Interventional psychiatry practice SD Wellness Group delivers FDA-approved Spravato (esketamine) nasal-spray treatment and Transcranial Magnetic Stimulation alongside conventional medication management from Suite 300 at 3930 Fourth Avenue in Hillcrest. The Spravato program runs under in-clinic REMS-monitored observation following the FDA's required two-hour post-dose observation protocol, an interventional-psychiatry capability shared with peers like Advanced Psychiatry Associates. TMS sessions deliver repetitive magnetic pulses to the dorsolateral prefrontal cortex across roughly 36 weekday appointments spanning six to nine weeks for major depressive disorder patients who have not responded to two or more prior antidepressant trials. The talk-therapy side of the practice is staffed by clinicians working in CBT, EMDR, and marriage counseling, with prescribing handled by psychiatric providers in the broader Hillcrest network that includes Bryan Amaro, DNP-PMHNP. The group's most clinically demanding workflow combines a Spravato or TMS course with concurrent psychotherapy and ongoing oral antidepressant titration for adults with treatment-resistant depression who have already exhausted standard medication trials.