Compare Depression Treatments at Creative Wellness TMS
Ashley Keays • September 26, 2025
Introduction
Finding the right depression treatment can feel overwhelming. At Creative Wellness TMS, we offer a range of evidence-based options - including TMS therapy, Spravato® (esketamine nasal spray), psychotherapy, and medication management. Below, we break down how these treatments compare so you can make an informed decision.
Treatment Comparison Table
| Treatment | How It Works | Who It’s For | Timeline | Benefits | Possible Side Effects |
|---|---|---|---|---|---|
| TMS Therapy | Non-invasive magnetic pulses stimulate brain regions tied to depression and OCD | Patients with depression or OCD, especially if medications haven’t worked | Noticeable change in 2–3 weeks; full benefit in 4–6 weeks (30–36 sessions) | FDA-approved, non-drug, covered by many insurance providers | Mild scalp discomfort, headache, fatigue |
| Spravato® (Esketamine Nasal Spray) | Nasal spray administered under medical supervision; acts on glutamate pathways | Adults with treatment-resistant depression | Rapid relief possible in hours; full effect in 4 weeks | Fast-acting, option when other medications fail | Temporary nausea, dizziness, dissociation, higher blood pressure |
| Psychotherapy | Talk therapy (CBT, DBT, etc.) to process emotions and build coping skills | Anyone with depression, anxiety, or relationship challenges | Gradual; relief may begin after first sessions | Builds lifelong coping tools, personalized to the patient | Emotional discomfort when processing trauma |
| Medication Management | Prescribing and adjusting psychiatric medications (SSRIs, SNRIs, etc.) | Patients with depression, anxiety, or other diagnoses | 4–8 weeks to feel therapeutic effect | Broad range of medications; often covered by insurance | Varies by medication (weight change, sleep issues, mood shifts) |
Which Treatment Is Right for You?
There’s no single “best” option. The right treatment depends on your unique history, preferences, and goals. Many patients benefit from a combination - such as TMS alongside counseling, or Spravato® with ongoing medication management.
At Creative Wellness TMS, we’ll help you:
- Review what’s worked (and what hasn’t) in the past
- Understand your treatment options clearly
- Create a personalized plan to move forward with confidence
Interested in learning more?
Schedule a consultation to see if TMS could be right for you.
Visit our contact page or call 253-900-1605 to speak with our team.
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If you’ve been exploring options for treating depression or anxiety, you may have come across both talk therapy and TMS therapy. While they’re powerful on their own, research shows that the combination of the two can lead to the most sustainable, long-term improvement in mental health. At Creative Wellness TMS, we believe in a blended approach - where brain-based treatments and emotional support work hand-in-hand.
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If you’ve been struggling with depression that hasn’t improved with traditional treatments, Spravato® (esketamine) nasal therapy may be an option worth exploring. FDA-approved for treatment-resistant depression, Spravato offers a new pathway to relief. But how do you choose the right provider in Washington? Not all clinics are the same, and finding the right fit can make a big difference in your experience and outcomes.
