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.

Schedule an Evaluation All Treatments

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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.

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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.

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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

Comprehensive Evaluation

60–90 minutes covering your full psychiatric, medical, and medication history. Nothing skipped — accuracy before action.

Neurobiological Strategy

Treatment selection based on mechanism, your history, and what's failed before. Not the next name in the algorithm.

Regular Monitoring

Validated outcome measures at every visit. Objective data drives every adjustment — symptom improvement and side effect burden both tracked.

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

Schedule an Evaluation NIMH: Treatment-Resistant Depression ↗

Other Treatments

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Medication Management

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Antidepressants