What Depression Really Is

Depression is more than sadness. It can make it hard to get out of bed, feel connected to the people you love, or find meaning in things that used to matter. It affects how you think, how you sleep, how you eat, and how you experience your own life.

And it is not a failure of willpower. Depression is a brain-based condition — which means it responds to treatments designed around how the brain actually works.

If medication has not been enough, you are not out of options. You may simply need a different approach.

Depression Rarely Arrives Alone

What Does Your Depression Look Like?

During your evaluation, Dr. Bermudes determines which depression subtype you have and personalizes your treatment so your brain health is optimized.

Depression With Anxiety

Anxiety and depression often travel together.

Deep TMS is FDA-cleared to treat both at once - reducing anxiety symptoms alongside the depression.

Depression With Trauma (PTSD)

Depression and trauma need to be treated together.

We address the depression with Deep TMS and use trauma-focused therapies with the strongest evidence for PTSD.

Depression as Numbness (Anhedonia)

Loss of pleasure and motivation is one of the hardest forms of depression.

When that is what you are facing, we design the plan around it — not a generic protocol.

Depression With Weight & Metabolic Struggles

Mood and metabolism are deeply connected.

We treat the depression while our physician-led metabolic program addresses the weight and metabolic side — one plan, not two.

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How We Treat Depression

We do not believe in one-size-fits-all depression treatment. Your plan is built by Dr. Bermudes around how your depression actually shows up — and may include:

Deep TMS

FDA-cleared brain stimulation for depression — including depression that has not responded to medication. Available in both standard and accelerated protocols.

Psychotherapy

Evidence-based CBT and ACT, provided alongside your other treatments so the biology and the therapy reinforce each other.

Medication Management

Thoughtful, physician-led — reviewed and adjusted as part of one coordinated plan, never in isolation.

Ketamine

Ketamine-Assisted Psychotherapy  or depression that has resisted other treatments, carefully administered ketamine paired with structured therapy can open a path forward.

Who We Help

  • Adults and adolescents (ages 15+) experiencing depression — whether newly diagnosed or long-standing
  • People whose depression has not responded to medication
  • Patients whose depression comes with anxiety, trauma, numbness, or metabolic struggles
  • Anyone who wants a physician-led plan rather than a one-size-fits-all protocol

What to Expect

Step 1

Consultation

Dr. Bermudes reviews your history and helps you understand your options.

Step 2

Your Plan

Together you design a treatment plan that fits your diagnosis, your life, and your goals.

Step 3

Ongoing Care

We stay with you — through treatment, remission, and maintenance.

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