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Nurse-monitored, every session
A registered nurse is present for the entire session, with vitals monitored and physician oversight on every plan.
Greater Seattle · At Home or In-Clinic
Advanced MentalHealth Treatment
Real relief for depression, anxiety & PTSD. Evidence-based care at home or in-clinic. When medication and talk therapy haven't been enough, we're here.
Most Major Insurance Plans
Physician Oversight & RN Monitoring
Most Patients Start Within a Week
Greater Seattle & Surrounding Counties
- 5.0 Google RatingBased on 100+ reviews
- LegitScript CertifiedTrusted & Compliant
- ASKP3 MemberQuality. Accountability. Better Outcomes.
- HIPAA-CompliantYour information is safe with us.
You're not out of options
When medication and talk therapy haven't been enough
Many adults with depression, anxiety, or PTSD try antidepressants or years of talk therapy and still feel stuck. That doesn't mean you've failed. It means it may be time for clinic-grade options designed for treatment-resistant symptoms.
Nomad Therapeutics offers advanced care for greater Seattle, at home or in our Queen Anne clinic, with physician oversight and a clear path forward.
Services
Advanced treatment options, matched to what you need
Medication management, Spravato, and TMS, with Spravato and TMS accepted by most major plans.
- Physician-led
Medication Management
Physician-led medication plans for depression, anxiety, and PTSD, adjusted carefully so treatment fits your life.
- Accepted by most major plans
Spravato (Esketamine)
FDA-approved nasal spray for treatment-resistant depression. Accepted by most major insurance plans. In-clinic with registered nurse monitoring.
- Accepted by most major plans
TMS Therapy
Non-medication magnetic pulse therapy for depression. Accepted by most major insurance plans. No anesthesia. Drive yourself home.
TMS Therapy
TMS when you want a non-medication path forward
Targeted magnetic pulses for depression, without anesthesia. Most major insurance plans accepted. You can drive yourself home after treatment.
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Non-medication treatment
TMS uses magnetic pulses to stimulate areas of the brain involved in mood regulation, without systemic medication effects.
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Outpatient and practical
Sessions are in-clinic. No anesthesia is required, and most people return to their day afterward.
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Accepted by most major plans
Coverage support and transparent estimates so you know what to expect before the first session.
Spravato
FDA-approved Spravato for treatment-resistant depression
Esketamine nasal spray, delivered in-clinic with registered nurse monitoring and physician oversight, when standard antidepressants haven’t been enough.
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FDA-approved for TRD
Spravato (esketamine) is FDA-approved for treatment-resistant depression when used as labeled, under clinical supervision.
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Nurse-monitored sessions
Every visit is supervised in clinic. A registered nurse stays with you and monitors vitals for the full observation window.
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Accepted by most major plans
We help verify coverage and share a clear Good Faith Estimate before you begin.
How it works
From first call to first session, in days, not months
Three clear steps whether you're exploring medication management, Spravato, or TMS. No referral required. Most patients begin within a week.
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Free consultation call
A short conversation about what you’ve tried and what you want to feel different. No commitment, just clarity.
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Clinical evaluation
A clinician reviews your history, medications, and safety. We’ll recommend a plan or tell you honestly if we’re not the right fit.
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Start within days
Most patients begin within a week. No referral needed. You’ll know the plan, the cost estimate, and the next session date.
Why Nomad
Clinic-grade care that fits into a real life
Clinic-grade mental health treatment with nurse monitoring, physician oversight, transparent cost, and a local Seattle team you can reach, at home or in Queen Anne.
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Your therapist stays in the loop
We coordinate with the therapist you already trust, or match you through the Nomad Network.
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Straight answers on cost
Transparent pricing with a Good Faith Estimate up front, and Spravato and TMS accepted by most major plans.
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Local, and reachable
A Seattle team you can call or text. Care across King, Pierce, Kitsap, and Thurston counties, at home or in Queen Anne.
Patient stories
What people say after treatment
Safety, compassion, and results that feel personal, from a local Seattle team.
Nomad came to our home for my family member’s care, and their nurses treated our whole family with such warmth and compassion. Having care that felt this safe and personal meant the world to us.
The team communicated clearly and often, the nurses made me feel safe and comfortable, and I loved that I could do this without rearranging my whole life. It helped me access and process things that had been holding me back.
Nomad Therapeutics quite literally changed my life. They gave me hope when so many other treatments had fallen short. The professionalism, expertise, and genuine compassion are unmatched.
Providers
Clinicians who stay with the plan
Physician oversight, psychiatric care, and a Seattle team built around safety, clarity, and follow-through.
Physician oversight on every plan
Alexander Gill, MD
Co-founder & Chief Medical Officer
Board-certified emergency medicine physician. Oversees every treatment plan and supervises the clinical team with a safety-first, individualized approach.
Session care team
Registered nurses present the entire session
Vitals monitored start to finish, under physician oversight, at home or in clinic.
Watch
Meet the team, and see what a home visit looks like
FAQ
Answers before you call
The questions almost everyone asks first, answered honestly.
Most of our patients have tried antidepressants or long-term therapy without enough relief. We evaluate depression, anxiety, PTSD, and treatment-resistant depression carefully. The free consultation is where we find out together.
Most patients begin within a week of their consultation. No referral is required.
Yes. Spravato and TMS are accepted by most major plans. We’ll help you understand coverage and provide a Good Faith Estimate before you start.
No. You can book directly. If you have a therapist or psychiatrist, we’ll coordinate with them with your permission.
A registered nurse monitors you for the entire session under physician oversight. We’ll walk through side effects and what to expect at your evaluation.
Start with a conversation
Find out if advanced care is right for you
Book a free consultation, find out if you qualify, or call us. A local Seattle team, no pressure, just a clear next step.
Prefer to talk first? Call or text (425) 675-8754
Greater Seattle
Local care across the region, at home or in Queen Anne
King, Pierce, Kitsap & Thurston counties · Queen Anne clinic + at-home care
Seattle & Shoreline
Clinic + regional care
Bellevue
King County
Tacoma / Pierce
Pierce County
Kitsap
Kitsap County
Olympia / Thurston
Thurston County
Queen Anne clinic
Seattle clinic