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Frequently Asked Questions

We've compiled some of the most frequently asked questions we get at Axis Integrated Mental Health. Read on to learn more or email us at if you have a question you don't see answered here.


What is treatment-resistant depression (TRD)?

Treatment-resistant depression (TRD) is when you have depression and you have an inadequate response to at least two antidepressant treatments. TRD doesn’t mean that there isn’t a treatment that will work for you; it just means that the treatments you have tried so far have not worked for your depression. 

The Axis Integrated Mental Health team can help you find a treatment that works for you.

What is major depressive disorder (MDD)?

Major Depressive Disorder (MDD) or clinical depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. MDD can change how you think and behave, causing challenges in daily activities.

According to a report by the World Health Organization (WHO), depressive disorders are a leading cause of  mental disability in the world. In 2008, clinical depression ranked number three as the cause of the burden of mental disability worldwide.

How long does it take for a new medication to work?

How long it takes a new medication to work depends on the type of medication you are taking. It can take as long as 6 weeks to start to feel the effects of medication and longer to get complete relief.

Spravato and Ketamine patients normally feel relief within a few hours after treatment, but don't see full benefit until 12 weeks. 

TMS patients can see improvement as early as three weeks into treatment, but are likely to see the best results between the fourth and sixth week of treatment. 

The team at Axis Integrated Mental Health offers medication management services. It can help you understand how long it will take for your medication to work and help you monitor your meditation's impact on your mental health condition. 

Why weren’t my past medications effective?

Your past medications may not have effectively treated your depression or other mental health conditions because treating mental health conditions is complicated.

 Medications are the first line of defense but are not the only treatment option for depression and other mental health conditions. Axis Integrated Mental Health can help you explore additional treatment options.

What is an integrative approach to mental health?

Integrative psychiatry includes the use of medication as well as evidence-based complementary therapies, such as Ketamine and TMS, as well as healthy lifestyle changes.

What are ketamine infusions?

Ketamine infusions can help individuals diagnosed with mental health disorders, such as depression, anxiety, PTSD, stress, OCD, and bipolar disorder. Ketamine infusions are given at our office under the supervision of our staff.

Is Spravato the same as ketamine?

The active drug in Spravato is esketamine. Esketamine and ketamine are not the same things, although esketamine is a ketamine derivative. 

Ketamine is comprised of two mirror-image molecules: R-ketamine and 5-ketamine (which is known as esketamine). Therefore, Esketamine is one-half of the molecular compound within ketamine. 

Spravato, when used in combination with another antidepressant medication, is approved for use by the U.S. F.D.A. for treating adults with TRD and MDD.

What is TMS?

Transcranial magnetic stimulation, or TMS, is a cutting-edge and highly effective form of brain stimulation therapy that is FDA-approved for treating major depressive disorder (MDD). TMS is also FDA-approved for treating other conditions, such as Parkinson’s disease and anxiety. We also offer off-label TMS therapy to manage teenage depression, ADHD, PTSD, and OCD conditions.

How much does Ketamine infusions cost?

Please read our article about Ketamine Infusion Costs to learn how much each treatment costs, insurance coverage, and other frequently asked questions about Ketamine infusions.

How much does Spravato cost?

Please read our article about Spravato Costs to learn how much each treatment costs, insurance coverage, and other frequently asked questions about Spravato therapy.

How much does TMS Therapy cost?

Please read our article about TMS Therapy Costs to learn how much each treatment costs, insurance coverage, and other frequently asked questions about TMS Therapy.

Do I need to take meds to recover from depression?

While there is a time and place for medications, we also offer non-pharmacological treatments like TMS, psychotherapy, nutritional psychiatry, and social prescribing to support patients who do not want antidepressants. Or, we can also help you reduce your medication load in combination with these alternative depression treatments.

Are you accepting new patients?

Yes! We are accepting new patients at Axis Integrated Mental Health. If you are looking for a treatment partner for depression, seasonal affective disorder (SAD), post-traumatic stress disorder (PTSD), attention-deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), burnout, and Covid depression, we can help you. 

How do I book an appointment?

To book an appointment with a board-certified psychiatric provider or therapist or to answer any other frequently asked questions you may have, please schedule online or in-person on our live calendar. We typically have availability within 7 days or less.

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