ADVANCED DEPRESSION CARE IN DECATUR

Treatment-resistant depression does not mean the person is resistant to treatment.

It is a clinical term used when depression has not improved adequately despite previous treatment attempts. At Attuned, that history becomes the starting point for better questions.

Medication management • TMS • SPRAVATO® • Physician-led evaluation

Gideon Matzkin, MD, ABPN, founder of Attuned Psychiatry

There may be more than one next step.

A clinician taking notes during a consultation

Step # 01

Medication Strategy

Review what was tried and what happened.

Step # 02

TMS

Consider whether non-invasive brain stimulation deserves discussion.

BrainsWay Deep TMS treatment, manufacturer-supplied photograph
Hand holding a SPRAVATO nasal spray device

Step # 03

SPRAVATO®

Consider whether monitored esketamine treatment may be appropriate.

PATIENT REVIEWS

Real journeys. Real change.

★ ★ ★ ★ ★

"Compassionate Family Care"

“Dr. Matzkin listens carefully, explains options clearly, and provides thoughtful, compassionate care.”

★ ★ ★ ★ ★

"Outstanding, Patient-Centered Care"

“Dr. Matzkin is thorough, clear, and patient-centered. Communication with the office is always smooth and responsive.”

★ ★ ★ ★ ★

"Expert, Compassionate Support"

“His expertise is matched by genuine empathy, and the entire team is consistently kind, professional, and supportive.”

★ ★ ★ ★ ★

"Thoughtful, Personalized Care"

“Thoughtful, compassionate care with clear explanations and treatment tailored to the individual.”

REQUEST AN EVALUATION

Ready to understand what may be appropriate next?

Tell us what you are exploring. The Attuned team can review your questions, treatment history, insurance information, and the appropriate evaluation pathway.

Physician-led care in Decatur • Insurance benefits reviewed • Confidential inquiry

© 2026 Attuned Psychiatry, LLC. All rights reserved.

SPRAVATO® REMS Certified · Board-Certified Psychiatry