If you don't know where to start
You've tried therapy. You've tried medication. Something still isn't right.
You're not failing treatment, and you're not out of options. You're in the part of mental health care that doesn't have a map yet. Navii is that map.
Most people who find Navii have been trying for a long time. They've been to therapy, often with more than one therapist. They've taken antidepressants, sometimes several. They've read books, listened to podcasts, done the work. And something still isn't right. That experience has a name in clinical literature: treatment-resistant depression. It affects roughly one in three people diagnosed with major depressive disorder, and the people living through it are rarely told what's actually available beyond the first two or three things they've already tried.
What "treatment-resistant" actually means
Treatment-resistant depression doesn't mean depression is untreatable. It's a clinical label for depression that hasn't responded to at least two adequate trials of antidepressants from different classes. The same logic applies to anxiety, PTSD, OCD, and other conditions: when the first-line interventions don't move the needle, the next step isn't more of the same. It's a different category of care.
What's actually available next
Most people who reach Navii have never had any of the following explained to them in one place:
- Ketamine and Spravato (esketamine): rapid-acting treatments for treatment-resistant depression, often with relief within hours of the first session. Spravato is FDA-approved and increasingly covered by insurance.
- TMS (transcranial magnetic stimulation): a non-invasive, FDA-cleared device-based treatment for depression and OCD, typically covered by insurance after failed medication trials.
- Psilocybin therapy: legal, facilitator-guided sessions in Oregon and Colorado, with strong clinical results for treatment-resistant depression and end-of-life distress.
- Intensive outpatient programs (IOP) and partial hospitalization (PHP): structured group and individual care, typically three to five days a week, while you continue to live at home.
- Trauma intensives: multi-day, single-clinician programs that condense months of weekly trauma therapy into a focused block.
- Residential and inpatient care: the right level when daily functioning has collapsed or safety is a concern.
Navii is built for exactly this moment.
Our assessment takes 30 seconds. It asks about what you're experiencing, what you've tried, what you're open to, your insurance, and where you live. A real placement navigator reads your answers and tells you what level of care actually makes sense, then connects you directly to a vetted provider who can deliver it. You don't need to know the difference between an IOP and a PHP. You don't need to understand what ketamine therapy is. You don't need a diagnosis. You just need to be honest about where you are.
No account required. Always free for people.
Common questions
What is treatment-resistant depression?+
Treatment-resistant depression (TRD) is depression that hasn't responded to at least two adequate trials of antidepressants from different classes. It affects roughly 30 percent of people diagnosed with major depressive disorder. TRD doesn't mean depression is untreatable. It usually means the standard first-line approach isn't the right fit and a different category of care is needed, such as ketamine, TMS, esketamine (Spravato), or an intensive outpatient program.
What do I do when therapy isn't working?+
Weekly talk therapy is one tool among many. If you've been in therapy for months or years without meaningful change, the answer is rarely more of the same. Options include changing modality (EMDR, IFS, somatic), increasing intensity (an IOP or trauma intensive), or adding a biological intervention (TMS, ketamine, medication review). A navigator can help you sort through what fits your situation without making you start over.
How do I find a treatment center that's right for me?+
The right treatment center depends on what you're treating, what level of care you need, your insurance, and your location. Navii's free assessment captures all of that in 30 seconds. A placement navigator reads your answers and matches you to a vetted provider, instead of leaving you to filter a directory of hundreds of clinics on your own.
Is Navii really free for people?+
Yes. People never pay Navii. Providers in our network pay a flat monthly subscription, so there are no per-match or per-referral fees and no obligation to follow our recommendation.
Do I need a diagnosis to use Navii?+
No. Most people who use Navii don't have a clean diagnosis. You just need to be honest about where you are. We'll figure out the rest.
Still not sure?
That's exactly the point. Tell us where you are and we'll take it from there.
Start free assessment