Interventional Psychiatric Treatments

When life feels heavy, we help you find your breakthrough.

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What we treat

Depression

Treatment Resistant Depression

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Anxiety

Treatment Resistant Anxiety

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PTSD

Treatment Resistant PTSD

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OCD

Treatment Resistant OCD

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Now Offering ONE-D TMS: the first ever, one-day treatment for depression!

Interventional psychiatric treatments for depression, anxiety, OCD, and PTSD when medication doesn’t work

Not sure where to start?

01

No-Cost Phone Consultation

02

Benefits Assessment

03

Prepare For Your First Appointment

05

Treatment

04

New Patient Appointment
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Insurance

We accept most insurance providers. If you have specific questions regarding your coverage, please contact us for additional information.

Our mission

At Breakthru, our mission is to improve access to mental health care through transformative interventional psychiatric treatments in a human-centered environment where patients are truly seen and heard. We are dedicated to delivering innovative solutions and creating healing pathways for those facing difficult-to-treat mental health challenges.

Our reviews

What they say about us

Dr. Giles is truly the best of the best. She’s knowledgeable about all the most cutting-edge treatments yet is as down-to-earth and personable as can be. I’ve never felt like such a partner in my own care, or so supported by a doctor. I can’t recommend Dr. Giles more highly.

Annie B.
Jul 31, 2025

Very professional and thorough in our discussion. I felt comfortable and feel that we have a suitable course of action for my upcoming therapies.

John S.
Apr 22, 2025

Very professional and courteous It was obvious they wanted to help me get the most out of this experience

Michael P.
Mar 16, 2025

Very kind , I felt like she listened with real concern and heard me. I have been thinking of trying the clinic for a long time. She made sure this maybe helpful for me. Addressed all my concerns and made me feel comfortable.

Kimberly S.
Mar 14, 2025

Dr. Giles is amazing, kind and warm-hearted! She really cares about all her patients and truly wants what is best for them. I would recommend her any day!!

Tori B.
Nov 15, 2024

Dr. Giles is extraordinary! She blends genuine empathy and concern for patients with a wide breadth of scientific and medical knowledge.

Sandra W.
Oct 01, 2024
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Catherine LeMay
29/11/2025
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Dr. Giles is kind, compassionate and through. I am really glad she is my doctor.
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joseph harrelson
08/11/2025
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Very through virtual visit. I would recommend Dr Giles.
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Cynthia Dieges
10/09/2025
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Dr. Giles is a very caring, compassionate provider. She is extremely professional and knowledgeable but her concern for her patients really comes through. I felt very safe and comfortable with her, and I actually feel hopeful about treatment and future pursuits. I would highly recommend her practice.
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Allison Spampanato
26/08/2025
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Dr. Giles was so incredibly caring and compassionate working with my mom's geriatric depression. Her care is top notch and she is creative in her treatments to get the best outcome.
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Penny Bloom
18/08/2025
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The first thing that struck me was the smile from the receptionist and her courtesy. That set the stage for a very good experience. I was taken into the “lounge”. The area is calming and serene and my vital signs were taken. I was greeted warmly by Dr. Giles and we went into a private room to talk about my history and all aspects of my mental health. She is everything that I want in a doctor who is determining if I am a candidate for an alternative to medication. I have suffered with major depression for most of my life and I can’t emphasize enough how thorough she is in her evaluation. My appointment was 2 hours long and no time was wasted. She discussed treatment options, what they entailed, and together we decided on a plan. I look forward to working with Dr. Giles and am optimistic that my depression can finally be alleviated when medication hasn’t been successful. I recommend Dr. Giles wholeheartedly.
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Michael Bischoff
26/06/2025
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Excellent service and care by the entire staff. Dr. Giles and her associate Dr. Kwong are great at enabling patients to create a safe and therapeutic environment. They take extreme care in making sure patients get what they need rather than simply dosing medicine, which is refreshing.
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Whit Marschalk
20/06/2025
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Dr. Giles and her team are truly exceptional. I can’t imagine where I’d be without her support. She’s not only kind and compassionate but also incredibly easy to talk to, which makes all the difference. Her team is made up of truly wonderful and caring individuals. From scheduling appointments and handling insurance to administering medications, they go above and beyond every step of the way. I couldn’t ask for a better support system!
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Allyson Snider
04/02/2025
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I went for my consultation yesterday. The staff is amazing. They are warm and friendly. I love the doctor and can’t wait to start my treatment.I think it may be life changing.
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Brian Morton profile picture
Brian Morton
20/11/2024
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Mark Cox profile picture
Mark Cox
21/09/2024
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The most caring,genuinely empathetic dr I may have ever seen. Fantastic listener. I had little hope when I arriveded at my appointment. I left with hope and optimism a out the treatment she plans on putting me on.
More Testimonials

Breakthru Psychiatric Solutions

Interventional Psychiatry in Sandy Springs and Alpharetta, GA

Breakthru Psychiatric Solutions in Sandy Springs and Alpharetta, Georgia, was co-founded by psychiatrist, Dr. Karen Giles, and business leader, Jim Benjamin, to offer Georgians effective, innovative, and compassionate mental health treatment options.

The clinic emerged during the COVID pandemic to help nearly half of all patients with depression who do not improve with traditional antidepressant medications.

About Us

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