
Breakthrough Options for Treatment-Resistant Depression in Coeur d’Alene
Living with depression that doesn’t respond to medication or therapy can be frustrating, isolating, and exhausting. At North Idaho Ketamine & TMS, we specialize in helping patients with treatment-resistant depression (TRD) regain hope through innovative, science-backed treatments like ketamine infusions and transcranial magnetic stimulation (TMS).



What Is Treatment-Resistant Depression?
Treatment-resistant depression refers to major depressive disorder (MDD) that doesn’t improve after trying at least two different antidepressants at adequate doses and durations. TRD affects millions and often requires alternative approaches beyond standard medications or talk therapy.

Frequently Asked Questions
If you’ve tried at least two antidepressants without significant improvement, you may qualify for TRD diagnosis and advanced treatments like ketamine or TMS.
TMS is often covered for TRD. Ketamine may be partially covered or considered out-of-pocket depending on your plan. Our staff can help verify benefits.
Some patients report relief within hours of their first ketamine session. TMS typically requires multiple sessions over several weeks for full benefit.
Yes, we work alongside your existing mental health provider or can serve as your primary support system.

Common Signs You May Have TRD
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Little or no relief after multiple antidepressants
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Continued fatigue, sadness, or suicidal thoughts
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Lack of response to therapy alone
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Difficulty functioning in daily life
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Feeling emotionally numb or hopeless

Why Choose North Idaho Ketamine & TMS?
We are one of the only specialized clinics in North Idaho offering cutting-edge treatments for TRD. Our patients come to us after years of failed therapies - and many experience profound relief for the first time. We focus on:
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Evidence-based therapies like ketamine infusions and TMS
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Rapid symptom relief for many patients
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Personalized care plans
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A compassionate, experienced psychiatric team
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Clear communication and insurance support

Innovative Treatments That Can Help
Ketamine Infusion Therapy - Ketamine is a fast-acting, NMDA receptor antagonist shown to improve depression symptoms within hours to days—even for patients who haven’t responded to years of antidepressants. It works through a different mechanism than SSRIs and helps reset mood regulation in the brain.
Transcranial Magnetic Stimulation (TMS) - TMS uses magnetic pulses to activate areas of the brain involved in mood. It’s FDA-approved, non-invasive, and shown to help people with TRD feel more energized, focused, and emotionally stable—often without medication side effects.
