right treatment
Persistent depression can affect mood, energy, motivation, and daily functioning.
Persistent sadness
Loss of interest
Fatigue
Difficulty concentratin8
Spravato, TMS, or Ketamine Therapy
Spravato, TMS, or Ketamine Therapy
Treatment-resistant depression means symptoms continue despite trying at least two antidepressants at adequate dose and duration.
Persistent sadness
Ongoing low mood
Minimal response to medication
Loss of motivation
Spravato, TMS, or Ketamine Therapy
Chronic or severe headaches can impact daily life, causing pain, fatigue, and difficulty functioning. Professional care can help reduce symptoms and improve quality of life.
Recurrent or intense head pain
Sensitivity to light or sound
Nausea or dizziness
Difficulty concentrating or performing daily tasks
Ketamine Therapy oral or intramuscular for pain management
TMS may help for certain chronic migraine patterns
SPRAVATO® Therapy in some cases where depression coexists
Severe depression can include thoughts of hopelessness, self-harm, or wanting relief from emotional pain. Immediate professional support is essential.
Hopelessness
Emotional Overwhelm
Withdrawal
Thoughts of self-harm
Spravato or Ketamine Therapy
Post-traumatic stress disorder may develop after trauma and can affect mood, sleep, and sense of safety.
Flashbacks
Nightmares
Hypervigilance
Avoidance
TMS or Ketamine Therapy
Bipolar disorder involves shifts between depressive and elevated mood states and requires careful treatment planning.
Depressive episodes
Increased energy
Reduced need for sleep
Mood swings
Ketamine Therapy
Obsessive-compulsive disorder involves intrusive thoughts and repetitive behaviors that can interfere with daily life.
Intrusive thoughts
Repetitive checking
Excessive cleaning
Mental rituals
TMS or Ketamine Therapy
Anxiety can cause persistent worry, physical tension, and difficulty managing daily stress. Advanced therapies may help when symptoms remain severe.
Excessive worry
Restlessness
Muscle tension
Racing thoughts
TMS or Ketamine Therapy
Trauma can affect emotional regulation, safety, and daily functioning long after a difficult experience.
Emotional numbness
Hypervigilance
Irritability
Avoidance
TMS or Ketamine Therapy
Sleep problems often occur alongside depression, anxiety, and trauma-related conditions. Improving the underlying condition may improve sleep.
Difficulty falling asleep
Frequent waking
Early morning waking
Daytime fatigue
TMS or Ketamine Therapy
Ketamine Therapy

Ketamine Therapy is a powerful, research-backed treatment option for individuals experiencing major depressive disorder, treatment-resistant depression, anxiety disorders, PTSD, and other mood-related conditions. For people who have tried multiple medications without meaningful improvement, ketamine can offer fast, restorative relief — often within hours to days.
Instead of targeting serotonin like traditional antidepressants, ketamine works on the glutamate system, helping the brain rebuild damaged neural pathways and restore healthier emotional functioning. Many patients describe feeling lighter, clearer, and more hopeful after just a few sessions.
At Attuned Psychiatry, we offer Intramuscular (IM) Ketamine and Oral Ketamine formulations, administered and monitored by a trained medical team in a calm, supportive environment.

Ketamine can rapidly reduce depressive symptoms and emotional heaviness, making it especially effective for individuals who feel stuck despite trying multiple treatments.

All Ketamine sessions at Attuned Psychiatry are closely monitored by our trained clinical staff. Your safety, comfort, and emotional
experience are our top priorities.

By increasing glutamate and encouraging neural growth, Ketamine helps restore the
brain's ability to regulate mood, connect to emotion, and think clearly.
how it works
Ketamine is used “off-label” in much lower doses for psychiatric treatment. Research shows that Ketamine can:
Stabilize mood
Support trauma recovery
Reduce suicidal thoughts
Improve emotional processing
Increase motivation and clarity
Break through long-standing depressive cycles
Improve emotional processing
Increase motivation and clarity
Break through long-standing depressive cycles
TREAT JOURNEY

We begin with a warm conversation about your symptoms, experiences, and goals to determine whether this treatment is right for you.
We review your medical history, previous medications, and emotional needs to create a safe and effective treatment plan.


Your dosing schedule is tailored to you. Treatments take place in a calming environment where you can relax and feel supported.
We walk beside you throughout your treatment series - monitoring your progress, adjusting your plan, and celebrating each milestone.

This PET scan shows brain activity using color, where blue and purple represent low energy and yellow and red represent high energy. It illustrates how a "depressed" brain is physically less active—essentially dimmed down—while a "healthy" brain is vibrant and fully engaged. The comparison highlights that depression is a biological state, but one that can be "recharged" and restored through treatment.


The difference
When standard antidepressants haven't delivered, modern therapies often respond faster, and last longer.
Treatment
Speed of effect
Response rate
Long-term stability
Standard Antidepressants
Hours to Days
5–15%
5–15%
Standard Antidepressants
SPEED: Hours to Days
RESPONSE: 5–15%
STABILITY: 5–15%
SPRAVATO® (Esketamine)
Hours
~50%
~65%
SPRAVATO® (Esketamine)
SPEED: Hours
RESPONSE: ~50%
STABILITY: ~65%
Ketamine Therapy
Hours
~50–70%
~40–60%
Ketamine Therapy
SPEED: Hours
RESPONSE: ~50–70%
STABILITY: ~40–60%
TMS Therapy
Hours
~69–83%
~65–70%
TMS Therapy
SPEED: Hours
RESPONSE: ~69–83%
STABILITY: ~65–70%
Patient stories

★ ★ ★ ★ ★
"Dr. Matzkin’s thorough, thoughtful approach shows his expertise. He listens carefully and provides solutions tailored to each individual. I highly recommend him for anyone seeking compassionate psychiatric care."

★ ★ ★ ★ ★
"Finding psychiatric care in Atlanta has been a challenge, but Dr. Matzkin is a game-changer. He listens, explains treatments clearly, and ensures continuity of care. Rain, his assistant, keeps the office running smoothly. Communication is always fast and clear."

★ ★ ★ ★ ★
"I’ve been a patient of Dr. Gideon Matzkin for several years and am deeply grateful. His remarkable expertise is matched by genuine empathy, and the staff are consistently pleasant, polite, and clear."

★ ★ ★ ★ ★
“Dr. Matzkin’s thorough, thoughtful approach shows his expertise. He listens carefully and provides solutions tailored to each individual. I highly recommend him for anyone seeking compassionate psychiatric care.”
Reach Out Today
We recognize that every individual’s journey is unique, and we’re here to provide personalized care and support.
Attuned Psychiatry provides comprehensive outpatient mental health care with a focus on evidence-based and interventional treatments. Our services include comprehensive psychiatric evaluations, ongoing medication management, SPRAVATO® (esketamine) therapy, ketamine-assisted treatment, Transcranial Magnetic Stimulation (TMS), and therapy services when clinically appropriate. We also emphasize collaborative care and coordinated treatment planning with referring providers.
We treat a wide range of mental health conditions, including but not limited to depression, treatment-resistant depression, anxiety disorders, post-traumatic stress disorder (PTSD), bipolar disorder, mood disorders, and other complex or chronic psychiatric conditions. Treatment plans are individualized and grounded in clinical assessment, patient history, and evidence-based care.
Attuned Psychiatry is a modern outpatient psychiatric practice located in Decatur, Georgia. Our facility is designed to provide a calm, professional, and supportive environment for in-person care while also offering remote options when appropriate.
SPRAVATO® (esketamine) is an FDA-approved treatment for adults with treatment-resistant depression and for depressive symptoms in adults with major depressive disorder and acute suicidal ideation or behavior. It is administered as a nasal spray under medical supervision in a certified healthcare setting. SPRAVATO® works differently from traditional antidepressants and is used in combination with an oral antidepressant as part of a structured treatment program.
Yes. Attuned Psychiatry offers telehealth appointments for select services when clinically appropriate. Telehealth allows patients to access care remotely while maintaining privacy, continuity, and high clinical standards. Availability of telehealth services may depend on the type of treatment, patient location, and clinical needs.

Top psychiatric clinic in Decatur, Georgia. Advanced, evidence-based care with SPRAVATO®, Ketamine, and TMS.
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SPRAVATO® REMS Certified · Board-Certified Psychiatry