Serving Frisco and Nearby North Dallas Communities
We welcome adults from Frisco, Celina, McKinney, Prosper, Little Elm, The Colony, Allen, Carrollton, Lewisville, and North Dallas. In-person services are provided at our Frisco office.
Address: 7978 Preston Rd, Suite 804, Frisco, TX 75034 • Get directions
What does "Treatment-Resistant Depression (TRD)" mean?
"Treatment-resistant depression" commonly means depression symptoms haven't improved enough after trying two or more depression treatments at an appropriate dose and duration. Many people aren't sure whether their prior trials "count" — that's something we clarify during the evaluation.
If you're unsure, you're still in the right place. We'll review your history and recommend practical next steps.
Signs depression may need a different approach
You don't need to know the term "TRD" to reach out. Many people simply feel stuck or discouraged after trying multiple options.
- You've tried multiple medications with limited relief
- Symptoms improve briefly, then return
- Side effects make it hard to stay on a helpful dose
- You're still struggling with sleep, motivation, focus, or daily functioning
- Depression continues to affect work, relationships, or self-care despite treatment efforts
Treatment-Resistant Depression Evaluation in Frisco, TX — Options we may discuss
TRD isn't one-size-fits-all. Your plan is based on your history, symptoms, prior treatment response, safety screening, and goals.
Medication optimization & augmentation
We review what you've tried, how you responded, and side effects to guide a more strategic medication plan.
Therapy coordination & support
When appropriate, we may recommend evidence-based therapy support alongside medication-based care. With your consent, we can coordinate with your therapist.
What to expect at your evaluation
Your evaluation is designed to give you clarity and a real plan. We'll review your symptoms, history, and prior treatment response, then outline next steps and a follow-up approach.
During the visit
- Review symptoms, history, and goals
- Medication review (what helped, what didn't, and side effects)
- Screen for factors that can affect treatment choices
- Discuss evidence-based options and next steps
What to bring
- A list of treatments you've tried (or pharmacy history)
- Prior psychiatric records (if available)
- Insurance card (if using insurance)
Who is a fit for (and who we may not be)
This page is designed to help you self-select the right next step. We'll confirm the best care plan after a clinical evaluation.
We're likely a good fit if you:
- Are an adult (18+) seeking a structured depression evaluation
- Have tried prior depression treatments and still don't feel well enough
- Want a clear plan with evidence-based next steps
- Can attend in-person visits in Frisco if an in-office treatment is recommended
- Prefer a clinic that explains options, expectations, and safety requirements upfront
We may not be the best fit if you:
- Need emergency or crisis care right now (call 911 or go to the nearest ER)
- Are seeking a guaranteed treatment or a specific medication without evaluation
- Cannot attend in-person visits in Frisco if an in-office option is recommended
- Are looking for ongoing weekly psychotherapy (we can coordinate, but we are not a therapy-only practice)
What happens after the evaluation
Our goal is to leave you with clarity and a plan. Your next steps depend on your history, safety screening, and clinical assessment.
Possible next steps may include:
- Medication adjustments or augmentation strategies
- Coordinating therapy support (with your consent)
- Follow-up visits to track response and refine the plan
- If clinically appropriate, discussing advanced in-office options and the steps required
If an in-office option is recommended
- We'll review logistics, safety requirements, and monitoring expectations
- We'll outline insurance documentation/prior authorization steps when needed
- We'll confirm scheduling availability and what to bring to visits
Insurance, cost & next steps
Coverage and requirements vary by plan. If a treatment requires documentation or prior authorization, our team can help you understand the process and next steps.
- Book an evaluation
- Verify benefits (if using insurance)
- Review your personalized plan
- If indicated, we support prior-authorization steps for treatments such as Spravato
Prefer to talk to someone first? Call 972-905-9435.
Check fit (quick, non-clinical)
This quick check helps you choose the right appointment type. Please don't include private medical details on this page. Final recommendations are made after a clinical evaluation.
Quick fit check (30 seconds)
If you are in crisis or thinking about self-harm, call 911 or go to the nearest emergency room.
Frequently asked questions
What qualifies as treatment-resistant depression?
Treatment-resistant depression commonly refers to symptoms that haven't improved enough after trying two or more depression treatments at an appropriate dose and duration. A clinician confirms whether this applies based on your treatment history.
How do I know if I'm eligible for Spravato?
Eligibility depends on diagnosis, prior treatment history, safety screening, and clinical assessment. If appropriate, we'll also review monitoring requirements and insurance steps.
Do you serve patients outside Frisco?
Yes. We commonly see patients from McKinney, Prosper, Little Elm, The Colony, Aubrey, Celina, Melissa, Anna, Allen, Carrollton, Lewisville, and North Dallas. In-person services are provided at our Frisco office.
Does insurance cover TRD care?
Coverage varies by plan and by treatment type. We can help you understand benefits and, when needed, documentation or prior-authorization steps.
Telehealth vs in-person: what to know
We offer both telehealth and in-person evaluations for adults, depending on clinical needs and appointment availability. If an in-office treatment is recommended, it is provided in Frisco.
Evaluation options
- Telehealth evaluation: convenient first step for many patients
- In-person evaluation: available at our Frisco office
In-office treatments
- If recommended, in-office treatments are provided in Frisco
- Some treatments may require monitoring and a ride home
Not sure which evaluation type to choose? Use the quick fit check or call 972-905-9435.
Meet Your Provider
Stephanie Ukoha, DNP, FNP-BC, PMHNP-BC
Stephanie Ukoha provides comprehensive treatment-resistant depression (TRD) evaluations for adults in Frisco, TX, and surrounding North Texas communities. She carefully reviews each patient's mental health history, prior medication trials, therapy experiences, current symptoms, and overall medical profile to determine appropriate next steps in care. Her approach emphasizes thorough assessment, evidence-based treatment planning, and consideration of advanced treatment options, including Spravato (esketamine), when clinically appropriate.
Book an evaluation — Treatment-Resistant Depression Evaluation in Frisco, TX
Please choose the appointment type that best matches your goal. All options below are evaluations. Individual recommendations are made after a clinical assessment, and not every patient is a candidate for every option.
Which appointment should I choose?
Use this guide to choose the evaluation that best matches your goal. If you are unsure, start with a TRD Consultation or call our team for help.
Choose a TRD Consultation if:
- You are not sure whether you qualify for Spravato
- You want a full review of depression treatment options
- You have tried medications but still feel stuck
- You are unsure whether your medication history meets criteria
Choose Initial Spravato Consultation if:
- You specifically want to discuss Spravato
- You have tried at least two antidepressants
- You can attend in-office treatment in Frisco
- You can arrange transportation home after treatment
Prefer to schedule by phone? Call 972-905-9435.
