Quick answer: Depression treatment in Las Vegas starts with medication management, available in-person or via telehealth. For treatment-resistant depression, advanced options include FDA-cleared Deep TMS and FDA-approved SPRAVATO (esketamine) nasal spray. These in-office therapies are offered after a specialized consultation to determine if they are appropriate for you.
What is treatment-resistant depression?
Treatment-resistant depression (TRD) is diagnosed when standard treatments for Major Depressive Disorder (MDD) do not provide enough relief. According to the National Institute of Mental Health, this typically means a person has not responded to at least two different antidepressant trials. This is not a personal failure, but a sign that a different treatment approach is needed.
What depression treatments are available in Las Vegas?
Our Las Vegas clinic offers several paths for treating depression, from standard medication to advanced in-office therapies. Your provider will work with you to find the best approach.
- Psychiatric Medication Management: This is the first step for many. A licensed psychiatric provider helps you find the right medication and dose. You can have these appointments online through telehealth anywhere in Nevada or in person at our Las Vegas office.
- Deep Transcranial Magnetic Stimulation (TMS): If antidepressants haven’t worked for you, Deep TMS is an FDA-cleared, non-invasive option. It uses magnetic fields to gently stimulate nerve cells in the brain. Sessions are about 20 minutes long, five days a week, for four to six weeks, and most patients notice improvement between the third and fourth week. You can drive yourself to and from these appointments. Deep TMS is not suitable for everyone, including individuals with non-removable metal in or near the head, certain implanted electronic devices, or a history of seizures.
- SPRAVATO (esketamine) Nasal Spray: Used with an oral antidepressant, SPRAVATO is an FDA-approved nasal spray for adults with treatment-resistant depression. It is given in our certified office under a clinician’s care. After treatment, you will be monitored for about two hours. Because of its effects, you must have someone drive you home and should not operate a vehicle until the next day after a restful sleep. SPRAVATO carries boxed warnings for risks of sedation, dissociation, respiratory depression, abuse and misuse, and suicidal thoughts and behaviors. For full safety information, please visit www.spravato.com.
How do I start treatment and what does it cost?
You can book your first medication management appointment online for a telehealth visit or an in-person session at our Las Vegas office. If you are interested in Deep TMS or SPRAVATO, your care begins with a special consultation with Dr. Grant Bullock to see if these treatments are a good fit for you.
The self-pay price is $150 for both initial evaluations and follow-up visits. If you’re using insurance, our team will verify your benefits before your first appointment. We are in-network with most major insurance plans, including Medicare and Medicaid. Advanced treatments often require prior authorization from your insurer.
Important to Know
Please review this information before starting care. Your treatment plan is based on a thorough evaluation by a licensed clinician. While telehealth is available throughout Nevada, some conditions may require an in-person visit. Prescriptions are provided based on clinical judgment and are not guaranteed. The information here is for educational purposes and is not a substitute for professional medical advice.
Calm Clinic appointments are scheduled and billed via Anywhere Clinic, a practice owned by Dr. Sam Zand. If you are experiencing a mental health crisis, please call or text the 988 Suicide & Crisis Lifeline or call 911. Calm Clinic does not provide emergency services.
Frequently Asked Questions
Do I need a referral for depression treatment?
No, you don’t need a referral. You can schedule your first consultation directly on our website for either a telehealth or in-person appointment.
Can I drive after TMS or SPRAVATO treatments?
You can drive yourself to and from Deep TMS sessions, as the treatment is non-sedating. However, after SPRAVATO treatment, you must have a ride home due to its effects and the required two-hour monitoring period.
How do I know if my insurance covers treatment?
We accept most major insurance plans, including Medicare and Medicaid. Before your first visit, our team will verify your benefits to give you a clear estimate of your coverage and any out-of-pocket costs.
Are appointments online or in person?
We offer both. Medication management is available through telehealth across Nevada or in person at our Las Vegas clinic. Advanced treatments like Deep TMS and SPRAVATO must be done in person at our Las Vegas office.