SPRAVATO Fast-Track · First appointment with Dr. Zubairi in 2–3 days

Depression Treatment · Ann Arbor & Ypsilanti

Depression treatment in Ann Arbor & Ypsilanti. Including when antidepressants haven't worked.

Psychiatric evaluation and medication management for depression, plus TMS therapy and SPRAVATO® for patients who haven't responded to antidepressants. All under one psychiatrist, not a rotating staff.

✓
We accept most major insurance plans.

Coverage details confirmed during your screening call.

Why it matters

Depression is common. Treatment-resistant depression is too.

1 in 12

Adults affected each year

US adults who experience a major depressive episode in a given year. It's one of the most common health conditions there is.

~30%

Treatment-resistant

People with major depression who don't get enough relief from standard antidepressants, even after trying more than one.

2+

Failed medication trials

The clinical threshold for treatment-resistant depression, and the point where TMS and SPRAVATO become options.

Source: SAMHSA National Survey on Drug Use and Health; NIMH STAR*D trial. Individual results vary.

Is advanced treatment right for you?

Most depression starts with medication and therapy. Some needs more.

✓

TMS or SPRAVATO may be a fit if you

  • — Have major depression diagnosed by a clinician
  • — Have tried two or more antidepressants without enough relief
  • — Couldn't tolerate the side effects of multiple medications
  • — Improved partly but still live with significant symptoms
  • — Have depression that keeps coming back despite treatment
  • — Are an adult (18 or older)
→

Start with a standard depression consultation if you

  • — Haven't tried an antidepressant or therapy yet
  • — Are newly diagnosed or looking for a first evaluation
  • — Have mild symptoms that only recently started
  • — Are pregnant, postpartum, or planning a pregnancy
  • — Are in active mania or psychosis
  • — Are in crisis right now (call or text 988)
Final eligibility is determined during your screening call. Take the 1-minute self-assessment →

What to expect

What your first depression visit actually looks like.

No surprises. Here's how it works, from your first call to your treatment plan.

Step 1 · Screening call

We learn your history

A clinician calls within 24 business hours. Have a list of every antidepressant you've tried, the dose, and how long you took it.

Step 2 · Evaluation

A full psychiatric evaluation

We review your symptoms, past treatments and medical history, and screen for conditions that look like depression, such as anxiety or bipolar disorder.

Step 3 · Baseline

Measured, not guessed.

You complete the PHQ-9, a standard depression scale, so we have a clear baseline to track your progress against at every visit.

Step 4 · Your plan

You leave with a clear next step

That may be starting or adjusting medication, a therapy referral, or, if you qualify, TMS therapy or SPRAVATO.

Your Treatment Path

How depression care works, step by step.

Step 1 · Standard care

Medication + therapy
Most patients start here. An SSRI, SNRI or other antidepressant, adjusted over 4 to 8 weeks, often alongside therapy. PHQ-9 tracked at every visit.

Step 2 · Adjust

Switch, add or optimize
If the first medication doesn't help enough, we adjust the dose, switch medications, or add one. Many patients respond at this stage.

Step 3 · Advanced care

TMS therapy or SPRAVATO
After two or more antidepressants haven't worked, you may qualify for TMS therapy or SPRAVATO. Insurance usually covers both once past trials are documented.

Why it matters where you go

Depression care under one psychiatrist, not a patchwork.

One clinic, every option.

Medication management, TMS and SPRAVATO under one roof. If one approach isn't working, you don't start over somewhere new. Your history moves with you.

Continuity beats convenience.

Dr. Zubairi or your assigned NP follows your care from first evaluation through every treatment change, with the full picture of your history.

Get started

Request a depression consultation.

Take a 1-minute self-assessment to see if TMS or SPRAVATO could be right for you. You'll see your result right away, and you can request a callback if you'd like to talk it through.

What happens next: A clinician not an admin will call you, review what you've already tried, and confirm the right next step.

✓

We accept most major insurance plans.

Coverage details confirmed during your screening call.

1-minute self-assessment

Could TMS or SPRAVATO be right for you?

Answer 7 quick questions and see your result right away.

  • No names or medical details needed to see your result
  • Your individual answers are not sent to the clinic
  • A clinician always makes the final decision
Not for medical emergencies. If you're in crisis in the US, call or text 988.

TMS or SPRAVATO?

Two advanced options for treatment-resistant depression.

SPRAVATO
TMS
Treatment type
Esketamine nasal spray
Magnetic stimulation
Course length
4-week induction + maintenance
6–9 weeks (36 sessions)
Time per session
About 2 hours (monitoring required)
About 30 min total
Drive yourself home?
No, ride required
Yes, immediately
Best for
Patients seeking faster onset
Patients who prefer no medication

Common questions

Depression FAQs.

Depression lasts at least two weeks, shows up most of the day nearly every day, and affects your sleep, energy, focus and interest in things you used to enjoy. If you're not sure, a screening call is a good place to start.

Not always. Many patients contact us directly. Some insurance plans require a referral from your primary care doctor, and we'll confirm what yours needs during your screening call.

Most take 4 to 8 weeks at an effective dose to reach their full effect. Some people notice better sleep or energy within the first couple of weeks, before their mood fully lifts.

Don't stop it on your own. Talk to your prescriber about the dose, the timing, or a switch. If you've tried two or more antidepressants without enough relief, you may qualify for TMS or SPRAVATO.

Depression that hasn't improved enough after two or more antidepressant trials, each at an adequate dose and for an adequate length of time. It's common, it isn't your fault, and TMS and SPRAVATO are FDA-cleared and FDA-approved options for it.

No. Both are for adults whose depression hasn't responded to standard antidepressants. Most patients start with medication, therapy or both, and we'll tell you honestly which fits you.

We accept most major insurance plans, and coverage is confirmed on your screening call. TMS and SPRAVATO coverage usually requires documented past antidepressant trials, which we help you gather.

Yes. Many patients keep their own therapist while we manage the psychiatric and medication side of their care. With your permission, we coordinate with them.

We treat depression at our Ypsilanti office, easily accessible from Ann Arbor, Plymouth, Canton, Brighton, Chelsea and Jackson, as well as surrounding areas in Washtenaw, Wayne, Livingston and Jackson counties.

Yes. We offer perinatal psychiatric consultations, including a careful review of medication options during pregnancy and breastfeeding.

Find the right next step for your depression.

Submit a request and a clinician will call within 24 business hours.

Request Psychiatric Consultation

For physicians and therapist only