Treatment-Resistant Depression Care in Dallas

If medication has not been enough, you still have options. We help adults in Dallas weigh TMS and other next steps, honestly and without pressure.

A person sitting quietly outdoors, looking toward calm water.

What treatment-resistant depression means

Treatment-resistant depression usually describes major depression that has not responded well to two or more antidepressant trials. It is common, and it is not a dead end. It is a signal to choose the next step with more care, not less.

Our job is to look at everything you have already tried and help you understand the options that actually make sense from here, including TMS for depression.

Your options after medication

TMS therapy

Non-invasive magnetic stimulation of mood-related brain areas. FDA-cleared for major depressive disorder. What we provide at our Dallas clinic.

Ketamine / esketamine

A different mechanism that some adults with treatment-resistant depression consider. We can talk through whether it fits and coordinate care.

ECT

An established option for severe or urgent cases, delivered in a hospital setting. We help you understand when it is worth a referral.

Weighing two of these? See TMS vs ketamine for depression.

How an evaluation works

  1. Consult

    We review every treatment you have tried and how each one went.

  2. Options

    We lay out the realistic next steps, including when something other than TMS makes more sense.

  3. Treatment

    If TMS fits, we personalize the protocol and begin short outpatient visits.

  4. Follow-up

    We measure symptoms and adjust, rather than leaving you to interpret changes alone.

Cost and insurance

Coverage for TMS often hinges on a documented history of failed medication trials, which many people with treatment-resistant depression already have. We help verify your benefits and explain self-pay costs.

Call (682) 540-0987

Common questions

What counts as treatment-resistant depression?

It generally describes major depression that has not responded adequately to at least two antidepressant trials at adequate dose and duration. The label is less important than choosing the right next step for you.

What are my options after medication has not worked?

Options can include TMS, ketamine or esketamine, ECT for severe cases, and changes to therapy or medication strategy. We help you weigh them honestly rather than pushing one path.

How do TMS, ketamine, and ECT compare?

They work through different mechanisms and suit different situations. TMS is non-invasive and outpatient; ketamine acts quickly for some but needs careful monitoring; ECT is the most intensive and is reserved for severe or urgent cases. We explain the trade-offs for your situation.

Is TMS effective for treatment-resistant depression?

TMS is FDA-cleared for major depressive disorder and is commonly used after medication has fallen short. Responses vary, which is why we track your symptoms over time instead of assuming.

Does insurance cover TMS for treatment-resistant depression?

Many major insurers cover TMS for major depressive disorder when criteria are met, which often involve a documented history of failed medication trials. We help verify your benefits.

How do I get evaluated in Dallas?

Call us to book a consultation. We will review your full history and explain which options are reasonable next steps.

A careful look at your next step.

Tell us what you have already tried. We will help you weigh TMS and the other realistic options for treatment-resistant depression. The fastest way is a quick call.

Call to book (682) 540-0987 Mon–Fri, 8am–6pm CT

Prefer we call you?

Leave your number and a good time. No medical details needed here.

Thanks. We will call you back at the number you provided. If this is urgent, please call us directly.

Confidential. Not for emergencies. In a crisis, call or text 988.

Call (682) 540-0987