Time and Set Boundaries Feeling overwhelmed often stems from taking on too much. Learn to say no and focus on what’s most important. Setting boundaries protects your energy and prevents burnout. 5. Nurture Your Relationships Talking to someone you trust can be incredibly healing. Spend time with supportive friends or family, or join a support group to share your experiences and feel less alone. 6. Sleep Better to Feel Better Stress and sleep are closely linked. Aim for 7-9 hours of quality sleep each night, and create a calming bedtime routine to improve rest. 7. Limit Unhealthy Coping Mechanisms When stress hits, it’s tempting to rely on alcohol, overeating, or other unhealthy habits. Instead, choose activities that truly support your well-being, like journaling, reading, or spending time in nature. 8. Know When to Seek Help If stress feels unmanageable or chronic, reaching out to a mental health professional is a strong and positive step. Therapy can provide tools and techniques to help you cope and regain balance in your life.  Which Depression Treatment Is Right for Me? When dealing with depression, finding the right treatment can often feel like a daunting and frustrating process. If you've tried antidepressants or therapy without success, you might be experiencing treatment-resistant depression (TRD) . This condition can leave you feeling stuck and unsure of what to do next, but it’s important to remember that there are still effective treatment options available. Treatment-resistant depression occurs when a person doesn’t experience relief from symptoms after trying two or more antidepressant medications. It can also occur when traditional therapy methods don’t produce the desired results. If you’re dealing with TRD, know there are alternative treatments designed to help break the cycle of chronic depression. One of the most promising treatments for TRD is Transcranial Magnetic Stimulation (TMS) . TMS therapy is an FDA-approved, non-invasive treatment that uses magnetic pulses to stimulate areas of the brain involved in mood regulation. Antidepressants can have negative side effects like weight gain or fatigue, which TMS therapy does not.  At Michigan Advanced Psychiatry, we specialize in TMS therapy and have seen great success in helping patients who have not responded to traditional treatments. Click here to read some of the life-changing testimonials of those who’ve undergone treatment.  Find the Right Treatment with Michigan Advanced Psychiatry  If you’re stressed about your symptoms, know there is a path forward to relief. At Michigan Advanced Psychiatry, we take a personalized approach to mental health care. We’ll work with you to evaluate your symptoms and determine the most effective treatment plan for your stress, anxiety, depression or other mental health condition.  Finding the right treatment is a journey, but you can take the first step toward feeling better, contact us today to schedule an appointment. .

For millions of people struggling with depression, traditional antidepressants have long been the first-line treatment. However, not everyone finds relief with these medications. Up to 30% of those with major depressive disorder (MDD) are diagnosed with treatment-resistant depression (TRD), meaning they have tried multiple antidepressants without significant improvement. Until recently, patients prescribed Spravato® (esketamine) needed to take it alongside a daily oral antidepressant. That has now changed. The FDA has approved Spravato® as the first and only monotherapy for adults with TRD, making it a standalone treatment for those who have not responded to traditional medications. This approval marks a major milestone in mental health care. With a faster onset of action and a unique mechanism targeting the brain’s glutamate system, Spravato® is redefining how we treat persistent depression. If you or a loved one has struggled with traditional antidepressants, Advanced Psychiatry offers Spravato® therapy and can help determine if it’s right for you. How Do Traditional Antidepressants Work? Most antidepressants—including selective serotonin reuptake inhibitors ( SSRIs ) like Prozac, Zoloft, and Lexapro—work by increasing levels of serotonin in the brain. Others, such as serotonin-norepinephrine reuptake inhibitors (SNRIs) like Cymbalta and Effexor, target both serotonin and norepinephrine. While these medications can be effective, they have limitations. Downsides and unwanted side effects that many patients experience include: Delayed relief, requiring weeks before noticing improvements Nausea Weight changes Emotional numbness Sexual dysfunction.  For those with treatment-resistant depression, these medications may not provide the relief they need. This cycle can impact every aspect of life, from work and relationships to overall well-being. But it’s important to not give up, as Spravato® offers hope of relief. Why Spravato® Works Differently Unlike traditional antidepressants, Spravato® does not target serotonin or norepinephrine. Instead, it works on the NMDA receptor, a key part of the brain’s glutamate system, which plays a crucial role in mood regulation and neural connectivity. By stimulating this receptor, Spravato® helps create new neural pathways, making it easier for the brain to recover from the effects of depression. The biggest advantage? Spravato® has a much faster onset than traditional antidepressants. Many patients experience improvement within hours or days, rather than waiting weeks for relief. This makes it a promising option for individuals with severe, persistent depression who need results quickly. Another key change is that patients no longer need to take an oral antidepressant alongside Spravato®. The FDA’s new approval means it can now be used on its own—a major development for those who either did not respond well to traditional antidepressants or preferred to avoid them. Spravato® is administered as a nasal spray in a clinical setting, under medical supervision. Patients remain for a short period after each treatment for monitoring, ensuring their safety and comfort. Learn more about Spravato® treatment at Advanced Psychiatry. Spravato® vs. Traditional Antidepressants: Which Is Right for You? The choice between Spravato® and traditional antidepressants depends on previous treatment history, symptom severity, and individual response to medication. Traditional antidepressants work well for many, but they come with drawbacks, like delayed symptom relief and limited effectiveness for treatment-resistant depression . Unlike these, Spravato® provides faster, more targeted relief, especially for those who have not responded to multiple antidepressants. For those dealing with long-term, treatment-resistant depression, Spravato® may offer a more effective solution. Schedule a consultation with our team to explore whether this breakthrough therapy is the right fit. Who Is a Candidate for Spravato®? Not everyone with depression is a candidate for Spravato®, but it may be an option for those who: Have been diagnosed with treatment-resistant depression Have tried at least two different antidepressants without success Need a faster-acting solution for severe depressive symptoms At Advanced Psychiatry , our specialists provide personalized assessments to determine the best treatment plan for each patient. Take the Next Step Toward Relief If traditional antidepressants haven’t provided the relief you need, it may be time to explore a different approach. Michigan Advanced Psychiatry specializes in Spravato® therapy, offering personalized care to help you find lasting improvement. Our team will guide you through every step of the process and ensure you receive the best treatment for your needs. Contact us to schedule your appointment and take the first step toward real relief.

The FDA has officially approved Transcranial Magnetic Stimulation (TMS) therapy for adolescents aged 15 and older—marking a significant step forward in the treatment of teen depression. While insurance coverage for this age group is still limited, some insurances may cover TMS for teens aged 15–17. At Michigan Advanced Psychiatry, we’re here to guide families through this new treatment option and answer any questions. A New Chapter in Adolescent Mental Health Care Each year, more than 5 million adolescents in the U.S. experience a major depressive episode. The mental health crisis among teens has deepened in recent years, with factors like the lasting impact of the COVID-19 pandemic, social media pressures, and academic stress contributing to rising rates of depression and anxiety. For many teens, traditional treatments like antidepressant medications and talk therapy haven’t provided the relief they need. Thankfully, there’s new hope. The FDA has expanded its approval of Transcranial Magnetic Stimulation (TMS) to include adolescents aged 15 and older . This approval opens up access to a non-invasive, drug-free treatment for teens battling treatment-resistant depression. What Is TMS and How Does It Work? Transcranial Magnetic Stimulation (TMS) is a non-invasive treatment that uses targeted magnetic pulses to stimulate areas of the brain involved in mood regulation. A small magnetic coil is placed near the scalp, delivering painless pulses to activate underactive regions of the brain associated with depression. TMS therapy is: Non-invasive Drug-free Well-tolerated Performed on an outpatient basis Free from anesthesia or sedation Each session typically lasts 20–30 minutes, five days a week, over the course of six to eight weeks. Most teens can return to school or other activities immediately after treatment, making it an excellent option for busy adolescents. Why This Approval Matters Before this FDA approval, TMS was only available to adults aged 18 and older. The FDA’s decision to extend this approval to adolescents aged 15–17 offers a promising new option for families struggling to find effective treatments for their teen’s depression. This is particularly important for teens who: Have not responded to antidepressants Experience side effects from medication Are seeking an alternative or complementary treatment By offering a non-invasive, safe, and effective alternative, TMS provides a chance for teens to regain their mental well-being when other options haven’t worked. What About Insurance Coverage? At the moment, insurance coverage for TMS therapy for adolescents aged 15–17 remains limited. Cigna is currently the first major insurer to offer coverage for TMS treatment for teens aged 15–17 who meet certain criteria. For most families, TMS is still a self-pay treatment for this age group. However, some insurers are beginning to offer coverage for adolescents, and we expect this trend to continue. Want to learn more about coverage options and payment plans? Give us a call at (248) 885-8887 , and our team will guide you through the process. Is TMS Right for Your Teen? At Advanced Psychiatry, we know that every teen’s mental health journey is unique. Our experienced team is here to help you explore whether TMS is the right fit for your child. During your appointment, we’ll take the time to: Explain how TMS works Review your teen’s mental health history Discuss insurance eligibility and costs Answer all your questions to help you make an informed decision Teen TMS Therapy at Michigan Advanced Psychiatry We’re proud to offer TMS therapy for adolescents and adults throughout Michigan, including Ann Arbor, Troy, Lansing, Michigan, Fort Wayne, Indiana, and surrounding areas. We’re dedicated to offering evidence-based, compassionate care that makes a real difference in the lives of our patients. Navigating teen depression can be challenging, but you don’t have to do it alone. TMS might be the breakthrough your teen needs to feel better and start thriving in life again. Contact us to schedule a consultation or ask about TMS coverage and costs. .

Depression is a complex and often persistent condition that affects millions of individuals worldwide. While traditional antidepressant medications have been a cornerstone of treatment, they don't work for everyone. For those who haven't found relief through medication alone, alternative therapies like Transcranial Magnetic Stimulation (TMS) offer new hope. At Advanced Psychiatry, we understand the challenges of navigating depression treatment. Our goal is to provide clear, compassionate information to help you make informed decisions about your mental health care. Understanding Depression Treatment Options Traditional Antidepressant Medications like selective serotonin reuptake inhibitors ( SSRIs ) and serotonin-norepinephrine reuptake inhibitors ( SNRIs ) are common medications prescribed to manage depression. These medications work by altering brain chemistry to improve mood and emotional regulation. While many individuals experience temporary relief with these drugs, others may find them ineffective or struggle with the medication's side effects. Transcranial Magnetic Stimulation (TMS) is a non-invasive, FDA-approved treatment that uses magnetic pulses to stimulate underactive areas of the brain associated with mood regulation. It's particularly beneficial for individuals who haven't responded well to medication or prefer a drug-free approach.  We’re happy to share that TMS therapy has been approved by the FDA for adolescents who are 15 and older . This exciting new approval means more teens will have access to life-altering treatment. If you or someone you love is now qualified for treatment, please contact us today!  Here at Michigan Advanced Psychiatry, we utilize Deep TMS, which has shown significant improvements in depression, OCD, and other conditions. How Does Transcranial Magnetic Stimulation Work? During a TMS session, a medical device is placed on the patient's head, delivering painless magnetic pulses to targeted brain regions. These pulses activate neural pathways that are underactive in individuals with depression, helping to improve mood and cognitive function. Benefits of Transcranial Magnetic Stimulation: Non-Invasive No surgery or anesthesia required. Minimal Side Effects Most patients may experience minimal side effects. Effective for Treatment-Resistant Depression Offers hope for those who haven't found relief with medication. Pros and Cons of Antidepressant Medication Pros of Antidepressants: Widely Available: Easily accessible through healthcare providers. Cost-Effective: Often covered by insurance plans. Long-Term Use: Suitable for ongoing management of depression. Simple Administration: Taken orally, usually once daily. Cons of Antidepressants: Side Effects : May include weight gain, sexual dysfunction, insomnia, and gastrointestinal issues. Delayed Onset: Can take several weeks to notice improvement. Risk of Dependency: Some individuals may develop a reliance on medication. Variable Effectiveness: Not all patients experience relief, especially after multiple medication trials. Transcranial Magnetic Stimulation vs. Antidepressant Medication: A Side-by-Side Comparison Approximately 50-60% of patients with treatment-resistant depression respond to TMS, with about one-third achieving complete remission. On the other hand, antidepressants vary in effectiveness and may decrease with each subsequent medication trial. TMS's most common side effects are mild headaches or scalp discomfort. Antidepressant medications can include more impactful and dysfunctional side effects. TMS Treatment is typically 6-8 weeks, with sessions five times per week, 20-30 minutes per session, while other medications are ongoing and may require months or years of daily medication. Many patients experience relief lasting more than a year when they use TMS therapy. For people taking antidepressant medications, continuous use is often necessary to maintain benefits. Is Transcranial Magnetic Stimulation Right for You? TMS may be a suitable option if: You've tried multiple antidepressants without sufficient relief. You prefer a non-medication-based treatment. You experience intolerable side effects from medications. You're seeking an alternative to more invasive procedures. At Michigan Advanced Psychiatry, our providers will work closely with you to assess your needs and determine the most appropriate treatment plan. Take the Next Step If you're considering TMS therapy, we invite you to take our confidential self-assessment to explore your treatment options. Our team supports you on your journey toward improved mental health. Contact us today to schedule a consultation and learn more about how TMS therapy at Advanced Psychiatry can enhance your life.

Do you often find yourself obsessing over things that don’t seem to bother most people? Do you constantly repeat actions in obsessive patterns that lead to distress and exhaustion? Now is the time to learn more about what you have been experiencing. Commonly referred to as OCD, Obsessive Compulsive Disorder  is prevalent in 2.3% of adults and affects 1 in 100 children. What are Signs and Symptoms of OCD? OCD is marked by what experts called obsessions and compulsions, hence the name obsessive compulsive disorder. Obsessions are unwanted thoughts or images that are intrusive and lasting. You might try to get rid of them by doing a ritual, or attempting to think of other things. Symptoms  of obsessive thoughts include: Fear of contamination by communal objects. Doubts of completing actions like turning off the stove, or locking your door.  Intense stress or anxiety when objects aren’t clean or orderly.  Thoughts about shouting obscenities or not acting right in public.  The other half of Obsessive Compulsive Disorder is the compulsions that are fueled by your obsessions. These are repetitive behaviors that you are driven to do, and by doing them you may be able to relieve some of the anxiety linked to your obsessions. Symptoms  of compulsions can include:  Washing and cleaning, often until your hands are raw. Checking the door or stove repeatedly to see if they are locked or off. Counting in certain patterns. Following a strict routine. Ordering objects and things. What is Not OCD? There is a big difference between OCD and just being a perfectionist. It is important to understand that just because you like something a specific way does not mean that you have OCD. It might just mean that you like things to be orderly. The major difference between OCD and just being a perfectionist who likes things a certain way is that OCD often affects your quality of life. If you feel like your quality of life is being affected, then your next step is to seek treatment.  Now You Know, Next is Treatment. First, you will want to consider an evaluation of your symptoms and conditions, in order to obtain a professional opinion from one of our providers here at Advanced Psychiatry . Evaluation is important, because treatment can look different for everybody, and we want the perfect plan for you. Some treatments that we offer include: Transcranial Magnetic Stimulation , more commonly known as TMS therapy. Medication Treatment can also include just one of or a mix of these things, in order to provide the best plan for you. Each method provides a unique way to look at treatment, and all are focused on helping you take your health back into your own hands.  Ready To Learn More, We Are Here For You Nervous about what the future holds regarding your mental health and physical well-being? At Advanced Psychiatry, we strive to inform you about your options and help you understand new ways to seek treatment. Looking at a new approach to treatment can be scary, and we want to help you understand all of the parts of a new plan. We want to show you how different your treatment plan can make you feel. Check out our website  to learn more about OCD, and what treatment may look like for you.  Ready to move forward? Schedule a consultation  today to explore a personalized treatment plan designed for lasting relief and ongoing support.

Are you constantly looking for new treatments to help you feel better and maintain a healthy lifestyle, but it seems like nothing is working ? Taking medicines to help treat your mental health problems and seeing little to no improvement can be disheartening. So can looking at the long lists of side effects, and potential problems with taking new medicines. At Advanced Psychiatry , we offer a different approach through modern integrative psychiatry; our goal is to treat the cause, not just the symptoms. You Are Not Alone, What Is Modern Integrative Psychiatry? If you are experiencing mild to moderate conditions of: Depression Premenstrual dysphoric disorder Anxiety ADHD  Sleep disturbances You might be interested in the Integrative Psychiatry  approach to treatment. Focusing on helping you learn to live a balanced life and prioritizing your wellness, this program takes a new approach to treating your mental health. Every person lives a unique life, and your lifestyle can affect your mental health in many different ways, some of which you may not even realize. Our Integrative Psychiatry Program treats each person individually, according to their lifestyle. An in-depth analysis of your lifestyle, including the areas of nutrition, sleep, physiological deficiencies, and life balance, can show us how to best move forward with your personalized wellness journey. Is Integrative Psychiatry Covered by Insurance? The big question on everybody's mind: Is Integrative Psychiatry covered by insurance? The answer is yes! At Advanced Psychiatry, we accept most major insurances  and bill these appointments as office visits. Don’t let worries about insurance stop you from investigating more into the benefits and results that you can experience. Get The Support You Need At Advanced Psychiatry, we want to focus on you and your personal treatment. A plan is tailored to specifically fit your lifestyle. Integrative Psychiatry takes a holistic and preventative approach to your wellbeing in order to help you live a more balanced life. If you are looking for a new or different approach to treating your mental health, look no further; we want to help you. Ready To Learn More, We Are Here For You Nervous about what the future holds regarding your mental health and physical well-being? At Advanced Psychiatry, we strive to inform you about your options and help you understand new ways to seek treatment. Looking at a new approach to treatment can be scary, and we want to help you understand all of the components of a new plan. We want to show you how different your treatment plan can make you feel. Check out our website to learn more about our Integrative Psychiatry Program and how you can start treating differently. Ready to move forward?   Schedule a consultation  with Advanced Psychiatry and explore a personalized treatment plan designed for lasting relief and support.

For many people living with depression, the right combination of therapy, medication, and lifestyle changes can bring real relief. But for others, the darkness of depression doesn’t lift, no matter how many treatments they try. This experience, known as treatment-resistant depression (TRD), can leave you feeling isolated, discouraged, and unsure where to turn next. If this is where you find yourself, you’re not alone—and there is hope. In recent years, a new treatment option called Spravato has been offering fresh possibilities for people who haven’t found success with traditional antidepressants.  In this blog, we will explore what Spravato is, how it works, what to expect during treatment, and address common misconceptions about depression that too often stand in the way of getting help. Your journey is unique, and the path to healing may look different from what you imagined, but new doors are opening. Spravato might be one of them. Understanding Treatment-Resistant Depression Depression is a complex condition that affects both mind and body, influencing every part of daily life.  For many, medications such as SSRIs or SNRIs, combined with therapy, can ease symptoms over time. But for some, even after trying multiple antidepressants at adequate doses and durations, the relief never fully comes. This is called treatment-resistant depression (TRD). Living with TRD can be exhausting, not only because of the symptoms themselves, but because of the emotional toll of feeling like nothing works. It’s easy to begin questioning yourself or to believe damaging myths, such as “I’m just not trying hard enough” or “I should be able to snap out of this.” These misconceptions about depression are untrue and can keep people from seeking new forms of help.TRD is not a personal failure—it’s a medical condition that sometimes needs a different approach.  That’s why treatments like Spravato have been developed to provide hope when other options haven’t worked. What is Spravato? Spravato is the brand name for esketamine, a medication approved by the FDA for adults with treatment-resistant depression.  Unlike traditional antidepressants, which are taken at home in pill form, Spravato is a nasal spray administered in a certified clinic under the supervision of trained healthcare providers. Spravato can be used on its own  or alongside  oral medication to enhance effects.  Each session is carefully monitored, giving your care team the ability to track your progress, manage any side effects, and adjust your treatment plan as needed. For many people, Spravato is a chance to explore a treatment that works in a different way and offers the possibility of relief when other options haven’t helped. How Does Spravato Work? Most traditional antidepressants work by increasing the availability of certain neurotransmitters—like serotonin, norepinephrine, or dopamine—in the brain. While this can be effective for many people, it often takes weeks to notice improvement. For some, the benefits never fully arrive. Spravato works differently. It targets the brain’s glutamate system, which plays a key role in mood regulation, learning, and memory.  While research is still ongoing, studies have shown that Spravato can bring meaningful relief to individuals with treatment-resistant depression, offering not just symptom reduction, but renewed hope for healing and recovery . Steps in Spravato Treatment: What the Process Looks Like If you and your provider decide Spravato may be right for you, treatment begins with a careful, step-by-step process designed for safety, comfort, and progress. Initial Evaluation  – Before your first dose, your care team will review your medical history, current medications, and overall health to ensure Spravato is a safe choice. They’ll also talk through what you can expect during and after each session. First Treatment Session  – On the day of treatment, you’ll arrive at the clinic and be guided to a comfortable space. You’ll self-administer Spravato nasal spray under the supervision of a healthcare provider, then rest for about two hours while staff monitor you. Ongoing Sessions  – Spravato treatments usually start twice a week, then taper to once a week or less, depending on your progress. Your provider will track changes in your mood and adjust the plan as needed. What Does Spravato Treatment Feel Like?  Experiences vary—some describe a sense of lightness, calm, or slight dissociation, while others feel drowsy or simply relaxed.  Your care team will be there the entire time to ensure you feel safe and supported. This structured approach makes treatment predictable and ensures that you’re never navigating the process alone. Is Spravato Covered by Insurance? One of the first questions many people have is whether Spravato will be covered by insurance , and understandably so.  The Spravato cost can vary widely depending on factors like dosage, frequency, and location, and without coverage, it can be significant. The good news is that many insurance companies do cover Spravato for people diagnosed with treatment-resistant depression. It often requires prior authorization, however. This means your provider will need to submit documentation showing you’ve tried other treatments without success. If you’re unsure about your coverage, your care team can help by contacting your insurance provider, explaining medical necessity, and walking you through financial assistance programs if needed.  While navigating insurance can feel overwhelming, you don’t have to do it alone—there are resources and advocates ready to help make treatment accessible. Side Effects of Spravato  Like any medication, Spravato can cause side effects, though most are temporary and closely monitored during treatment.  Common side effects include:  Mild dissociation Dizziness Nausea  Changes in blood pressure Drowsiness Because Spravato is always administered in a clinic, your care team will watch for these effects and make sure you’re safe before you leave. For most patients, side effects fade within a few hours, and many find they become milder over time. What to Do After Spravato Treatment After each session, plan to rest and avoid driving or operating machinery until the next day. Many people go home to relax, nap, or engage in gentle activities like listening to music or spending quiet time with loved ones. It’s also helpful to track your mood and symptoms between treatments, as this can guide your provider in adjusting your treatment plan .  Pairing Spravato with therapy, healthy routines, and support systems great ways to strengthen and sustain its benefits. Misconceptions About Depression and Spravato Depression is often misunderstood, and these misconceptions can make it harder to seek help. Some people believe depression is simply sadness or a personal weakness, but in reality, it’s a medical condition affecting the brain and body. Addressing common misconceptions about depression is an important step toward hope and healing. Spravato itself is sometimes misunderstood, too. While it can help people find relief faster than other treatments, it is not a “quick fix.” Relief is not guaranteed immediately for everyone, and ongoing sessions in combination with other treatments are usually necessary for lasting improvement.  Spravato is closely monitored for side effects, making it a safe and structured treatment option. Conclusion Living with treatment-resistant depression can feel overwhelming, but it’s important to remember that new options and support exist.  Spravato offers a different approach, one that has helped many people find relief when other treatments haven’t worked. Recovery is rarely linear, and each person’s journey is unique. By seeking help, exploring new treatments, and leaning on support systems, you can make a meaningful difference in your recovery. You are not alone. With guidance from a trusted healthcare provider, hope and healing are within reach! Advanced Psychiatry is Here to Help You If you’re wondering whether Spravato could be right for you, the best next step is talking with a qualified provider.  At Advanced Psychiatry, we are here to answer your questions, walk you through the process, and support you every step of the way. We provide authentic and trusted treatment options to those in the Fort Wayne, Ann Arbor, Lansing, and Troy communities.  If you are considering Spravato, please reach out to schedule a consultation  and learn more about how this innovative treatment may fit into your journey toward healing.

Post-traumatic stress disorder (PTSD) affects millions of people across the United States, including veterans, first responders, survivors of violence, and those who experienced a traumatic event. While PTSD is widely recognized as a serious mental health condition, many individuals wonder: Is PTSD considered a disability? In this blog, the topics discussed include what PTSD is, who is at risk, and whether it qualifies as a disability under the Americans with Disabilities Act (ADA). At Advanced Psychiatry, we also walk through how individuals with PTSD can seek support and request accommodations when needed. What Is PTSD? PTSD  is a mental health condition that can develop after exposure to a traumatic event such as combat, physical or sexual assault, natural disasters, accidents, or life-threatening situations. While it’s normal to feel anxious or distressed after trauma, PTSD is diagnosed when symptoms persist for at least a month  and interfere with daily functioning. Common Symptoms Include: Intrusive memories, flashbacks, or nightmares Avoidance of reminders of the trauma Negative changes in mood or thoughts Hyperarousal  (feeling on edge, easily startled, difficulty sleeping) The severity of symptoms can vary widely, ranging from subtle disruptions to significant impairment, which may impact a person’s ability to work, maintain relationships, or perform daily tasks. Is PTSD a Disability Under the ADA? Yes— PTSD is recognized as a disability under the Americans with Disabilities Act (ADA)  if it substantially limits one or more major life activities. This includes impairments that affect concentration, memory, emotional regulation, sleeping, and interacting with others. The ADA protects individuals with qualifying disabilities from discrimination in employment, education, public services, and other areas of daily life. If PTSD interferes with a person’s ability to function at work or school, the law provides important protections and access to reasonable accommodations. It’s also worth noting that the Social Security Administration (SSA)  may consider PTSD a disabling condition when determining eligibility for disability benefits. Still, the criteria differ from those of the ADA. Getting Help for PTSD and Requesting Support At Advanced Psychiatry , we help patients not only manage their symptoms but also navigate the practical aspects of living with PTSD—including documentation for accommodations when needed. If your symptoms significantly impact your daily life, our team can provide the clinical evaluations and treatment support necessary to advocate for the care and adjustments you deserve. Our Services Include: Thorough psychiatric assessments Trauma-informed treatment planning Medication management Evidence-based therapies, such as cognitive behavioral therapy (CBT) Support in coordinating accommodations You don’t have to handle this alone. Whether you’re seeking help for the first time or looking for a more personalized treatment plan , our compassionate team is here to support your recovery. We’ll work with you to alleviate symptoms, rebuild your confidence, and regain control over your daily life. Moving Forward with Support PTSD can be life-disrupting, but it’s also treatable and legally recognized as a disability under the ADA when it impacts major life activities. At Advanced Psychiatry, we offer expert diagnosis, personalized treatment, and support for those seeking accommodations or healing from trauma. You don’t have to face PTSD alone. Contact us today to get the care you deserve. Want to learn more about PTSD treatment or request accommodations? Our team is here to help. Contact us  online to speak with a compassionate provider.

When depression symptoms don’t alleviate despite trying medications, therapy, or lifestyle changes, it can start to feel like you’re out of options. But healing isn’t always linear, and sometimes, the most effective treatment is one you haven’t considered yet. One such option is TMS therapy for depression. Transcranial Magnetic Stimulation  (TMS) is a non-invasive treatment that uses magnetic pulses to stimulate areas of the brain involved in mood regulation. It’s most often used for treatment-resistant depression and has offered hope to many who haven’t found relief with other treatments.  Still, it’s natural to feel hesitant about starting something new. This blog is here to guide you through the pros and cons of TMS and help you explore whether TMS therapy is right for you. What Is TMS Therapy?  TMS is an FDA-approved treatment typically recommended for those fifteen and older  with treatment-resistant depression. This means that they haven’t experienced relief from medication or therapy in treating depression. It’s also sometimes used to treat conditions like OCD or anxiety. TMS treatment is done in a doctor’s office or clinic setting. Sessions are brief, usually lasting 20 to 40 minutes, and require no anesthesia or recovery time. Many people return to work or daily activities immediately after. The Pros of TMS Therapy If you're considering TMS as part of your mental health treatment plan, it's helpful to understand the key benefits it has to offer. From minimal side effects to strong success rates, there are many reasons why people turn to TMS therap y  when other treatments haven’t worked. 1. Non-Invasive and Drug-Free One of the biggest benefits of TMS therapy is that it’s non-invasive and doesn’t involve any medication. There’s no need for anesthesia or sedation, and you won’t experience the systemic side effects that often come with antidepressants like weight gain, fatigue, or sexual dysfunction. This makes TMS a valuable option for those who can’t tolerate or prefer to avoid medication. 2. High Success Rates for Many TMS treatment success has been well-documented in clinical studies. According to Harvard Health, research shows that about 50–60% of people with treatment-resistant depression experience significant improvement. For many, TMS provides real relief after months—or even years—of trying multiple medications and therapies without results. 3. Minimal Side Effects Most people tolerate TMS very well. The most common side effects are mild scalp discomfort or a brief headache at the treatment site, which typically fades over time. Unlike medications, TMS doesn’t affect your whole body. It targets only the specific brain regions involved in mood regulation. 4. No Downtime or Major Lifestyle Disruption TMS therapy doesn’t require a hospital stay or recovery time. All sessions are done in a clinic setting, and you can return to your normal routine right afterward.  Each treatment lasts between 20 to 40 minutes, and most people are able to drive themselves to and from appointments. Whether you're working, caregiving, or managing a busy schedule, TMS can usually fit into your day with minimal disruption. 5. Covered by Most Insurance Plans Another growing benefit with this type of treatment is TMS therapy insurance coverage. Many commercial insurance providers, as well as Medicare, now cover TMS for treatment-resistant depression. Coverage varies, so it’s important to check with your provider about eligibility and pre-authorization requirements. When combined, these advantages make a strong case for why choosing TMS might be a hopeful next step in your journey toward feeling better. The Cons of TMS Therapy While TMS therapy offers hope to many, it’s important to also understand the potential challenges. Being aware of the downsides of TMS therapy can help you make a fully informed decision about whether it’s the right fit for you. 1. Time Commitment TMS requires a significant time investment. Treatments are typically scheduled five days a week for four to six weeks, with each session lasting about 20 to 40 minutes. For individuals with demanding jobs, caregiving responsibilities, or limited access to transportation, this routine can be difficult to maintain. However, there are accelerated TMS protocols  with promising results that can significantly reduce the time commitment.  2. Potential Side Effects Although TMS side effects are generally mild, they can still cause discomfort. Common effects include scalp sensitivity, headaches, or fatigue, especially early in treatment.  There is also a very small risk of seizure, though this is extremely rare. If you have a history of seizures or neurological conditions, it’s important to talk with your healthcare provider before starting TMS to determine if it’s a safe option for you. 3. Upfront Costs (If Not Covered) The cost of TMS therapy can be high if you don’t have insurance coverage. While many insurance providers now cover TMS for depression, not all do, and pre-authorization is often required. If coverage isn’t available, ask about financing options or patient assistance programs, which many clinics offer to make treatment more accessible. Is TMS Therapy Right for You? Deciding on the right treatment for depression is deeply personal, and it’s a conversation best had with a trusted mental health provider. A TMS therapy consultation can help determine whether this approach fits your unique needs, medical history, and treatment goals. While TMS can be highly effective, it’s often just one piece of a comprehensive treatment plan that may include therapy, medication, or lifestyle changes. Choosing depression treatment is never one-size-fits-all, but exploring new options like TMS is a hopeful step toward healing.  Advanced Psychiatry Is Here to Help You If you're considering TMS but still have questions, you're not alone. Seeking professional guidance is the first step toward healing.  At Advanced Psychiatry, we proudly serve the Fort Wayne, Ann Arbor, Lansing, and Troy communities with compassionate, personalized care. Interested in learning more about TMS therapy? Schedule a consultation  and take the first step toward a healthier, more balanced life.

For people living with depression that hasn’t responded to medication or therapy, Transcranial Magnetic Stimulation (TMS) therapy is becoming an increasingly recognized treatment option. As awareness grows, so does a common question: Does insurance cover Transcranial Magnetic Stimulation (TMS) therapy? Understanding insurance coverage for TMS involves navigating clinical guidelines, eligibility requirements, and new developments in the field, including a recent FDA breakthrough that extends TMS access to adolescents aged 15 and older. This blog explores what TMS therapy is, how insurance coverage works, and what patients—both teens and adults—can expect in 2025. What Is TMS Therapy? Transcranial Magnetic Stimulation  (TMS) is a non-invasive, medication-free treatment that uses magnetic pulses to activate specific brain regions involved in mood regulation. It is   FDA-approved  for the treatment of Major Depressive Disorder (MDD) and for individuals who haven’t improved with antidepressant medications or psychotherapy. TMS is typically administered in a psychiatrist’s office five days a week for 6 to 8 weeks. Each session lasts about 20 minutes. Unlike treatments that require sedation or medication adjustments,   TMS allows patients to resume daily activities immediately after   each session. This therapy is often used when other approaches have failed, which makes insurance coverage especially important for those already burdened by the emotional and financial weight of chronic depression. Is TMS Therapy Covered by Insurance? In most cases, yes—TMS therapy is covered by insurance  when specific medical criteria are met.  Major insurers that routinely include TMS as a covered treatment for Major Depressive Disorder include but are not limited to:  Blue Cross Blue Shield Aetna Cigna UnitedHealthcare Medicare  Most insurance plans require the following conditions: A confirmed diagnosis of Major Depressive Disorder Documented treatment resistance to at least two antidepressant medications Participation in evidence-based psychotherapy A formal evaluation recommending TMS therapy by a licensed provider While exact coverage and costs may vary by plan, preauthorization is typically required, and documentation of prior treatment attempts is essential for accurate reimbursement. Out-of-pocket expenses such as co-pays or coinsurance may still apply, depending on your plan. What If Insurance Doesn’t Cover It? Although most plans include TMS under certain conditions, coverage is not universal. Patients who don’t meet insurer criteria may face out-of-pocket costs ranging from   $8,000 to $10,000  for a full course of treatment. These costs often reflect the number of sessions and provider rates. In some cases, insurance plans may initially deny coverage for TMS, even when a patient meets the medical criteria. Appeals and peer-to-peer reviews with psychiatrists are sometimes necessary to gain approval. At Advanced Psychiatry, we will look into your insurance coverage and help you understand your financial options. We will ensure that alternative treatment options , such as TMS, are accessible to you. It’s always worth consulting directly with your provider to understand financial options. New FDA Approval for Adolescents Aged 15 and Older A significant development in the field of mental health treatment came recently when the FDA approved TMS therapy for adolescents aged 15 and older —marking a breakthrough in how teen depression may be addressed moving forward. This expansion is especially significant as depression rates among teens have risen, and many young people experience side effects or limited success with traditional antidepressants. While research continues to evolve, this approval opens new possibilities for non-medication-based treatment in adolescent populations. Insurance coverage for teens is still limited and largely determined on a case-by-case basis . Some insurers are beginning to approve TMS for adolescents who meet the standard medical criteria, but formal coverage policies may lag behind FDA approvals. If you are interested in TMS for teens here at Advanced Psychiatry, we encourage you to consult both us and your insurance provider to explore eligibility. Navigating the Path to TMS If you’re exploring TMS therapy, understanding insurance coverage is a critical first step. The treatment has become more accessible in recent years thanks to expanded insurance inclusion and growing clinical validation. With the new FDA approval for teens, more patients may soon be eligible for this intervention. At Advanced Psychiatry, we stay current on coverage trends and collaborate with patients, families, and insurers to help remove barriers to care. If you’re ready to explore whether TMS is right for you or have questions, let’s get connected and have that conversation. Advanced Psychiatry provides authentic and trusted treatment options to those in the Fort Wayne, Ann Arbor, Lansing, and Troy communities.  Learn more about TMS therapy and insurance by contacting our team.