Beyond weekly therapy
Therapy works for a lot of people. It hasn't worked enough for you.
That's not a character flaw or a sign you're beyond help. It usually means you need a different level or a different type of care, and nobody has ever laid the full set of options out for you.
The mental health system was built on the assumption that weekly talk therapy is the primary intervention. For mild and moderate cases, that assumption holds up. For treatment-resistant depression, complex trauma, severe anxiety, or anything that's significantly affecting your daily functioning, it doesn't. The research has known this for a long time. The system hasn't caught up.
Navii's navigators understand the full continuum of care that's actually available beyond weekly therapy, and we explain it without jargon. Below is the short version of what most people are never told about.
Biological and device-based treatments
Ketamine and Spravato (esketamine) are among the most effective rapid-acting treatments for treatment-resistant depression, often producing meaningful relief within hours of the first session. Spravato is FDA-approved and increasingly insurance-covered. IV and IM ketamine are widely available off-label through licensed clinics.
TMS (transcranial magnetic stimulation) is a non-invasive, FDA-cleared treatment for depression and OCD. It uses targeted magnetic pulses, delivered over four to six weeks of short daily sessions, and is covered by most major insurance after one or two failed medication trials.
Intensive structured programs
Intensive outpatient programs (IOP) typically run three to five days a week for three hours a day, while you continue to live at home. They combine group, individual, and skills-based work and are often a fit when weekly therapy isn't enough but you don't need 24/7 supervision.
Partial hospitalization (PHP) is the step above an IOP: full days of care, five days a week, again while living at home. Residential and inpatient care is for situations where daily functioning has collapsed or safety is a concern.
Trauma intensives condense what might otherwise be months of weekly trauma therapy into a focused multi-day block with a single clinician, often using EMDR, IFS, or somatic approaches.
Emerging legal psychedelic therapy
Psilocybin therapy is now legal in Oregon and Colorado through state-licensed service centers, with strong clinical evidence for treatment-resistant depression and end-of-life distress. MDMA-assisted therapy is in late-stage clinical trials, with MDMA-informed preparation and integration support available legally from trained clinicians.
Browse the full continuum
Each treatment page covers what it is, who it's for, legal status, and what to expect.
Ketamine
Rapid relief for treatment-resistant depression, PTSD, and anxiety.
Psilocybin
Guided psilocybin sessions in legal Oregon and Colorado service centers.
MDMA
Structured therapeutic support for complex PTSD and trauma.
TMS
FDA-cleared, non-invasive treatment for depression, OCD, and anxious depression.
IOP / PHP
Structured, multi-day-per-week care without a residential stay.
Residential
24/7 structured care in an immersive therapeutic environment.
Trauma intensive
Multi-day deep-dive trauma work with a specialist therapist.
Couples intensive
Compressed, multi-day work for relationships in real distress.
Retreats
Immersive healing programs combining therapy and retreat settings.
Ayahuasca
Plant medicine ceremonies for depression, PTSD, and addiction.
Ibogaine
Powerful single-session treatment for opioid and other addictions.
San Pedro
Andean plant medicine ceremonies in retreat or ceremonial settings.
Common questions
What are my depression treatment options if therapy isn't enough?+
Beyond weekly therapy, the most established options are TMS (FDA-cleared, often insurance-covered), Spravato (esketamine, FDA-approved for treatment-resistant depression), IV/IM ketamine therapy, intensive outpatient programs (IOP), partial hospitalization (PHP), and in legal jurisdictions, psilocybin therapy. The right next step depends on severity, prior trials, and what you're open to.
How do I know if I need an intensive outpatient program (IOP)?+
An IOP usually makes sense when weekly therapy isn't enough but you're still safe to live at home. It typically runs three to five days a week for three hours a day, combining group, individual, and skills-based work. People often step into an IOP after a hospitalization, during a serious flare, or when symptoms are interfering with work, school, or relationships.
What's the difference between ketamine therapy and TMS?+
Ketamine is a medication, usually delivered by IV, intramuscular injection, or as the FDA-approved nasal spray Spravato. It often works within hours and is given over a short course of sessions. TMS is a non-invasive magnetic stimulation device delivered in daily sessions over four to six weeks. TMS is FDA-cleared and widely insurance-covered for depression and OCD. Both are evidence-based options for people whose depression hasn't responded to antidepressants.
Is psilocybin therapy legal?+
Psilocybin services are legal in Oregon and Colorado through state-licensed service centers. Other states are advancing similar frameworks. Federally, psilocybin remains a Schedule I substance. Navii only refers to licensed providers operating within current state law.
How do I find the right treatment provider for me?+
Take Navii's free 30-second assessment. A placement navigator reads your answers and recommends a specific level of care plus a vetted provider in our network. There's no per-match fee and no obligation to follow the recommendation.
Not sure which one?
That's exactly what our navigators are for. 30 seconds to find out.
Start free assessment