A New Approach to Depression Relief —Because Healing Is Possible.
Personalized care that meets you where you are—no judgment, just healing.
You’re not alone - and you’re not out of options.
Struggling with depression doesn't come with a one-size-fits-all solution. That’s why we start with you — your symptoms, your story, your needs.
We help people struggling with severe depression facing:
Feeling stuck, disconnected, or flat
Emotional overwhelm
Chronic stress or burnout
Fatigue from medications that haven’t worked
Brain fog, focus issues, or sleep problems
TMS Therapy
Consult, Plan, and Treat
Request a free phone consultation via call, form, or online booking.
Meet with a provider, review your history, get a personalized plan, and we'll submit for insurance approval.
First session includes device “mapping” and your initial treatment.
Sessions last 3–20 minutes; relax during treatment and continue your day as usual afterward.
Spravato (Esketamine)
FDA Approved
For adults struggling with
treatment-resistant depression (TRD) and major depressive disorder (MDD) with suicidal thoughts or actions.
Sustainable Relief
About 70% of patients show a clinically meaningful response, with treatments easily integrated into your life.
Covered by Insurance
Spravato is covered by several major insurance payers, making it an accessible option for many if you've tried antidepressants and therapy.
TMS has helped millions of people find relief from depression.
TMS is a non-invasive, non-medication treatment
Intended for patients who have not found relief from antidepressant drugs, TMS uses magnetic pulses to stimulate a specific area of the brain associated with controlling mood– decreasing depressive symptoms after repeated sessions.
FDA Cleared & Covered by Insurance
TMS therapy has been FDA cleared since 2008, proven to be safe & effective, and covered by most major insurance providers.
No Systemic Side Effects
While you may feel a slight tapping sensation, most patients adapt to it after just a couple of sessions.
21 Day Difference
Many patients start to see an improvement after just 3-4 weeks of treatment.
Safe & Effective
About 79% of patients who complete a full course of TMS show a clinically meaningful response and about 53% experience a remission, meaning their symptoms go away completely.
Fits In Your Schedule
Sessions are 3-20 minutes and you can drive to and from your appointments. The full course covered by insurance usually takes about 6-8 weeks to complete.
What is Spravato®?
Spravato (esketamine) is a prescription nasal spray that is fast-acting, FDA approved, and covered by most major insurance providers, and is used to treat adults with treatment-resistant depression (TRD), or major depressive disorder with suicidal ideation.
Unlike oral antidepressants, Spravato is a novel mechanism that acts on different receptors (NMDA vs. serotonin receptors) to treat depression and bring fast relief.
Spravato® is taken at a REMS Certified Treatment Center
3 Treatment Phases
Induction: Twice weekly for the first 4 weeks.
Optimization: Once a week for the following four weeks.
Maintenance: Weekly or bi-weekly treatments as needed. At 8 weeks, you will meet with your provider to discuss the best treatment cadence going forward.
Treatment Protocol
- Does not need to be taken with an oral antidepressant
- Following administration, you will be observed for 2 hours by your provider
- Patients cannot drive from their appointment due to some side effects, so please find a ride on treatment days. Your provider will discuss the side effect profile further at your evaluation.
TMS and Spravato is Covered by Major Insurance Providers
Hear What our Patients Have to Say
Elizabeth
TMS Patient
"Active Path is well worth the 36 daily visits. TMS treatment and the NW Portland location changed my life for the better. I feel like a new person and back to my self again! Everyone at the NW location is friendly and cares deeply about my well-being and mental health. I highly recommend this clinic and can’t say enough good things about the people who work there. I’m so glad I could trust my team to go for it! Thank you!"
Mike
Spravato Patient
"Remission from your depression IS possible! I was fortunate enough to have it happen to me while under Spravato (esketamine) therapy. My experience with these folks has always been a good one - I've been to both this location and the Clackamas location and everybody is warm, friendly, and super supportive in whatever it is you're going through. This location in particular recently expanded its office to be able to handle a much larger amount of patients, so it's definitely worth your time looking into your options with them."
Nicholas
TMS Patient
"I have completed the initial course of TMS treatments and a set of additional treatments. Everything about my experience — from first reaching out to Active Path Mental Health to the end of the treatments — has been excellent! It has been a very helpful tool in the managing of my mental health concerns/diagnoses. Individual results will vary, but I highly recommend scheduling a consultation to learn more and see if TMS is a good fit for you."
Meet Our Chief Medical Officer
Dr. Pritham Raj is a board-certified expert in internal medicine and psychiatry, specializing in the connection between mental and physical health. He earned his medical degree from the University of Maryland and completed a combined residency at Duke University, where he contributed to early TMS research.
Dr. Raj’s research focuses on obesity, depression, and cognitive health. Passionate about wellness, he trained as a Chief Wellness Officer at Stanford University and has provided expert insights on the mental and physical impacts of the COVID-19 pandemic. Outside of work, he enjoys time with his children and leads DARK to Light, a nonprofit supporting children of separating families.
Locations in Oregon & Washington
Clackamas, OR
10151 SE Sunnyside Road, Suite #360,
Clackamas, OR, 97015
Portland, OR
2701 NW Vaughn St, Suite #470
Portland, OR, 97210
Salem, OR
2525 12th St SE, Suite #210,
Salem, OR, 97302
Tigard, OR
11850 SW 67th Avenue Suite 130
Tigard OR 97223
Kirkland, WA
4020 Lake Washington Blvd NE, Suite #210,
Kirkland, WA, 98033
Vancouver, WA
Columbia Tech Center, Building 608 1499 S.E. Tech Center Place, Suite #170,
Vancouver, WA, 98683
Real Stories. Real Healing
Anne's Story
In this video, Anne shares her personal journey with depression. After learning about Transcranial Magnetic Stimulation (TMS) through a friend, she turned to Active Path for help. TMS, along with the supportive team and educational modules at Active Path, helped her rediscover joy, improve relationships, and regain hope.