Depression Treatment in Boulder

The right treatment depends on where you are. Someone who has never been treated needs a different plan than someone on their third antidepressant. The first appointment at TMS Boulder is a psychiatric evaluation — history, symptoms, prior treatments, goals, a standardized symptom score — that ends with a recommendation and a reason for it. It can be done by video from Longmont, Louisville, Lafayette, Nederland, or anywhere in Colorado, so the first step does not require a trip downtown.

• Medication management — for first treatment or for adjusting what is already prescribed. Follow-ups by video.
• TMS therapy — FDA-cleared, non-medication treatment for adults with major depressive disorder who have not responded adequately to antidepressants. Daily weekday sessions at the downtown clinic, no sedation, no recovery time.
• Accelerated TMS (iTBS) — the FDA-cleared theta-burst protocol in minutes-long sessions, with compressed schedules for eligible patients who travel in.
• SPRAVATO® (esketamine) — FDA-approved nasal spray for adults with treatment-resistant depression and for depressive symptoms in adults with major depressive disorder with acute suicidal thoughts or actions; given in the clinic under supervision with a monitoring period, often insurance-covered.
• Ketamine therapy — physician-supervised, off-label ketamine for depression that has not responded to standard treatment; monitored sessions, usually self-pay.

Depression treatment goes wrong most often at the handoffs — a therapist who cannot prescribe, a prescriber who cannot offer TMS, a TMS center that cannot manage medication. At TMS Boulder one psychiatrist oversees evaluation, medication, and every interventional option, so a plan can change without a referral and a new intake. The clinic was founded by William Kromka, MD, a board-certified psychiatrist, on that model.

Downtown Boulder, one block from Pearl Street, on foot from the Pearl Street Mall and the downtown bus station. Evaluations and follow-ups by video for the rest of the county; in-person visits for TMS, SPRAVATO®, and ketamine therapy, with accelerated scheduling available for patients driving in.

Most major commercial plans are accepted and the clinic is TRICARE-authorized. Benefits are verified and prior authorization submitted before TMS or SPRAVATO® begins; ketamine therapy and self-pay rates are explained in writing.