Cora Health Solutions is a premier mental health practice serving adolescents and adults in the Biltmore Corridor of Phoenix, Arizona. As a psychiatric mental health nurse practitioner, Betsy Serrano, PMHNP, specializes in holistic care and complete wellness by addressing two key modalities: mental health and addiction evaluation.

Patients seek treatment at Cora Health Solutions for a broad range of conditions, including depression, anxiety, obsessive-compulsive disorder (OCD), bipolar disorder, and post-traumatic stress disorder (PTSD). Cora Health Solutions specializes in “treatment-resistant depression”. By definition, treatment-resistant depression is when a patient has tried two or more anti-depressants and some psychotherapy, but did not achieve positive results.  Cora Health specializes in “treatment-resistant depression”, offering some of the most advanced therapies:

Cora Health Solutions is a premier mental health practice serving adolescents and adults in the Biltmore Corridor of Phoenix, Arizona. As a psychiatric mental health nurse practitioner, Betsy Serrano, PMHNP, specializes in holistic care and complete wellness by addressing two key modalities: mental health and addiction evaluation. Patients seek treatment at Cora Health Solutions for a broad range of conditions, including depression, anxiety, obsessive-compulsive disorder (OCD), bipolar disorder, and post-traumatic stress disorder (PTSD). Cora Health Solutions specializes in “treatment-resistant depression”. By definition, treatment-resistant depression is when a patient has tried two or more anti-depressants and some psychotherapy, but did not achieve positive results. Cora Health specializes in “treatment-resistant depression”, offering some of the most advanced therapies:

1) Transcranial Magnetic Stimulation (TMS) treats depression with patients who have treatment-resistant depression. Meaning that you have tried medications, therapy, or counseling and despite those efforts, you are still experiencing negative symptoms. · TMS is a non-invasive treatment. · TMS requires no anesthesia. Patients can drive to and from the appointment. · TMS has no systemic side effects. · TMS is an FDA-approved therapy for treatment-resistant depression, anxiety, obsessive-compulsive disorder, and smoking cessation. · Most major insurance carriers will cover 70-100 percent of the treatment cost.

When a person is experiencing depressive symptoms, neurons that are involved with mood are dormant or not operating at their full capacity. TMS sends magnetic pulses to regions of the brain to stimulate these areas to help reactivate those neurons. Stimulating these areas can relieve depressive and anxious symptoms.

The standard protocol is 36 20-minute treatments. The first 6 weeks, the treatments take place Monday-Friday, and the last 3 weeks, they take place 2-3 times a week for a total of 9 weeks. Patients are normally in and out of the office within 25-30 minutes.

2) Medication: Cora Health is a licensed “Spravato Treatment Center”. “Spravato” is the brand name, the medication is Esketamine which is very similar to ketamine. Spravato is administered via a nasal spray. Spravato is FDA-approved for treatment-resistant depression and is covered by most insurers. Ketamine is not FDA approved for treatment-resistant depression and insurers do not cover the IV administered treatment.