You Have Tried Multiple Medications
You may have experienced limited improvement, difficult side effects, recurring symptoms, or uncertainty about what to try next.
Treatment-Resistant Depression Evaluation
When Depression Is Not Getting Better, You Deserve a Clearer Next Step.
If you have tried medication, therapy, or other treatment approaches and still feel stuck, a more thoughtful evaluation may help you understand what options remain available.
Thoughtful evaluation
Medication management
In-person care and eligible telehealth
An evaluation is not a commitment to a particular treatment. It
is the first step toward understanding the full picture.
Does This Sound Familiar?
You Have Tried to Feel Better, but the Progress Has Not Been Enough.
Depression can be complex. Persistent symptoms do not mean that you have failed or that you have run out of options.
Therapy Has Helped, but Symptoms Remain
Therapy may remain an important part of care while additional medical or medication support is considered.
You Feel Stuck in the Current Plan
Each appointment may seem to lead to another small change without a deeper review of the overall situation.
You Are Unsure Which Options Remain
You may have heard about Spravato, TMS, ketamine-assisted care, or other options but do not know whether they fit your needs.
Your Care Has Felt Fragmented
Physical health, mental health, medication, and lifestyle factors may have been addressed separately without a connected view.
You Want to Feel Heard and Taken Seriously
You want a provider who will review your history, answer questions, and explain recommendations clearly.
Care That Starts With Understanding
We Take the Time to Understand the Whole Person.
Many of our patients come to us after feeling unheard, overlooked, or discouraged by previous care. At Roth Family Medicine & Mental Health, we take the time to understand the whole person, integrating compassionate listening with an evidence-based mental health approach, medication management, and treatment-resistant depression therapies.
Understanding the Term
What Is Treatment-Resistant Depression?
Treatment-resistant depression generally refers to depression that has not improved enough after appropriate treatment attempts.
- It does not mean that you have failed treatment.
- It does not necessarily mean that you have run out of options.
- It may mean that your symptoms, diagnosis, medication history, physical health, and previous treatment deserve a more complete review.
What to Expect
What Happens During an Evaluation?
The evaluation is designed to understand your history, current symptoms, previous care, and goals before recommending a next step.
Review Your Current Symptoms
Discuss what you are experiencing, how long symptoms have persisted, and how they affect daily life.
Understand What Has Been Tried
Review medications, therapy, previous diagnoses, treatment responses, side effects, and other relevant experiences.
Consider the Whole Picture
Explore physical health, sleep, stress, lifestyle, medical history, and other factors that may influence mental health.
Discuss the Next Appropriate Step
Review potential care options, questions, expectations, and whether additional treatment pathways should be considered.
The evaluation is about understanding your full picture and building a
plan that fits your individual situation.
A Provider Who Takes Time
Care That Begins With Listening and a Deeper Look.
Many patients arrive after feeling rushed, dismissed, or passed between disconnected providers.
Kyle’s approach is built around slowing down enough to understand what is happening. That includes reviewing symptoms carefully, considering how physical and mental health may connect, discussing previous treatment experiences, and helping patients understand what may come next.
No one can promise a guaranteed outcome. What Kyle can offer is that your concerns will be taken seriously and any recommendations will come from a careful review of your situation.
Kyle Roth
APRN, FNP
Possible Care Pathways
Treatment Recommendations Begin With Your Evaluation.
Not every treatment is appropriate for every patient. Depending on your needs, recommendations may include one or more of the following.
Medication Review or Adjustment
A closer look at current medications, previous responses, possible side effects, and treatment goals.
Ongoing Medication Management
Continued monitoring, follow-up, questions, and treatment planning when ongoing prescribing support is appropriate.
Coordination With Your Therapist
Collaborative support that complements, rather than replaces, an existing therapeutic relationship when appropriate.
Lifestyle and Health Recommendations
Discussion of sleep, stress, daily routines, physical health, and other factors that may influence mental well-being.
Advanced Depression Treatment Evaluation
Evaluation for options such as Spravato, ketamine-assisted care, or TMS when clinically appropriate and available.
Additional Specialty Referral
Referral or coordination with another professional when that is the most appropriate next step.
Local Care With Flexible Access
In-Person Care in Pocatello and Telehealth When Appropriate.
Patients may be able to meet through secure telehealth appointments depending on location, eligibility, clinical needs, and provider licensure.
Contact the office to ask which appointment format may be appropriate for your situation.
Pocatello Office
444 Hospital Way, Suite 422
Pocatello, Idaho 83201
Pocatello, Idaho 83201
Call the Office
(208) 904-4705
Fax
(208) 203-6420
Frequently Asked Questions
Questions Before Requesting an Evaluation
You do not need to know which treatment you want before taking the first step.
Do I need to know which treatment I want?
No. The purpose of the evaluation is to understand your situation, review what has been tried, and discuss which options may be appropriate.
Does an evaluation mean I will receive Spravato, ketamine-assisted care, or TMS?
No. Advanced treatments are considered only when clinically appropriate and available. The evaluation helps determine whether an advanced treatment, medication adjustment, continued management, referral, or another path fits your situation.
Will my medication history be reviewed?
Previous medications, responses, side effects, diagnoses, therapy experiences, and other relevant treatment history may all be important parts of the evaluation.
Do I need a referral from another provider?
Referral and insurance requirements may vary. Contact the office to confirm what is needed for your situation and the service being considered.
Are telehealth appointments available?
Telehealth may be available depending on your location, eligibility, clinical needs, and the states where the provider is licensed to deliver care.
Does Roth accept insurance?
Coverage and participation depend on the patient’s insurance plan and the service being considered. Confirm coverage with the office and your insurance provider before beginning care.
What happens after I submit the request?
The office will follow up to confirm scheduling, location, insurance, and the appropriate next step. The clinical evaluation takes place during your appointment.
Take the Next Step
Request a Treatment-Resistant Depression Evaluation
Complete the short form. A member of the Roth Family Medicine & Mental Health team will follow up to confirm scheduling, location, insurance, and the appropriate next step.
Takes about two minutes
No commitment to a specific treatment
The office will follow up with you
Prefer to speak with the office?
(208) 904-4705
(208) 904-4705
This page is for educational and scheduling purposes and does not
provide a diagnosis or guarantee eligibility for a particular
treatment. Roth Family Medicine & Mental Health is not an
emergency or crisis-response service. If you are in immediate
danger, contact local emergency services or go to the nearest
emergency department.