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What Makes Us Different
We understand that our patients are in challenging situations.
That is why we take the utmost care in providing a safe, calming, spa-like facility that emanates positivity.
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We Accept Most Major Insurances
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What We Believe
Our mission is to cultivate psychological well-being through empathetic, patient-centered approaches to care.
Non-Invasive
Therapy
Holistic
Approach
Patient-Centered
Practice
What We Offer
Medication Evaluation & Management
Prescriptions for anxiety, depression, bipolar disorder, ADHD, & more
TMS Therapy
A non-drug, non-invasive form of treatment for major depressive disorder.
Spravato
A nasal spray meant to complement oral antidepressant therapy.
Telepsychiatry
Limit time in the waiting room and access your psychiatrist or counselor online
Counseling &
Therapy
Individual counseling, family counseling, & TMS Therapy
Pharmacogenomic Solutions
Research and analysis to find out what medications will help you the safest & most effectively
Concierge Sports Psychiatry
Independent consultations for elite athletes seeking diagnosis or treatment for mental health conditions.
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Spravato (esKetamine)
- Spravato is the brand name for esketamine, an FDA-approved medication since March 2019 for the treatment of treatment-resistant depression (TRD) and Major Depression with suicidal ideation in adults. Treatment-resistant depression is characterized by a lack of adequate response to at least two different antidepressant treatments.
- For adults experiencing Major Depressive Disorder (MDD) who have attempted two or more antidepressants without success, Spravato presents itself as a viable option. Administered via nasal spray, it is meant to complement oral antidepressant therapy.
- Contemporary oral antidepressants are widely understood to alleviate depression by elevating neurotransmitter levels in specific brain regions that influence mood. In contrast, Spravato focuses on the N-Methyl-D-Aspartate (NMDA) receptor, representing a departure from the mechanisms of action seen in currently prescribed oral antidepressants.
- Esketamine, being the enantiomer of ketamine and an NMDA antagonist, operates by augmenting levels of the neurotransmitter glutamate and a growth factor known as BNDF.
- Spravato is not a pain reliever or an aesthetic.
- Side effects include dissociation, dizziness, nausea, sleepiness, feeling anxious, lack of energy, feeling very happy or excited. See the Spravato medication guide for complete safety information.
Steps:
Come in and relax in our chair
The spray is administered in your nasal cavity
Relax while our team supervises
Make sure to have someone drive you home!
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TMS Therapy
Refresh TMS uses NeuroStar® Advanced Therapy, which is a patented TMS technology that utilizes a magnetic coil to stimulate regions of the brain associated with depression symptoms.
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![Doctor Paula Ann Francis, M.D.](https://refreshtms.com/wp-content/uploads/2022/09/paulaannfrancis-transparent-e1662745571809.png)
Get started today with
Paula-Ann Francis, M.D.
2022 Best of Weston: Best Psychiatrist