Treatment-Resistant Depression
When depression doesn't respond to traditional medications and therapy, specialized interventional treatments can provide new hope. Dr. Levinson specializes in advanced therapies for people who haven't found relief through conventional approaches.
What is Treatment-Resistant Depression?
- Depression that doesn't improve after trying 2+ antidepressants
- Medications provide little to no symptom relief
- Side effects outweigh benefits of treatment
- Symptoms return quickly when medication is stopped
- Therapy alone isn't providing sufficient improvement
Common Symptoms
- Persistent sadness or empty feelings
- Loss of interest in activities once enjoyed
- Fatigue and decreased energy
- Difficulty concentrating or making decisions
- Sleep disturbances (too much or too little)
- Appetite changes and weight fluctuations
- Feelings of worthlessness or excessive guilt
- Physical symptoms without clear medical cause
Our Specialized Approach
- Comprehensive evaluation of treatment history
- Genetic testing to optimize medication selection
- Advanced brain stimulation treatments (TMS, ECT)
- Rapid-acting treatments (ketamine therapy)
- Combination therapy approaches
- Regular monitoring and adjustment
- Coordination with other healthcare providers
What to Expect
- Initial 90-minute comprehensive evaluation
- Review of all previous treatments and responses
- Discussion of advanced treatment options
- Personalized treatment plan development
- Insurance verification and prior authorization
- Regular follow-up and progress monitoring
- Adjustment of treatments based on response
⚠️ When to Seek Immediate Help
If you're experiencing thoughts of suicide, self-harm, or feel like you're in crisis, please seek immediate help.
Call 988 (Suicide Prevention Lifeline)Bipolar Disorder
Bipolar disorder involves extreme mood swings between manic highs and depressive lows. Dr. Levinson provides comprehensive treatment including mood stabilizers, long-acting injectables, and advanced therapies to help maintain stability.
Types of Bipolar Disorder
- Bipolar I: At least one manic episode lasting 7+ days
- Bipolar II: Hypomanic and depressive episodes
- Cyclothymic Disorder: Chronic mood instability
- Mixed Episodes: Simultaneous manic and depressive symptoms
- Rapid Cycling: 4+ episodes per year
Manic Episode Signs
- Elevated, expansive, or irritable mood
- Decreased need for sleep (feeling rested after 3 hours)
- Grandiosity or inflated self-esteem
- Racing thoughts or flight of ideas
- Increased goal-directed activity
- Excessive involvement in risky activities
- Distractibility and poor judgment
Depressive Episode Signs
- Persistent sadness or hopelessness
- Loss of interest in activities
- Significant weight loss or gain
- Sleep disturbances
- Fatigue or loss of energy
- Difficulty concentrating
- Feelings of worthlessness or guilt
- Suicidal thoughts or behaviors
Long-Acting Injectable Benefits
- Improved medication adherence
- Steady medication levels in bloodstream
- Reduced risk of relapse
- Monthly or quarterly dosing schedules
- Decreased daily pill burden
- Better long-term stability
- Simplified medication management
Schizophrenia & Psychotic Disorders
Comprehensive treatment for schizophrenia and related psychotic conditions using evidence-based medications, long-acting injectables, and coordinated care to support recovery and long-term stability.