Unlocking Hope: Trauma Therapy and TMS for PTSD Recovery

Mason Lundell • September 17, 2023
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TMS THERAPY SUPPORTS MENTAL WELLNESS

  • Depression
  • Lack of Joy
  • Sadness and Despair
  • Low Mood
  • Lethargy
  • Insomnia
  • Oversleeping
  • Social Isolation
  • Self-Harm
  • Substance Abuse
  • Suicidal Ideation
  • Alcoholism

Fixing Insomnia Can Play a Transformative Role in Improving Mental Health

By Mason Lundell • October 18, 2025
Sleep and Mental Health: Why Sleep Care Is Foundational Sleep is essential for emotional regulation, cognitive function, and neuroplasticity. Disrupted sleep, especially insomnia, is not just a symptom but a risk factor and potential driver for mood and anxiety disorders, including depression. Insomnia can impair brain plasticity, over-activate the stress system (including cortisol dysregulation), and promote neuroinflammation, all of which contribute to psychiatric symptoms and vulnerability to mental illness. 1 2 3 4 Chronic insomnia is associated with increased risk of new-onset depression and can worsen the course of existing psychiatric conditions. 5 6 7 4 Treating Insomnia Improves Mental Health Improving sleep quality leads to measurable improvements in mental health. Meta-analyses and randomized controlled trials show that interventions targeting sleep — especially cognitive behavioral therapy for insomnia (CBT-I) — not only improve sleep but also reduce symptoms of depression, anxiety, and stress, and enhance overall psychological well-being. 8 9 10 11 There is a dose-response relationship: greater improvements in sleep yield greater improvements in mental health. 9 Treating insomnia can also prevent the onset of depression and improve outcomes in those with comorbid mood disorders. 6 11 Sleep, Hormones, and Mood Sleep physiology is tightly linked to hormone regulation. Sleep loss and insomnia can disrupt the hypothalamic-pituitary-adrenal (HPA) axis, leading to abnormal cortisol rhythms, and may affect reproductive hormones such as progesterone, which in turn can influence mood and sleep quality. 12 Evaluating and addressing hormonal imbalances can be an important part of a comprehensive sleep and mental health assessment. What a Thorough Sleep Consultation Covers A thorough sleep consultation — including review of sleep habits, medication effects, and hormone status — can identify modifiable contributors to insomnia and psychiatric symptoms. Medication review is crucial, as many drugs can worsen sleep or interact with mood. Addressing sleep hygiene, optimizing medications, and evaluating hormone levels (such as cortisol and progesterone) can all support better sleep and, by extension, better mental health. 12 7 Bottom Line Prioritizing sleep health is a powerful, evidence-based strategy for healing the mind and preventing psychiatric illness. Comprehensive sleep consultations, hormone evaluation, and medication review are key services that can help patients achieve restorative sleep and improved mood. 1 5 2 12 6 9 7 10 3 11 4 At Unchained Wellness, we take an integrative approach to restoring balance — addressing the underlying hormonal, nutritional, and psychological factors that influence sleep and emotional well-being. Schedule a consultation today to begin your personalized path toward deeper rest, improved focus, and renewed vitality.  References Sleep, Insomnia and Mental Health — Palagini L, Hertenstein E, Riemann D, Nissen C. Journal of Sleep Research. 2022;31(4):e13628. https://doi.org/10.1111/jsr.13628 The Key Role of Insomnia and Sleep Loss in the Dysregulation of Multiple Systems Involved in Mood Disorders — Palagini L, Bastien CH, Marazziti D, Ellis JG, Riemann D. Journal of Sleep Research. 2019;28(6):e12841. https://doi.org/10.1111/jsr.12841 Sleep Markers in Psychiatry: Do Insomnia and Disturbed Sleep Play as Markers of Disrupted Neuroplasticity in Mood Disorders? — Palagini L, Geoffroy PA, Riemann D. Current Medicinal Chemistry. 2022;29(35):5595-5605. https://doi.org/10.2174/0929867328666211214164907 Sleep, Insomnia, and Depression — Riemann D, Krone LB, Wulff K, Nissen C. Neuropsychopharmacology. 2020;45(1):74-89. https://doi.org/10.1038/s41386-019-0411-y Insomnia Disorder: State of the Science and Challenges for the Future — Riemann D, Benz F, Dressle RJ, et al. Journal of Sleep Research. 2022;31(4):e13604. https://doi.org/10.1111/jsr.13604 Recent Advances in Sleep and Depression — Mirchandaney R, Asarnow LD, Kaplan KA. Current Opinion in Psychiatry. 2023;36(1):34-40. https://doi.org/10.1097/YCO.0000000000000837 Insomnia Disorder — Winkelman JW. New England Journal of Medicine. 2015;373(15):1437-1444. https://doi.org/10.1056/NEJMcp1412740 Emotional Processing Following Digital CBT-I in People With Depressive Symptoms: RCT — Tamm S, Tse KYK, Hellier J, et al. JAMA Network Open. 2025;8(2):e2461502. https://doi.org/10.1001/jamanetworkopen.2024.61502 Improving Sleep Quality Leads to Better Mental Health: Meta-analysis of RCTs — Scott AJ, Webb TL, Martyn-St James M, Rowse G, Weich S. Sleep Medicine Reviews. 2021;60:101556. https://doi.org/10.1016/j.smrv.2021.101556 Effect of Digital CBT-I on Health and Well-being: RCT — Espie CA, Emsley R, Kyle SD, et al. JAMA Psychiatry. 2019;76(1):21-30. https://doi.org/10.1001/jamapsychiatry.2018.2745 Sleep Disturbance and Psychiatric Disorders — Freeman D, Sheaves B, Waite F, Harvey AG, Harrison PJ. The Lancet Psychiatry. 2020;7(7):628-637. https://doi.org/10.1016/S2215-0366(20)30136-X Sleep Physiology, Pathophysiology, and Sleep Hygiene — Baranwal N, Yu PK, Siegel NS. Progress in Cardiovascular Diseases. 2023;77:59-69. https://doi.org/10.1016/j.pcad.2023.02.005

Why Antidepressants Aren't Always Enough - The Rise of Integrative Psychiatry

By Mason Lundell • October 18, 2025
Why Antidepressants Aren’t Always Enough — The Rise of Integrative Psychiatry Many patients with major depressive disorder and fatigue do not achieve remission with standard antidepressant therapy alone. Integrative psychiatry combines medication, hormone therapy, nutrition, intravenous therapies, IV supplementation, red light therapy, Spravato (esketamine), and transcranial magnetic stimulation (TMS) to address these unmet needs. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Medication and Hormone Therapy Conventional antidepressants remain foundational, but many patients require additional strategies. Hormonal interventions targeting the HPA, HPT, and HPG axes—including estrogen, progesterone derivatives, and testosterone—may benefit select individuals, especially when endocrine dysfunction is present. 1 6 10 11 Nutrition and IV Supplementation Nutritional optimization and IV therapies, such as ketamine, can be considered for documented deficiencies or as adjuncts in treatment-resistant cases. IV ketamine has demonstrated rapid antidepressant effects, while micronutrient supplementation remains investigational. 7 8 12 Red Light Therapy (Photobiomodulation) Transcranial and systemic photobiomodulation using red or near-infrared light is a non-invasive neuromodulation technique with emerging evidence for efficacy in moderate-grade depression. Optimal protocols are still being defined, but the therapy is well tolerated. 2 3 4 5 9 13 Spravato (Esketamine) Spravato is an FDA-approved intranasal formulation of esketamine indicated for adults with treatment-resistant depression and for depressive symptoms with acute suicidal ideation or behavior, always in conjunction with an oral antidepressant. 14 19 21 27 Clinical trials show rapid symptom improvement, often within hours, and a favorable sexual side effect profile compared to SSRIs/SNRIs. 19 21 Dosing for TRD typically starts at 56 mg or 84 mg twice weekly for 4 weeks, then transitions to weekly or biweekly maintenance. 21 Administration requires in-clinic monitoring due to transient dissociative symptoms and blood pressure changes. Transcranial Magnetic Stimulation (TMS) TMS is a non-invasive brain stimulation technique approved for treatment-resistant depression. High-frequency repetitive TMS to the dorsolateral prefrontal cortex yields response rates of 25–37% and remission rates of 17–30% in TRD, with a number needed to treat of 6–8. 24 25 28 29 TMS is well tolerated, with minimal adverse effects, and can be considered early in the course of treatment-resistant depression. 15 22 23 24 25 26 28 29 Recent consensus guidelines endorse TMS as a safe and effective option, with newer protocols offering faster and potentially more robust results. 25 Summary Integrative psychiatry leverages a multidisciplinary toolkit—including medication, hormone therapy, nutrition, IV therapies, red light therapy, Spravato, and TMS—to optimize outcomes for patients with treatment-resistant depression and fatigue. This approach is supported by clinical guidelines and recent evidence, and offers a personalized, holistic framework for care. 15 24 25 27 28 29 If you’ve struggled to find full relief from antidepressants or feel persistently fatigued despite treatment, schedule a consultation with Unchained Wellness to explore a personalized, integrative care plan. Together, we can identify underlying contributors and design a treatment approach that restores balance—mind, body, and spirit.  References Hormonal Treatments for Major Depressive Disorder: State of the Art — Dwyer JB, Aftab A, Radhakrishnan R, et al. American Journal of Psychiatry. 2020;177(8):686-705. Photobiomodulation: Shining a Light on Depression — Wang L et al. Theranostics. 2025;15(2):362-383. Transcranial and Systemic Photobiomodulation for Major Depressive Disorder: A Systematic Review — Caldieraro MA, Cassano P. Journal of Affective Disorders. 2019;243:262-273. Photobiomodulation for Major Depressive Disorder — Vieira WF et al. Harvard Review of Psychiatry. 2023;31(3):124-141. Photobiomodulation Therapy in Mood Disorders — Montazeri K et al. Lasers in Medical Science. 2022;37(9):3343-3351. Translational Interdisciplinary Research on hCG’s Enhancement of Neuroendocrine Crosstalk — Gaspary JFP et al. Frontiers in Psychiatry. 2025;16:1537442. Comparative Efficacy of Ketamine, Esketamine, Aripiprazole, and Lithium in TRD — Terao I et al. Journal of Affective Disorders. 2024;346:49-56. Double-Blind, Placebo-Controlled, Dose-Ranging Trial of IV Ketamine — Fava M et al. Molecular Psychiatry. 2020;25(7):1592-1603. Photobiomodulation Improves Depression Symptoms — Ji Q et al. Frontiers in Psychiatry. 2023;14:1267415. Low-Dose Testosterone Augmentation for Antidepressant-Resistant Depression in Women — Dichtel LE et al. American Journal of Psychiatry. 2020;177(10):965-973. Promoting Good Mental Health Over the Menopause Transition — Brown L et al. The Lancet. 2024;403(10430):969-983. Effectiveness of Repeated IV Ketamine — McIntyre RS et al. Journal of Affective Disorders. 2020;274:903-910. Photobiomodulation: An Emerging Treatment Modality for Depression — Vieira WF et al. Psychiatric Clinics of North America. 2023;46(2):331-348. FDA Orange Book — U.S. Food and Drug Administration. Management of Major Depression: Guidelines From the VA/DoD — AAFP 2023. TMS and Ketamine: Implications for Combined Treatment — Dębowska W et al. Frontiers in Neuroscience. 2023;17:1267647. Treatment-Resistant Depression in Older Adults — Steffens DC. New England Journal of Medicine. 2024;390(7):630-639. Comparing Efficacy of Ketamine and TMS for TRD — Mikellides G et al. Frontiers in Psychiatry. 2021;12:784830. Spravato for Treatment-Resistant Depression: Efficacy and Sexual Side Effect Profile — Raza AA et al. Neuropsychiatric Disease and Treatment. 2025;21:2125-2140. Therapeutic Strategies for TRD — Goh KK et al. Current Pharmaceutical Design. 2020;26(2):244-252. Spravato Label Information — FDA. Updated Aug 2025. Comparative Effectiveness Research Trial (ASCERTAIN-TRD) — Papakostas GI et al. Molecular Psychiatry. 2024;29(8):2287-2295. Recent Innovations in Non-Invasive Brain Stimulation — Piccoli E et al. International Review of Psychiatry. 2022;34(7-8):715-726. Treating Depression With rTMS: A Clinician’s Guide — Chen L et al. American Journal of Psychiatry. 2025;182(6):525-541. Consensus Review and Considerations on TMS to Treat Depression — Trapp NT et al. Clinical Neurophysiology. 2025;170:206-233. Management of Major Depressive Disorder (VA 2022) — Department of Veterans Affairs. Synthesizing the Evidence for Ketamine and Esketamine in TRD — McIntyre RS et al. *American Journal

Normal Stress vs. Burnout

By Mason Lundell • October 18, 2025
Normal Stress vs. Burnout
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Post-Traumatic Stress Disorder, or PTSD, brings an internal struggle often concealed behind brave faces and stoic exteriors. It is a silent storm, a relentless adversary that can profoundly disrupt lives, relationships, and daily functioning.


At Unchained Wellness Clinic, considered a Phoenix trauma center, we understand the weight of this issue and the pressing need for effective PTSD or trauma treatment. PTSD is more than a condition; it's a heavy burden that can impact every aspect of a person's life.


But there is hope. Keep reading to learn about the promise of Transcranial Magnetic Stimulation (TMS) as a groundbreaking approach to treating PTSD.

Understanding PTSD and Trauma

PTSD, at its core, is a complex mental health disorder that can develop after a traumatic event. These events often threaten one's life or physical integrity, leaving an indelible mark on the individual's psyche. PTSD manifests in a multitude of ways, affecting each person uniquely, but some common symptoms often emerge:


  • Intrusive Memories: Individuals with PTSD may experience distressing and intrusive memories of the traumatic event. These memories can be vivid flashbacks, nightmares, or distressing thoughts.
  • Avoidance: To escape the painful trauma reminders, individuals with PTSD might avoid places, people, or situations that trigger distressing memories. This avoidance can hinder their ability to engage fully with daily life.
  • Negative Changes in Thinking and Mood: PTSD can lead to persistent negative emotions, including guilt, shame, or detachment from loved ones. It can also affect one's ability to experience positive emotions.
  • Hyperarousal: Those with PTSD may experience irritability, difficulty sleeping, and a heightened startle response. This constant state of alertness can be exhausting and emotionally draining.

The Need for Specialized Trauma Therapy

Trauma, the underlying catalyst for PTSD, is a force that casts a long shadow on mental health and overall well-being. Recognizing that trauma encompasses a broad spectrum of experiences, ranging from combat exposure and accidents to interpersonal violence and childhood adversity, is crucial. These experiences, no matter their origin, have the potential to leave profound emotional scars.


Unfortunately for many, the ripple effect of trauma often extends beyond the initial event. It infiltrates every facet of life, from relationships to work, and can erode one's sense of safety and trust in the world. The emotional toll is substantial, often manifesting in depression, anxiety, and a diminished quality of life.



Given the multifaceted nature of PTSD and the intricate interplay between trauma and mental health, specialized trauma therapy is a critical component of the healing journey.

Limitations and Challenges of Traditional PTSD Treatments

Traditional treatment modalities for PTSD include Cognitive-Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), Exposure Therapy, other forms of psychotherapy, and medication.


While these traditional treatments for PTSD have helped countless individuals regain control over their lives, they sometimes come with certain limitations and challenges:

  • Variable Effectiveness: Not all individuals respond to traditional treatments similarly. What works for one person may work less effectively for another.
  • Time-Consuming: Psychotherapy can be time-consuming and requires consistent commitment and effort.
  • Medication Dependency: Relying solely on medication can lead to dependency and may not provide a long-term solution for some individuals.
  • Treatment Resistance: Sometimes, individuals may not experience significant relief from traditional treatments.


Considering these challenges, it's crucial to explore innovative approaches like TMS as a complementary or alternative option for those seeking trauma therapy and relief from PTSD.

TMS for PTSD: A Promising Approach

TMS is a non-invasive neuromodulation technique offering remarkable potential in treating various mental health conditions, including depression and PTSD. At its core, TMS leverages magnetic fields' power to stimulate specific brain regions associated with mood regulation and emotional processing. It is also FDA-approved to help people with depression which is commonly linked to trauma therapy. TMS offers a unique advantage by directly targeting the neural circuits involved in the condition.


  • Precise Brain Stimulation: TMS delivers focused magnetic pulses to specific areas of the brain known to be associated with PTSD, such as the prefrontal cortex. This precision allows for the modulation of neural activity in these regions.
  • Neuroplasticity: The brain possesses an incredible capacity for change and adaptation, known as neuroplasticity. TMS harnesses this neuroplastic potential by promoting the formation of new neural connections and the reorganization of existing ones.
  • Symptom Reduction: Through repeated TMS sessions, individuals can experience a reduction in the distressing symptoms of PTSD, such as intrusive thoughts, emotional numbing, and hyperarousal.
  • Improved Quality of Life: Beyond symptom reduction, TMS therapy often leads to a notable enhancement in the quality of life for individuals grappling with PTSD. Common outcomes include restored sleep patterns, improved mood, and increased daily functioning.
  • Minimal Side Effects: TMS tends to have minimal side effects and does not require anesthesia or sedation, making it an excellent option for those struggling with the adverse effects of medication.


Are you or a loved one seeking trauma therapy? TMS can be a vital solution—particularly for those who have not responded optimally to traditional treatments or want a treatment that allows them to continue their daily lives with minimal interruption.

Find PTSD Treatment at Unchained Wellness Clinic IN GILBERT ARIZONA

As a reputable provider of TMS, Unchained Wellness Clinic stands as a steadfast ally for individuals seeking relief from the burdens of PTSD and trauma.


Our team of dedicated professionals possesses a wealth of expertise and experience in treating PTSD and trauma. We understand that healing from this deeply impactful condition requires compassionate and specialized care.


Here's why you should consider reaching out to us for your trauma therapy needs:

  • Multidisciplinary Approach: We take pride in our diverse team of professionals, each bringing a unique skill set. Integrating various disciplines ensures we address all facets of your well-being—nurturing your mind, body, and spirit.
  • Customized Solutions: We wholeheartedly believe in the power of individualized care. There is no one-size-fits-all solution when it comes to wellness, and that's why we tailor our treatment plans to meet your unique needs and goals.
  • Evidence-Based Practices: Our commitment to your well-being extends to using evidence-based practices and staying at the forefront of wellness advancements. We blend time-tested therapeutic modalities with cutting-edge techniques like TMS.
  • A Supportive Community: Healing is enriched through connection and support, so our clinic provides a warm, nurturing environment.
  • Sustainable Transformation: We are not interested in quick fixes or temporary solutions. Our focus is empowering you to sustain your wellness gains long after your time with us.

Break Free from PTSD with TMS TRAUMA THERAPY

If you or a loved one is seeking TMS treatment for PTSD near Phoenix, reaching out to Unchained Wellness Clinic is vital to reclaiming your life from the shadows of trauma. We are here to provide guidance, support, and a path to healing.


Don't hesitate to contact us for more information or to schedule a consultation. Your journey toward hope and recovery starts with a simple reach-out, and we are here to accompany you every step of the way.


Schedule a therapy session and together, we can break free from the chains that hinder progress and unlock the potential for a brighter, more fulfilling future.

Request a Consultation

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