Metabolic psychiatry and functional medicine treat depression as a symptom rather than an isolated disease. Using Transcranial Magnetic Stimulation, we treated a patient with this philosophy, expecting her blood glucose to decrease as a biomarker of inflammation. Cortisol and other chemical messengers of stress signal the body to release more glucose. TMS has been shown to improve depression, anxiety, and PTSD, reducing the body’s proclivity to release chemicals that worsen chronic diseases. We love this approach at Ascend since several of our providers were successful in fields other than psychiatry, so they can bring that expertise to expose the root cause of anxiety and unipolar or bipolar depression. We replace the old pharmaceutical model of “neurotransmitter deficiency” to a holistic one that allows the patient to take charge of their health and start needing us less.