Home / Depression
Depression treatment · Salem, Oregon
Depression care that doesn't make you wait months to feel better
When antidepressants take weeks to work, or don't work at all, ketamine therapy and Exomind TMS offer two different paths forward. We help you choose the right one.
- 5.0 from 48 Google reviews
- No referral needed
Understanding depression
More than a bad week
Depression affects sleep, energy, focus and the ability to enjoy things you used to love. For many people, standard medications help only partly, take a long time to work, or bring side effects that are hard to live with.
Ketamine and TMS work differently from typical antidepressants. Ketamine acts on glutamate, the brain's main signaling chemical, and many people notice a change within hours or days. Exomind TMS strengthens activity in the mood centers of the brain without any medication.
Common signs
- Persistent sadness, emptiness or hopelessness
- Loss of interest in things you used to enjoy
- Changes in sleep, appetite or energy
- Trouble concentrating or making decisions
- Thoughts of death or suicide
Treatment
Your treatment options
Many patients use one treatment, and some combine them. Your provider recommends a plan at your consultation.
Ketamine therapy
IV infusions in a private, monitored room, or low-dose oral ketamine for mild to moderate symptoms.
Oral $200–$250 · IV $450 per infusion Drug-freeExomind TMS
Gentle magnetic pulses with no medication, sedation or downtime. About 30 minutes, and you drive yourself home.
$350 per session In person or telehealthCounseling
One-on-one therapy with our licensed counselor, in our Salem office or by secure video.
$125 per session · UnitedHealthcare/Optum or ThrizerExomind TMS is FDA-cleared for major depressive disorder in adults. Ketamine is used off-label for depression under close medical supervision.
Getting started
What to expect
Book a consultation
Schedule online or call us. Consultations are $75 and may be covered by insurance.
Careful evaluation
Your provider reviews your symptoms, history and medications.
Your plan
We recommend the treatment that fits you, and explain costs and financing up front.
Ongoing support
We track your progress and adjust your plan as you improve.
Patient stories
Care that patients trust
"He listened to my experiences, explained everything well, answered my questions, and let me know how treatment would go and what to expect. Very comfortable, safe space."
Alicia P.Google review
"Dr. Fillmore spent the time to talk with us about the procedure, what it would be like and continued throughout the meeting to ask if we had further questions."
Kathleen W.Google review
"This therapy has been life changing in itself, and made all the more meaningful by the professionalism, kindness and down to earth manner of Dr. Fillmore."
Laurie P.Google review
Questions
Depression FAQs
How fast does ketamine work for depression?
Many people notice a change within hours or days of their first IV infusions. Results vary, so we track your progress at every visit.
Is Exomind TMS FDA-cleared for depression?
Yes. Exomind is FDA-cleared for major depressive disorder in adults. Sessions take about 30 minutes, and you can drive yourself home.
Do I need to stop my antidepressant?
Usually not. Most patients stay on their current medications. Your provider reviews everything you take at your consultation.
How much does treatment cost?
Consultations are $75 and may be covered by insurance. Oral ketamine is $200–$250, IV infusions are $450 per infusion, and TMS is $350 per session. Financing is available.
What if I'm having thoughts of suicide?
If you are in crisis, call or text 988 or call 911 right away. Ketamine may help reduce suicidal thoughts quickly, and we can talk about it once you're safe.
Feel like yourself again
Book a $75 consultation at our Salem clinic. No referral needed.