Treatment-Resistant Depression Therapy
Support for depression that hasn’t improved with standard treatments—offered in Marin County, San Rafael, the East Bay, Berkeley, and via telehealth across California and Washington.
When Depression Persists Despite Treatment
For many people, depression improves with therapy, medication, or lifestyle changes. But for others, symptoms continue even after trying several approaches. This experience is often described as treatment-resistant depression.
Living with ongoing depression can feel discouraging and isolating. You may have tried antidepressants, different therapists, or self-help strategies and still feel stuck in cycles of fatigue, numbness, hopelessness, or emotional overwhelm.
Treatment-resistant depression therapy focuses on understanding why previous approaches may not have worked and exploring more individualized pathways for healing. Rather than repeating the same strategies, therapy looks at deeper emotional, neurological, and relational patterns that may be maintaining the depression.
A Whole-Person Approach to Healing
Persistent depression rarely has a single cause. It often involves a combination of nervous system dysregulation, unresolved trauma, relational wounds, chronic stress, or biological factors.
Our approach integrates several evidence-informed therapies that support healing from multiple angles. These may include Somatic Mindfulness Therapy, EMDR trauma therapy, Brainspotting, Internal Family Systems (IFS), and attachment-focused psychotherapy.
These modalities help address both the emotional and physiological layers of depression. Instead of only focusing on thoughts, therapy also works with the nervous system, body awareness, and emotional patterns that shape how depression is experienced.
Over time, many clients begin to experience shifts in mood regulation, emotional resilience, and the ability to reconnect with meaning and engagement in life.
Ketamine-Assisted Therapy for Treatment-Resistant Depression
For some individuals, Ketamine-Assisted Therapy (KAP) can provide additional support when traditional treatments have not been effective.
Ketamine works differently than standard antidepressants. In a therapeutic setting, it can help create a temporary window where rigid emotional patterns soften, allowing new perspectives and emotional processing to emerge.
During Ketamine-Assisted Therapy, the medicine is combined with psychotherapy to help integrate insights and emotional experiences. This process can support people who feel stuck in long-standing depressive states.
Ketamine therapy is offered in collaboration with appropriate medical providers and can be integrated with ongoing psychotherapy to provide deeper and more lasting change.
Trauma, the Nervous System, and Depression
Many cases of treatment-resistant depression are connected to unresolved trauma or chronic nervous system stress.
Experiences such as childhood emotional neglect, relational trauma, or prolonged stress can leave the nervous system in patterns of shutdown or overwhelm. These states can feel like depression, exhaustion, emotional numbness, or lack of motivation.
Therapies that work directly with the nervous system—such as Somatic Experiencing, Sensorimotor Psychotherapy, and EMDR—can help gently process unresolved experiences and restore a greater sense of safety and regulation.
By addressing these deeper patterns, therapy often helps reduce depressive symptoms while supporting greater emotional flexibility and resilience.
Treatment-Resistant Depression Therapy in Marin County and Beyond
This therapy service supports adults throughout Marin County, San Rafael, the East Bay, and Berkeley, with in-person and telehealth options available depending on the service.
Clients across California and Washington State can access therapy through secure telehealth sessions. Psychedelic integration support is also available virtually for individuals across the United States and internationally.
If you’ve tried multiple treatments and depression still feels present, it doesn’t mean healing isn’t possible. With a thoughtful and individualized approach, many people begin to find new pathways toward relief, meaning, and connection.
Reaching out for support can be the first step toward exploring what healing might look like for you.
Ready to Dive In ?
I offer a free 20-minute consultation to learn more about my approach and services, and see if its a good fit.