Hope Speaks

Hope Speaks in Richardson, Texas offers Spravato for adults with major depression when other antidepressants have not worked. The FDA-approved esketamine nasal spray is administered in the office under medical care and can help patients find relief faster than standard medication, often within weeks.

The practice also offers TMS, a non-invasive treatment using gentle magnetic pulses to stimulate brain areas that control mood. TMS is performed without surgery or sedation, with most patients driving themselves to and from appointments, and is well-suited for depression or OCD when medications cause side effects or fall short.

Hope Speaks takes an integrated, whole-person approach, with therapists and prescribers working as one team. Services include psychiatric care and medication management led by Dr. Thomas Shoaf, counseling, trauma and ADHD therapy, addiction support, and life coaching, with both in-person and telehealth visits available.