

Experience next-gen psychiatric care close to home: evidence-based treatment delivered with convenient telemedicine for adults across Colorado, plus in-office advanced options like Transcranial Magnetic Stimulation (TMS) and SPRAVATO® (esketamine). Led by board-certified psychiatrist Josiah Ziegler, DO, the Fort Collins clinic provides patient-centered psychiatry, therapy, and medication management—all grounded in modern protocols and compassionate follow-up.
Transcranial Magnetic Stimulation (TMS): Noninvasive, in-office, designed to help with depression and OCD; administered by a psychiatrist.
SPRAVATO® (esketamine) nasal spray: FDA-approved for treatment-resistant depression; structured, clinic-based sessions with monitoring. Include “What to expect” steps.
Telemedicine psychiatry: Initial consults, therapy, and medication management—meet from home or work.
Conditions we treat: Depression, anxiety, OCD, PTSD, bipolar disorder and more.


Who Can Get TMS and SPRAVATO®?
Adults who haven’t had adequate relief with antidepressant medication may be candidates for TMS (Transcranial Magnetic Stimulation)—which is FDA-cleared for major depressive disorder and, on certain systems, for OCD and anxious depression—and for SPRAVATO® (esketamine) nasal spray, which is FDA-approved for treatment-resistant depression (TRD) in adults. SPRAVATO® is administered only in a certified clinic under medical supervision with required monitoring.
What to Expect
TMS is noninvasive and requires no anesthesia—you can typically return to normal activities, including work and driving, after each session. The most common side effects are mild (for example, scalp discomfort or headache), and many people begin to notice changes over several weeks, though timelines vary. SPRAVATO® visits include observation for at least 2 hours; because it can cause sedation or dissociation, you’ll need a ride home and should not drive or operate machinery until the next day after a restful sleep.
Next Step
Psychiatric Services of the Rockies partners with you to create a clinician-guided plan—whether that includes therapy/medication, TMS, SPRAVATO®, or a combination—so you can explore the option that best fits your needs.
"Compassionate with treatment"
Dr. Ziegler and his staff are awesome!! They are always cordial and professional. Answering any questions and accommodating appointments as needed. Compassionate with treatment and making sure you are doing well. I would highly recommend this office.
Melanie K
“Best psych doc ever”
Dr. Ziegler is the best psych doc I think I’ve ever had, and I’m not just saying that. He makes you feel like it is ok to be you, say how you really feel, and not be judged. I feel he is extremely smart and competent and is helping me get my life (and esp mental health) back on track. Thank you for everything you’ve done for me.
Laura C
"100 stars!!"
Love telehealth visits. He was awesome and personable. I finally met him, he's just as lovely in person. I would give 100 stars!! After several visits I am so pleased with Dr Ziegler and the entire staff. If you have any reservations about the treatments, give them a chance to WOW you
Visiting the office is my favorite thing every week. They treat me so well, spoil me with attention to detail and love!! I get to see everyone tomorrow and I can't wait. My life is significantly better since I started treatment here. I finally feel happiness for maybe the first time in my long life.
Teresa K



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