Treatment-Resistant Depression Care in Westmoreland County

Tranquil Tides Psychiatry treats treatment-resistant depression for adults in Export, PA. This is depression that has not improved after trying other antidepressant medications. It has its own options, including Spravato (esketamine), beyond what has already been tried.

Treatment-resistant depression is a recognized diagnosis with its own treatment options, and several medications failing does not close those options off.

Your first visit is a conversation about what you have already tried, what helped, what did not, and what side effects you noticed along the way. If parts of that are frustrating or discouraging to go back over, you can say so. Your provider goes over your full history before talking through the options with you.

One option is Spravato (esketamine), an FDA-approved prescription nasal spray, given and monitored in our office, on its own or together with an oral antidepressant. You and your provider decide together whether Spravato fits your history. Other medication adjustments, including changes to what you are already taking or trying a different combination, are also part of the conversation.

Care continues with follow-up visits that track how things are going, what side effects you are noticing, and what needs to change. Follow-up visits are typically more frequent at the start of a new treatment and less often once things settle. If ongoing therapy or counseling would help alongside psychiatric care, your provider will point you toward the right professional.