Spravato, explained without the hype
One of the first genuinely new mechanisms for depression in a generation. What a Spravato appointment actually involves, and what it is not.
St. Charles County
Considered reporting on mental health care across St. Louis and St. Charles County.
The Cover Story · Treatment-Resistant Depression
When the medication was supposed to be the answer, and it was not.

For a meaningful share of people, the first, second, or even third medication does not lift the fog. What treatment-resistant depression really means, the serious options that exist for readers across the Gateway region, and why you do not have to wait until you have run out of options to ask what else is possible.
The Gateway Health Review Editorial Team · St. Louis Metro

One of the first genuinely new mechanisms for depression in a generation. What a Spravato appointment actually involves, and what it is not.
St. Charles County
No medication, no anesthesia, drive yourself home. Transcranial magnetic stimulation is quieter than its science-fiction name suggests.
St. Louis Metro
Post-traumatic stress and chronic anxiety rarely travel alone. How they overlap with depression, and where Gateway-region readers can turn.
St. Louis Metro
Knowing that treatment exists is not the same as knowing where to start. A step-by-step map to real care, and what to say on the first call.
St. Charles County
Cost is the quiet reason many people never start. What insurance and Medicaid can do, and the questions that keep you from overpaying.
St. Louis Metro
Who we are, how we source and review our coverage, and how we handle sponsorship with a bright line between it and our editorial work.
St. Louis, MO
Published accounts of what modern depression care can look like, from major medical centers, a leading research foundation, and the treatment's own patient library. These are other outlets' stories, not patients of any clinic we feature, and outcomes differ from person to person.
The research center where the glutamate approach behind esketamine began, and how it changed the timeline for relief.
MUSC Health ↗After medication had fallen short, one patient describes what a course of transcranial magnetic stimulation changed.
Brain & Behavior Research Foundation ↗A first-person account of non-drug brain stimulation lifting the dulling weight of major depression.
SPRAVATO Patient Stories ↗The manufacturer's own collection of patient stories about treatment-resistant depression and what changed for them.
About these links: Each opens a story published by the outlet named. The Gateway Health Review does not host these accounts and did not produce them. They are shared to illustrate what these treatments can do for some people, not as a promise of any particular result, and they are not patients of Brain Recovery Centers.