Adults (and adolescents 15–21) with depression, treatment-resistant depression, or OCD who haven't responded adequately to standard pharmacotherapy and psychotherapy. Patients on stable medication who want to add an interventional option are typically good candidates too. We coordinate with your existing treatment plan rather than replacing it.

Our intake team follows up promptly on every referral. Urgent cases — particularly active suicidality — should be flagged on the referral form so we can prioritize accordingly.

That's what the initial consultation is for. Dr. Blair reviews your history, what you've tried, what's worked partially, what hasn't, and what the most likely-to-help next step is. We don't push you toward our most profitable service - we recommend based on the evidence and your specific situation.

Yes. We're in-network with Medicare and Ohio Medicaid for FDA-cleared treatments (TMS, Spravato). IV ketamine is cash-pay only, as it's an off-label indication not covered by any major payer. We verify benefits and provide a written cost estimate before treatment begins.

With patient authorization, we send treatment updates, progress, and recommendations back to the referring provider. Communication includes initial consultation outcomes, mid-treatment updates where relevant, and end-of-treatment summaries with the clinical team's recommendations for ongoing care. We can send via fax, secure email, or your preferred communication channel.

We're in-network with most major commercial plans, Medicare, and Ohio Medicaid for FDA-cleared treatments. Coverage depends on your specific plan, the treatment, and medical necessity criteria. We verify benefits and provide a written estimate before treatment starts. IV ketamine is cash-pay.

Yes. Our clinical team of Board Certified Psychiatrists and Psychiatric Nurse Practitioners specializes in patients who haven't responded to first-line treatment. Common comorbidities (anxiety, OCD, PTSD, substance use) and polypharmacy are factored into treatment planning. We coordinate with your practice and any other prescribers on the patient's team.

Yes - and we'll tell you directly if a patient isn't a fit. Active suicidal crisis requiring inpatient stabilization, severe psychosis, active substance dependence requiring detox, certain metallic implants for TMS, and pregnancy (for some services) are common exclusions. If we can't treat, we'll help direct the patient to the right next setting.

Not for most services. Insurance prior authorization typically requires documentation of prior medication trials, but that can come from records sent separately or pulled from prior pharmacy claims. A formal referral letter speeds the process but isn't required.