Our Services
All Advanced Depression Treatment sessions take place in-clinic, with Telehealth options available for intake and follow-up appointments.
right treatment
Find the Right Treatment for Your Symptoms
Symptoms
common signs
treamtment
Major Depressive Disorder (MDD)
Persistent depression can affect mood, energy, motivation, and daily functioning.
Common signs:
Persistent sadness
Loss of interest
Fatigue
Difficulty concentratin8
Treatment Options:
Spravato, TMS, or Ketamine Therapy
Spravato, TMS, or Ketamine Therapy
Treatment-Resistant Depression (TRD)
Treatment-resistant depression means symptoms continue despite trying at least two antidepressants at adequate dose and duration.
Common signs:
Persistent sadness
Ongoing low mood
Minimal response to medication
Loss of motivation
Treatment Options:
Spravato, TMS, or Ketamine Therapy
Migraines & Headaches
Chronic or severe headaches can impact daily life, causing pain, fatigue, and difficulty functioning. Professional care can help reduce symptoms and improve quality of life.
Common signs:
Recurrent or intense head pain
Sensitivity to light or sound
Nausea or dizziness
Difficulty concentrating or performing daily tasks
Treatment Options:
Ketamine Therapy oral or intramuscular for pain management
TMS may help for certain chronic migraine patterns
SPRAVATO® Therapy in some cases where depression coexists
Suicidal Ideation
Severe depression can include thoughts of hopelessness, self-harm, or wanting relief from emotional pain. Immediate professional support is essential.
Common signs:
Hopelessness
Emotional Overwhelm
Withdrawal
Thoughts of self-harm
Treatment Options:
Spravato or Ketamine Therapy
PTSD
Post-traumatic stress disorder may develop after trauma and can affect mood, sleep, and sense of safety.
Common signs:
Flashbacks
Nightmares
Hypervigilance
Avoidance
Treatment Options:
TMS or Ketamine Therapy
Bipolar Disorder
Bipolar disorder involves shifts between depressive and elevated mood states and requires careful treatment planning.
Common signs:
Depressive episodes
Increased energy
Reduced need for sleep
Mood swings
Treatment Options:
Ketamine Therapy
OCD
Obsessive-compulsive disorder involves intrusive thoughts and repetitive behaviors that can interfere with daily life.
Common signs:
Intrusive thoughts
Repetitive checking
Excessive cleaning
Mental rituals
Treatment Options:
TMS or Ketamine Therapy
Anxiety
Anxiety can cause persistent worry, physical tension, and difficulty managing daily stress. Advanced therapies may help when symptoms remain severe.
Common signs:
Excessive worry
Restlessness
Muscle tension
Racing thoughts
Treatment Options:
TMS or Ketamine Therapy
Trauma-Related Symptoms
Trauma can affect emotional regulation, safety, and daily functioning long after a difficult experience.
Common signs:
Emotional numbness
Hypervigilance
Irritability
Avoidance
Treatment Options:
TMS or Ketamine Therapy
Sleep Disturbances
Sleep problems often occur alongside depression, anxiety, and trauma-related conditions. Improving the underlying condition may improve sleep.
Common signs:
Difficulty falling asleep
Frequent waking
Early morning waking
Daytime fatigue
Treatment Options:
TMS or Ketamine Therapy
We are Spravato® REMS Certified - Ask about how you can save with the Spravato With Me savings program.
Ketamine Therapy for Depression, Anxiety, & PTSD
We offer ketamine therapy as a breakthrough treatment for individuals struggling with depression, anxiety, and PTSD—especially when traditional medications haven’t provided relief.
Ketamine works differently from typical antidepressants by acting on the glutamate system in the brain, helping to rapidly restore healthy neural connections and improve mood within hours to days.
Our experienced medical team provides ketamine infusions in a safe, comfortable environment, closely monitoring each patient to ensure both safety and optimal results. Many patients report a renewed sense of hope, improved clarity, and relief from long-standing symptoms after just a few sessions.
Spravato® Esketamine Nasal Spray
Spravato®️ is an FDA-approved form of ketamine specifically designed for treatment-resistant depression and major depressive disorder with suicidal thoughts or actions.
Administered under medical supervision in our office, Spravato®️ offers a convenient nasal spray option for those who qualify, with dosing tailored to each patient’s needs.
During each session, patients are monitored by our trained clinical team in a calm, supportive setting. Combined with oral antidepressants, Spravato®️ has been shown to deliver rapid and lasting relief, helping patients feel more balanced and connected in daily life.
TMS (Transcranial Magnetic Stimulation) Therapy
TMS therapy is a non-invasive, medication-free treatment for depression and other mood disorders. It uses gentle magnetic pulses to stimulate areas of the brain involved in mood regulation—helping restore healthy activity and improve emotional well-being.
TMS is FDA-approved, well-tolerated, and requires no anesthesia or downtime. Patients can return to normal activities immediately after each session. At Attuned Psychiatry, our TMS program is customized for each individual, offering a powerful path forward for those who haven’t found success with medications alone.
Medication Management
Our providers take a personalized approach to medication management, ensuring that each patient receives the most effective and well-tolerated treatment plan for their unique needs.
We carefully evaluate symptoms, side effects, and treatment goals to find the right balance of medications that support long-term stability and wellness.
Whether you are starting treatment for the first time, adjusting an existing plan, or combining medications with therapies such as TMS, Ketamine, or Spravato®️, our team provides ongoing support and close follow-up to help you achieve the best possible outcomes.
The difference
Comparing advanced & standard depression treatments.
When standard antidepressants haven't delivered, modern therapies often respond faster, and last longer.
Treatment
Speed of effect
Response rate
Long-term stability
Standard Antidepressants
Hours to Days
5–15%
5–15%
Standard Antidepressants
SPEED: Hours to Days
RESPONSE: 5–15%
STABILITY: 5–15%
SPRAVATO® (Esketamine)
Hours
~50%
~65%
SPRAVATO® (Esketamine)
SPEED: Hours
RESPONSE: ~50%
STABILITY: ~65%
Ketamine Therapy
Hours
~50–70%
~40–60%
Ketamine Therapy
SPEED: Hours
RESPONSE: ~50–70%
STABILITY: ~40–60%
TMS Therapy
Hours
~69–83%
~65–70%
TMS Therapy
SPEED: Hours
RESPONSE: ~69–83%
STABILITY: ~65–70%
Brain Changes After Advanced Depression Treatments
This PET scan shows brain activity using color, where blue and purple represent low energy and yellow and red represent high energy. It illustrates how a "depressed" brain is physically less active—essentially dimmed down—while a "healthy" brain is vibrant and fully engaged. The comparison highlights that depression is a biological state, but one that can be "recharged" and restored through treatment.
Before Treatment
depressed brain
After Treatment
Healthy brain
TREAT JOURNEY
What to Expect on Your
Care Journey
What to Expect on Your Care Journey
STEP 1: Initial Connection
We begin with a warm conversation about your symptoms, experiences, and goals to determine whether this treatment is right for you.
STEP 2: Comprehensive Evaluation
We review your medical history, previous medications, and emotional needs to create a safe and effective treatment plan.
STEP 3: Personalized Treatment Plan
Your dosing schedule is tailored to you. Treatments take place in a calming environment where you can relax and feel supported.
STEP 4: Continued Support
We walk beside you throughout your treatment series - monitoring your progress, adjusting your plan, and celebrating each milestone.
Patient stories
Real journeys. Real change.
★ ★ ★ ★ ★
"Compassionate Family Care"
"Dr. Matzkin’s thorough, thoughtful approach shows his expertise. He listens carefully and provides solutions tailored to each individual. I highly recommend him for anyone seeking compassionate psychiatric care."
★ ★ ★ ★ ★
"Outstanding, Patient-Centered Care"
"Finding psychiatric care in Atlanta has been a challenge, but Dr. Matzkin is a game-changer. He listens, explains treatments clearly, and ensures continuity of care. Rain, his assistant, keeps the office running smoothly. Communication is always fast and clear."
★ ★ ★ ★ ★
"Exceptional Care with Heart"
"I’ve been a patient of Dr. Gideon Matzkin for several years and am deeply grateful. His remarkable expertise is matched by genuine empathy, and the staff are consistently pleasant, polite, and clear."
★ ★ ★ ★ ★
"Expert, Compassionate Support"
“Dr. Matzkin’s thorough, thoughtful approach shows his expertise. He listens carefully and provides solutions tailored to each individual. I highly recommend him for anyone seeking compassionate psychiatric care.”
About the doctor & owner
Gideon Matzkin, MD, ABPN
Board-Certified Psychiatrist · Practice Founder
Dr. Matzkin focuses on evidence-based treatments for depression, anxiety, and complex mood disorders.
We understand that seeking advanced depression treatment often happens after a long and frustrating journey. That is why every patient is approached with:
Clarity
Patience
Respect
Individualized treatment
Reach Out Today
Your Mental Health Matters
We recognize that every individual’s journey is unique, and we’re here to provide personalized care and support.
Start Your Path to Healing
Take the first step toward feeling better today.
What services does Attuned Psychiatry offer?
Attuned Psychiatry provides comprehensive outpatient mental health care with a focus on evidence-based and interventional treatments. Our services include comprehensive psychiatric evaluations, ongoing medication management, SPRAVATO® (esketamine) therapy, ketamine-assisted treatment, Transcranial Magnetic Stimulation (TMS), and therapy services when clinically appropriate. We also emphasize collaborative care and coordinated treatment planning with referring providers.
What conditions do you treat?
We treat a wide range of mental health conditions, including but not limited to depression, treatment-resistant depression, anxiety disorders, post-traumatic stress disorder (PTSD), bipolar disorder, mood disorders, and other complex or chronic psychiatric conditions. Treatment plans are individualized and grounded in clinical assessment, patient history, and evidence-based care.
Where is Attuned Psychiatry located?
Attuned Psychiatry is a modern outpatient psychiatric practice located in Decatur, Georgia. Our facility is designed to provide a calm, professional, and supportive environment for in-person care while also offering remote options when appropriate.
What is SPRAVATO® treatment?
SPRAVATO® (esketamine) is an FDA-approved treatment for adults with treatment-resistant depression and for depressive symptoms in adults with major depressive disorder and acute suicidal ideation or behavior. It is administered as a nasal spray under medical supervision in a certified healthcare setting. SPRAVATO® works differently from traditional antidepressants and is used in combination with an oral antidepressant as part of a structured treatment program.
Do you offer telehealth appointments?
Yes. Attuned Psychiatry offers telehealth appointments for select services when clinically appropriate. Telehealth allows patients to access care remotely while maintaining privacy, continuity, and high clinical standards. Availability of telehealth services may depend on the type of treatment, patient location, and clinical needs.
Top psychiatric clinic in Decatur, Georgia. Advanced, evidence-based care with SPRAVATO®, Ketamine, and TMS.
© 2026 Attuned Psychiatry, LLC. All rights reserved.
SPRAVATO® REMS Certified · Board-Certified Psychiatry