Advanced Protocols

Treatment-Resistant
Protocols

Augmentation strategies and rare medication combinations for patients who haven't responded to standard first-line approaches. Dr. Farkas's NIH research training and pharmaceutical background make her uniquely capable of navigating this terrain.

60–90 min evaluation
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MD/PhD neuroscience
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Aetna & Cigna
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SC · NY · VA telehealth
Treatment-Resistant Protocols
Augmentation & Combination Strategies
Lithium augmentation · Atypical antipsychotic add-on · Thyroid hormone · Stimulant augmentation · MAOIs · Pharmacogenomic-guided selection
MD/PhD-level prescribing — not pattern-matching
Measurement-based tracking at every follow-up
"No harm" philosophy — side effects are solved, not accepted
In-network: Aetna & Cigna
📅 Request an appointment → 📞 917-267-9678
Advanced Protocols

How Dr. Farkas approaches
Protocols

Evidence-based, neurobiologically-informed. Every prescribing decision is grounded in mechanism — not tradition or trial-and-error.

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Failure Analysis
Understanding mechanistically why previous medications failed — not just trying the next drug in the same class.
⚗️
Augmentation Strategy
Adding complementary agents to potentiate partial response based on neurobiological mechanism, not guesswork.
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Pharmacogenomics
Genetic testing to identify CYP enzyme variants affecting metabolism of specific antidepressants and other psychiatric medications.
TMS Pathway
FDA-cleared transcranial magnetic stimulation for treatment-resistant depression — managed in full by Dr. Farkas.
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Ketamine Pathway
Supervised ketamine-assisted treatment for rapid relief when medication trials have been insufficient.
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Objective Monitoring
Standardized outcome measures at every visit to track response and guide dose or strategy adjustments.
The Process

From evaluation to
lasting results

1
Comprehensive Evaluation
60–90 minutes covering your full psychiatric, medical, and medication history. Nothing skipped — accuracy before action.
2
Neurobiological Strategy
Treatment selection based on mechanism, your history, and what's failed before. Not the next name in the algorithm.
3
Regular Monitoring
Validated outcome measures at every visit. Objective data drives every adjustment — symptom improvement and side effect burden both tracked.
4
Long-Term Optimization
Treatment evolves as your life does. Regular reviews ensure you're always on the lowest effective regimen with the highest quality of life.
Conditions Treated

Treatment-Resistant Protocols is used to treat
these conditions

Treatment-Resistant DepressionBipolar DisorderOCDPTSDMajor Depression

Don't see your condition? View all 28 conditions treated →

Getting Started

What to expect at
your first appointment

New patient evaluations are 60–90 minutes — never a rushed intake. Dr. Farkas takes your full psychiatric, medical, and medication history before making any prescribing decisions. You'll leave with a clear diagnosis, a treatment plan that makes sense to you, and a follow-up already scheduled.

Telehealth available throughout South Carolina, New York, and Virginia. In-person at our Hilton Head Island, SC office.

60–90 minute evaluation — not a template intake
Full review of prior medication history and what's failed
Neurobiologically-informed prescribing, not trial-and-error
Measurement-based tracking at every follow-up visit
No-harm philosophy — side effects are solved, not tolerated

Ready for prescribing done
at the MD/PhD level?

60–90 minutes. Expert diagnosis. A treatment plan built around your specific neurobiology and goals.

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