Appointments via telemedicine or in-office

Depression Treatment

Compassionate, evidence-based options to reduce symptoms and restore function, medication, psychotherapy, TMS and Spravato, delivered in a physician-led program. Appointments available within 1 week.

Physician-led care with Dr. Thomas Knightly

Rapid access - many patients start care within 1 week

Medication, TMS, Spravato & Therapy

Clear written treatment plans & scheduled follow-ups

What is Depression?

Major depression is a treatable medical condition marked by persistent low mood, reduced interest in activities, changes in sleep or appetite, concentration problems, and impaired functioning. At Evolve, we assess the full clinical picture and match the right treatments, medication, psychotherapy, neuromodulation (TMS), or Spravato to your needs.

5-Point Depression Plan

01

The Right Diagnosis

clear clinical diagnosis that separates depression from medical or comorbid conditions.

02

Measure Severity

standardized rating scales and functional review to guide treatment intensity.

03

The Right Treatment

evidence-based selection: medication, psychotherapy, TMS or Spravato when appropriate.

04

Safety & Monitoring

formal risk screening, side-effect checks and early follow-up for rapid response.

05

Follow Up

written maintenance plan, relapse prevention, and scheduled check-ins.

Depression Care Options


Depression is treatable. We build a physician-led plan with meds, therapy, and clinic options.


  • Medication Management - Thoughtful selection and careful dose titration with scheduled follow-ups to minimize side effects and track progress.


  • TMS - Non-invasive, clinic-based neuromodulation for patients with inadequate response to medications; accelerated protocols available for faster relief.


  • Spravato (esketamine) - REMS-supervised, in-clinic option for certain treatment-resistant cases, offered with close monitoring.

Us vs Them

Why Patients Choose Evolve 

Evolve

60–90 minute initial evaluations with a psychiatrist

Written treatment plan and scheduled follow-ups

Clear safety monitoring and rapid response to side effects

Appointments via telemedicine or in-office

Coordination across medication, TMS, Spravato and therapy

Other Clinics

10–15 minute med checks that feel rushed

Reactive trial-and-error prescribing

No written plan or coordinated care

Cost & Insurance


We accept most major insurers and help with the pre authorization process. Typical scenarios:


  • Insured patient (with coverage): Initial psychiatric evaluations are usually billed to insurance. Our billing team submits prior authorizations and provides an estimate of any copay or deductible before treatment.


  • Self-pay or non-covered services: We offer transparent pricing and package rates for services such as TMS. Our billing team will provide a clear cost estimate and discuss payment options.

What to Expect at Your First Visit

Comprehensive assessment  (60–90 minutes)

We review symptoms, history and prior medication trials.

Comprehensive assessment  (60–90 minutes)

We review symptoms, history and prior medication trials.

Shared treatment planning

We discuss options and decide on a safe, measurable plan together.

Shared treatment planning

We discuss options and decide on a safe, measurable plan together.

Early check-ins (telemedicine or in-office) as needed.

Early check-ins (telemedicine or in-office) as needed.

40+ Five Star Google Reviews

What Patients Want to Know

  • What am I going to get?

    A clinician-led 60–90 minute diagnostic evaluation, a clear written diagnosis and treatment plan, and scheduled follow-ups. If appropriate, we’ll include medication recommendations and referrals (therapy, TMS, Spravato) and coordinate with your other providers.

  • How much will it cost?

    Costs depend on insurance and services. We accept many major insurers and offer self-pay options. Our billing team confirms benefits up front and provides an estimate of any copay or deductible before treatment. For services like TMS we offer transparent package pricing and written cost estimates.

  • How little of my time will it take?

    The initial evaluation is 60–90 minutes. Follow-ups are typically 15–30 minutes (phone or in-person) depending on needs.

  • How little hassle will it be?

    Very little - a short online request form (<60 seconds), scheduling that typically gets you seen within 1 week, and a staff team that handles referrals, prior authorizations and care coordination.

  • How little risk is involved?

    A psychiatric evaluation is low risk. Any medication recommendations include a clear discussion of benefits, side effects and safety. We follow clinical safety protocols and maintain strict patient privacy.

  • What if I have other questions?

    Bring or upload past records and a medication list; ask everything during the visit. If you have questions beforehand, call (203) 504-9758 or use the form and our team will respond within one business day.

  • Who is this clinic?

    Evolve Brain Health - a clinician team led by Thomas Knightly, MD in Stamford, CT, offering psychiatric evaluations, medication management and specialty programs with board-level clinical oversight.

  • Can I trust this clinic?

    Yes - board-led clinical protocols, secure care, and strong local outcomes (40+ five-star reviews). We show verified testimonials, provider credentials and written plans to build trust before you book.

Patient Reviews

Become a Patient


Take the first step towards better mental health and well-being. Submit a new patient application today.