The conditions
Six conditions, each treated on its own terms.
There is no single protocol here. We match the modalities to the condition, your diagnosis, and what you have already tried, then adjust as you respond. Select a condition to see how we treat it.
Major Depression & TRD
MDD & Treatment-Resistant Depression
Major depressive disorder is more than a low mood. It brings a sustained loss of interest in things that used to matter, along with changes in sleep and appetite, trouble concentrating, and a heavy fatigue that does not lift with rest. For most people the first line is a combination of antidepressant medication and therapy, and for many that is enough. Treatment-resistant depression is what we call it when two or more medication trials have failed to produce real relief. That is the point where standard care runs out of road. We use TMS to wake up the underactive circuits that drive mood, ketamine to create fast relief and new neural connections, and medication management to keep the foundation steady. Hard-sided HBOT is added where inflammation is part of the picture. Every plan is built on your history, not a template.
Treated with
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Anxiety Disorders
GAD, Panic, Social Anxiety, Phobias
Anxiety disorders are persistent fear and worry that does not switch off when the situation is over. They include generalized anxiety disorder, panic disorder, social anxiety disorder, and specific phobias, and they often show up in the body as a racing heart, muscle tension, broken sleep, and trouble focusing. The drivers are rarely one thing. Brain chemistry, past trauma, chronic stress, and genetics all play a part, which is why a single medication often falls short. At Mind Spa we treat both the biology and the patterns that keep anxiety running. TMS targets the brain regions involved in mood and threat regulation, ketamine offers rapid relief for severe or stubborn cases, and trauma-informed therapy retrains the response over time. Medication management ties it together. The goal is not to numb you. It is to give you back control.
Treated with
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Post-Traumatic Stress Disorder
PTSD
PTSD is the nervous system staying locked in a threat response long after the danger has passed. It shows up as intrusive memories, flashbacks, nightmares, hypervigilance, and a sense of detachment from the people you love. The standard first-line treatments are cognitive behavioral therapy and prolonged exposure, and they help many people. They do not reach everyone, because trauma is not stored in thoughts alone. It is held across the entire nervous system, body included. Mind Spa treats PTSD with a layered, somatic approach designed to work with the nervous system on more than one front at once. Ketamine can loosen the grip of entrenched trauma responses and open a window for therapy to land, TMS supports mood and regulation, HBOT addresses the physical toll, and trauma-informed therapy does the reprocessing work. This is the model we built for veterans and first responders, and it is open to anyone carrying trauma.
Treated with
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Obsessive-Compulsive Disorder
OCD
Obsessive-compulsive disorder is a loop. Intrusive, unwanted thoughts create intense anxiety, and compulsions, the rituals, checking, counting, cleaning, or arranging, are the attempts to quiet that anxiety for a moment. The relief never lasts, so the loop tightens. Common obsessions range from fears of contamination and harm to an overwhelming need for symmetry and order. Standard care leans on therapy and medication, and exposure and response prevention is the therapy with the strongest track record. For OCD that does not respond, there is a device-based option. TMS is FDA cleared for OCD and works by targeting the specific brain circuit involved in the obsessive-compulsive cycle. We pair it with focused therapy and medication management so the loop is broken from more than one direction.
Treated with
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Traumatic Brain Injury
TBI
Traumatic brain injury results from a sudden external force to the head, and it ranges from a mild concussion to a severe, life-altering injury. The damage is not only the initial impact. TBI sets off a secondary cascade of inflammation, chemical changes, blood vessel damage, and reduced oxygen flow to brain tissue, and that cascade is what drives the long tail of symptoms. People live with persistent headaches, brain fog, memory and concentration problems, mood changes, and disrupted sleep, sometimes for years. Rest and rehabilitation are the standard, and they are necessary, but they do not always repair the underlying injury. Hard-sided hyperbaric oxygen therapy floods the brain with oxygen under pressure, which can support healing and lower inflammation in injured tissue, while ketamine adds a neuroprotective, anti-inflammatory effect. For the veterans and blast-exposed patients we see, this combination targets the part of TBI that standard care tends to leave behind.
Treated with
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Acute Stress & Adjustment
Acute Stress Disorder
Acute stress disorder develops in the first month after a traumatic event, and it is the body's alarm system stuck in the on position. Symptoms fall into five groups: intrusive memories and flashbacks, a flattened or negative mood, dissociation and a sense of unreality, avoidance of anything that recalls the event, and heightened arousal such as poor sleep, irritability, and an exaggerated startle response. Left alone, acute stress disorder can harden into PTSD, which is harder to treat the longer it sets in. That is why the window right after trauma matters so much, and it is the point of intervention. We treat it with trauma-informed therapy and exposure work, stress management, short-term medication where it helps, and ketamine in select cases to take the edge off severe symptoms. Early, focused care is often what keeps a temporary crisis from becoming a permanent diagnosis.
Treated with
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