Our Services
Conditions We Treat
Integrative Psychiatry with Acupuncture
T.O.V.A - ADHD Testing
- Anxiety Treatment
- ADHD Treatment
- Bipolar Treatment
- Depression Treatment
- Insomnia Treatment
- OCD Treatment
- PTSD Treatment
- Pain Management
- Tobacco Cessation
T.O.V.A - ADHD Testing
Integrative Psychiatry with Acupuncture
T.O.V.A - ADHD Testing
At Refined Integrative Psychiatry & Wellness, we use the T.O.V.A. (Test of Variables of Attention) to provide an accurate, evidence-based assessment for diagnosing ADHD in both children and adults.
The T.O.V.A. is an FDA-cleared, computerized test that objectively measures attention, focus, and impulse control. During the 21-minute test, patients respond to visual or auditory cues using a precision response button.
The results analyze consistency, reaction time, impulsivity, and vigilance, comparing them to age- and gender-matched norms to help guide accurate diagnosis and personalized treatment planning.
Integrative Psychiatry with Acupuncture
Integrative Psychiatry with Acupuncture
Integrative Psychiatry with Acupuncture
Acupuncture works by stimulating specific points on the body to regulate the brain, nervous system, and hormones, promoting a state of deep relaxation and emotional stability. It helps by:
- Reducing Anxiety & Stress – Lowers cortisol levels, balances neurotransmitters, and promotes a sense of calm.
- Easing Depression – Stimulates the release of serotonin and dopamine to enhance mood naturally.
- Improving Sleep & Insomnia – Enhances melatonin production and calms an overactive mind.
- Regulating Mood Disorders – Supports emotional stability in conditions like bipolar disorder.
The GeneSight Psychotropic Test
The GeneSight Psychotropic Test
Integrative Psychiatry with Acupuncture
helps us understand how your genetic makeup affects how you respond to common psychiatric medications like antidepressants, anti-anxiety meds, and ADHD treatments.
Light Therapy
The GeneSight Psychotropic Test
Light Therapy
- Boosts cellular energy so your brain feels clearer and less heavy.
- Lowers inflammation which can reduce tension anxiety and irritability.
- Helps mood regulation especially as an add on in depression care.
- Improves sleep quality by supporting circadian rhythm and downshifting fight or flight.
SPRAVATO™ (Esketamine) Treatment
What Is Spravato?
Spravato is the brand name for esketamine, an FDA-approved treatment for treatment-resistant depression. It is an advanced option for individuals who have not experienced sufficient relief from traditional antidepressant medications.
An estimated 30 to 40 percent of people with depression do not respond adequately to first-line treatments such as oral antidepressants. One reason is that most conventional medications primarily target a limited number of brain chemicals such as serotonin, norepinephrine, and dopamine.
Spravato works differently. It targets the NMDA receptor system in the brain, which plays a key role in regulating communication between nerve cells. By acting on this pathway, Spravato may help restore healthier brain connectivity and reduce depressive symptoms in a way traditional medications cannot.
In clinical studies, Spravato demonstrated significant reductions in depressive symptoms. Compared to standard antidepressants, it is fast-acting, with many patients reporting improvement within 24 hours. This unique mechanism makes Spravato an important treatment option for individuals with treatment-resistant depression.
How Spravato Is Administered (Nasal Spray)
Spravato is administered as a nasal spray, not as a pill or injection. This delivery method enables the medication to be rapidly absorbed through the nasal lining and into the bloodstream, allowing it to reach the brain more quickly than traditional oral antidepressants.
During each treatment session, the nasal spray is self-administered by the patient under direct medical supervision. Your provider will guide you step by step to ensure proper use and timing. The medication is given in a controlled clinical setting and cannot be taken home.
The nasal spray is delivered in a series of doses, with short rest periods in between. This structured approach allows the body to absorb the medication gradually while your healthcare team closely monitors your response.
Because Spravato can cause temporary side effects such as sedation or dissociation, patients remain in the treatment suite for at least two hours of observation after administration. Vital signs and overall well-being are monitored throughout the session to ensure safety.
The nasal spray route is one of the reasons Spravato works differently from standard antidepressants. Instead of relying on daily oral dosing that builds slowly over weeks, Spravato’s nasal delivery allows for a faster onset of antidepressant effects, with many patients noticing improvement within the first 24 to 48 hours.
This method of administration is a key part of what makes Spravato an effective option for individuals with treatment-resistant depression when other medications have not worked.
What Will I Feel During Treatment?
During treatment, some patients feel very relaxed or sleepy. Others may experience floating sensations, altered perception, or an out-of-body feeling. Mild tingling in the hands or feet and brief visual changes can also occur.
These effects typically peak shortly after administration and gradually subside. Once your provider determines it is safe for you to leave, you will be discharged. A friend or family member must drive you home, as driving is not permitted the same day.
Am I a Candidate for Spravato?
Our providers conduct comprehensive psychiatric evaluations before recommending Spravato. This includes a detailed review of your mental health history, prior treatments, medical conditions, and current symptoms.
You may be a candidate if you have depression that has not responded to multiple medication trials or other standard treatments.
Spravato may not be appropriate if you have uncontrolled high blood pressure, certain cardiovascular or blood vessel conditions, liver disease, or a personal or family history of psychosis or substance use disorder. These factors are carefully reviewed during your consultation.
Cost and Insurance Coverage?
The cost of Spravato depends on your individual insurance plan. Many patients can use insurance benefits.
Insurance benefits and expected costs are reviewed before starting treatment so you can make an informed decision without surprises.
Contact Us
Ready to get started? Contact us to schedule an appointment or to learn more about Spravato treatment.
Integrative Holistic Psychiatry
Welcome!
Please complete the appointment request form for your initial visit. Once submitted, our team will review it and get back to you as soon as possible.