We treat the toughest cases of treatment-resistant mental illness.

We see you are suffering
Let us help!

We know you feel awful.

We know you’ve been feeling awful for a long time.

About half of psychiatric patients don’t find adequate relief with ordinary treatment paths.

Many of our patients come here after years of suffering, with multiple attempts at treatment and numerous applications of trial & error treatments. Patients often come here as a “last-ditch-effort”.

Other patients suddenly find themselves in a new and bewildering world, unsure what to do next.

Either way, after thorough testing, we will offer treatments that are tailored to you, with the intent that you will experience relief from your suffering and reintegration into life and society.

“My calling is to help you
  find a path that works!”

Steve Best, MD

Treatment-Resistant Conditions

The condition you are experiencing is complex.

It is rarely one condition, but a set of co-existing conditions (comorbidity).

This comorbidity has been in place for years and influenced the brain in ways which cannot be understood or addressed just by assessing the symptoms.

A first step is to evaluate the function of the brain through Brain SPECT imaging and QEEG.

We then combine the brain function assessment with tests of body function and presenting symptoms to create a foundation of understanding about the complexities of your condition.

With that understanding we are able to tailor a treatment plan to your specific, complex suffering.

We Seek To Discover

  • Your personal, unique suffering

  • The course of your condition

  • A comprehensive explanation for your situation

  • What to do about it

We Help You Understand

  • Why you’re ill

  • Why you’ve stayed ill

  • The factors interfering with your recovery

  • How to step toward relief

Take a step forward relief

Our Evaluations

Standard:

  • Initial meeting  (40-50 min)

  • QEEG

  • SPECT functional brain imaging

  • Pharmacogenomic testing

  • Specialized labs for:

    • Inflammation & Neuroinflammation

    • Vector-borne disease such as post-COVID or post-Lyme

    • Heavy metal toxicity/other poisoning

    • Nutritional status and digestive health

    • BioFeedback & NeuroFeedback

As Needed:

  • Psycho-educational assessments

  • Psychological & Neuropsychological testing

  • fMRI

  • MEG, other electrophysiology

  • CT, Ultrasound & PET

  • Sleep study

Disorders Benefiting from Our Services

  • Treatment-Resistant Conditions (psychiatric, neurobehavioral)

  • Mood & Affective Disorders
    (depression, bipolar disorder, acute suicidality, chronic suicidality)

  • Neuropathic and/or Chronic Pain

  • Consequences of Concussion & More Overt Brain Injuries

  • Non-traumatic Brain Injury
    (including consequences of stroke, substance use, impulse-control & regulatory disorders)

  • Cognitive Impairment (static encephalopathy, progressive dementia)

  • Anxiety Disorders (GAD, social phobia, panic disorder, OCD, PTSD)

  • Developmental Disorders
     (ADD/ADHD, learning disability, autism-spectrum disorders, cerebral palsy)

  • Psychosis (schizophrenia, drug-induced psychosis, etc.)

Treatments

Our Treatments:

  • Pharmaceutical management

  • Nature-based management

  • rTMS (repetitive Transcranial Magnetic Stimulation) we have treated more patients with rTMS than any other private practice in the USA

  • Combination TMS/ketamine
    we invented and optimized this technique

  • HBOT (hyperbaric oxygen therapy)

  • PSE (perispinal etanercept injections)

  • BioFeedback/NeuroFeedback 
    can be done at home

  • Vagal Nerve Stimulator management

Referrals For:

  • Occupational therapy

  • Physical therapy

  • Cognitive Behavioral Therapy & other behavioral or psychological therapy

  • DBS (deep brain stimulation)

  • Neuro-optometric corrective therapy

  • ECT (electroconvulsive therapy)

  • Experiential therapy & Equine therapy

  • FUS (focused ultrasound surgery)

What is Brain SPECT Functional Imaging?

Brain SPECT visualizes the amount of blood flowing through the various areas of the brain. It enhances our psychiatric assessment because regional blood flow is a reliable indicator of regional brain activity or function. As an example, brain regions that show high or low activity can indicate an imbalance that may be effectively targeted through our treatments.

These functional changes appear long before the structural changes that can be seen on routine structural MRI or CT and provide valuable insights about the global condition of the brain.

We use SPECT to visualize changes in function, ultimately guiding us towards an effective treatment plan.

Brain SPECT Imaging Examples

Patient 1 has a hyper-perfused brain which needs to be calmed.

Patient 2 has an under-perfused brain which needs to be stimulated.

We see you are suffering
Let us help!

Contact Now

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