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Hyka empowers people like you to learn about options for depression and get connected with care.

With Hyka Discover, you can make sense of your options. When you’re ready to Get Care, we’ll be right here to help you consider exclusion criteria, find a provider, and get to your first appointment. 😎

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Select a treatment 🏥

First up, let's narrow in on a specific treatment. If you aren't sure about the differences between these therapies, we'd encourage to learn more about them on our Discover page. 📚

Details, including exclusion criteria that might prevent you from pursuing a specific treatment, are revealed by hovering over a selection.

It's important to know that this selection is not binding. We'll help you coordinate a medical consultation to confirm that it's right for you.

Transcranial Magnetic Stimulation

An FDA-approved machine that uses a strong electromagnet placed near the head to deliver rapid, painless magnetic fields that cause neurons to fire in an area of the brain that is underactive in depression.

Notes for you

Typically requires 20-30 sessions (30-minutes, 5 days a week for 4-6 weeks). Side effects are most commonly headache / scalp discomfort. Around half of TMS patients report some improvement in their depression; around one-third have their depression go into remission.

Advantages include: fewer side effects than other treatments, no anesthesia required or recovery period necessary afterward. What it feels like: sitting in a dentist chair with a machine near your head that makes a loud tapping noise with some possible scalp discomfort. Most do not describe TMS as painful.

Possible exclusion criteria*

+ A history of seizures
+ Metal implanted in or near your head or neck

*We include descriptions for things that may prohibit you from undergoing this particular therapy. For informational purposes only. You can confirm eligibility with a provider during a medical consultation.

Ketamine

This is an anesthetic drug which can be adminsitered either as an intravenous infusion or as a nasal spray (esketamine) that is approved by the FDA for the treatment of treatment-resistant depression.

Notes for you

Typically delivered in 2 sessions per week (for 4-8 weeks). Patients are monitored for around two hours after getting the medication. Side effects include dissociation or psychotic symptoms, increased blood pressure and pulse, anxiety, dizziness, headache, and nausea. 25-65% experience a significant reduction in depressive symptoms.

Advantages include rapid antidepressive effects. Disadvantages include dissociation, psychotic symptoms or anxiety, which can be destabilizing. What it feels like: for an intravenous infusion, you'll have an intravenous line placed, and relax for a few hours. For esketamine, patients often self administer the spray and are then monitored in clinic.

Possible exclusion criteria*

+ active substance abuse disorders
+ women who are pregnant, nursing, or planning a pregnancy
+ a previous diagnosis of schizophrenia
+ heart or vascular problems, aneurysms, uncontrolled blood pressure

*We include descriptions for things that may prohibit you from undergoing this particular therapy. For informational purposes only. You can confirm eligibility with a provider during a medical consultation.

Electroconvulsive Therapy

An FDA-approved practice where patients are placed under anesthesia and an electrical current is applied to the brain to provoke a motionless seizure, which has been found to be helpful for various mental illnesses.

Notes for you

Typically 6-12 sessions (around 2-3 per week). You may require infrequent "maintenance" sessions for several months thereafter. Side effects include temporary memory loss, headaches, muscle pain, jaw and neck discomfort, dental or tongue injuries, and nausea. 55-84% of patients have their depression go into remission.

Advantages include high efficacy for treatment-resistant depression, whereas disadvantages include the possibility of temporary memory impairment and a need for anesthesia recovery.What it feels like: you lay down, go to sleep with anesthesia, and wake up in the recovery room, without much recollection of the procedure.

Possible exclusion criteria*

+ heart or vascular problems, aneurysms, uncontrolled blood pressure

*We include descriptions for things that may prohibit you from undergoing this particular therapy. For informational purposes only. You can confirm eligibility with a provider during a medical consultation.

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Providers

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Apply a filter to narrow down the options presented to clinics that offer the treatment you selected previously. We do not automate this filtering step for your privacy.

Then, enter its unique code below.

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