Fairfield County's Interventional Psychiatry Specialists
When antidepressants haven't worked,
these treatments can.
FDA-approved TMS therapy and Spravato® (esketamine) for depression. Covered by most major insurance, including Medicare and Medicaid. Led by Stanford-trained psychiatrist Dr. Thomas Knightly in Stamford, CT.
Covered by most insurance · Appointments available this week · No referral needed
Insurance
Covered by most major
US health insurers.
Many patients pay between $0 and $25 per session, depending on the plan. We verify your exact cost for free and handle prior authorization.
4.9 Google Rating
Stanford-Trained Leadership
FDA-Backed Treatments
No Referral Needed
Insurance
The numbers
behind our care.
84.6%
of patients respond to treatment
76.9%
reach remission from depression
Many patients feel change in days, not weeks.
BASED ON EVOLVE BRAIN HEALTH PATIENT OUTCOMES
If This Sounds Familiar
Medication after medication.
Still stuck.
You've tried the antidepressants. Maybe therapy too. Some helped a little, some not at all, some came with side effects worse than the depression.
That doesn't mean nothing works. It means you may have treatment-resistant depression, and there are FDA-backed treatments built specifically for it.
Physician-Led Care
Founded by a Stanford Brain Stimulation Lab
psychiatrist.
Evolve was founded by Dr. Thomas Knightly: Stanford graduate, clinical assistant professor at Stanford, and member of the Stanford Brain Stimulation Lab, the research group behind the accelerated TMS protocols now transforming depression care. Every treatment plan at Evolve is physician-designed and personally overseen.
Dr. Thomas Knightly
Founder & Medical Director · Evolve Brain Health
Your care is delivered by clinicians personally trained and supervised by Dr. Knightly, following the standards and protocols he sets for every patient at Evolve.
Julianne Vesciglio, PMHNP
Renee Fontaine, PMHNP
Your Options
Three paths.
One team to guide you.
TMS Therapy
COVERED BY MOST INSURANCE- Gentle magnetic pulses, no drugs
- ~20-minute sessions, drive yourself home
- FDA-cleared for depression
Spravato®
COVERED BY MOST INSURANCE- FDA-approved nasal spray for treatment-resistant depression
- Supervised in our office
- Many patients feel a change within days
Medication Management
COVERED BY MOST INSURANCE- A fresh set of expert eyes on your medications
- Psychiatric providers who specialize in hard cases
- Often combined with TMS or Spravato
Not Sure Which Treatment?
Start with an
evaluation.
You don't have to figure this out alone. A comprehensive evaluation with our clinical team determines the right treatment for you. Evaluations are covered by insurance.
Our Space
A calm place
to get better.
No hospital feel. Private treatment rooms, comfortable chairs, and a team that knows you by name.
Julianne Vesciglio, PMHNP
Julianne Vesciglio, PMHNP
Julianne Vesciglio, PMHNP
Not Sure Which Treatment?
Start with an
evaluation.
FAQ
Frequently Asked Questions
Does insurance cover TMS and Spravato in Connecticut?
Yes. Standard TMS and Spravato are covered by most major plans, including Aetna, Cigna, Anthem, UnitedHealthcare, ConnectiCare, Husky, and Medicare, for patients who haven't responded adequately to antidepressants. We verify your specific benefits and handle the prior authorization paperwork for you.
How much will I pay out of pocket?
For most covered patients, out-of-pocket cost is comparable to a standard specialist copay, typically between $0 and $25 per session depending on your plan. We confirm your exact cost before you start. No surprise bills.
How fast do these treatments work?
Many Spravato patients notice improvement within days, and our accelerated TMS program is completed in five days. Standard TMS runs six to nine weeks with daily sessions under twenty minutes.
What if I haven't tried enough medications to qualify?
Coverage typically requires trying two antidepressants without adequate relief. If you're not there yet, we offer full psychiatric care, medication management and therapy, and can transition you to TMS or Spravato if needed.
Are these treatments safe?
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Next Step
You've tried waiting it out.
Try something different.
Free 10-minute consultation. No pressure, no obligation.
