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

Experienced psychiatrist Karen Giles, MD, delivers expert diagnosis and care to people with treatment-resistant depression, anxiety, and Post-traumatic stress disorder (PTSD). She developed a particular interest in treatment-resistant depression while training at Emory.

Dr. Giles collaborates with her patients by taking an extensive health history and then helping them explore various comprehensive options for treatment based on each patient’s individual goals, preferences, and previous experiences. When an acute treatment course is recommended, Dr. Giles checks in with patients frequently (often several times per week) while undergoing such vital therapies. Dr. Giles is also available to provide second opinions and consultations upon referral for patients under the care of psychiatrists, therapists, and other physicians in the community.  

Breakthru Psychiatric Solutions prides itself in providing personalized, high-quality treatments that are not widely available, including both transcranial magnetic stimulation (TMS), Spravato, and IV ketamine. They plan to provide psychedelic treatments like MDMA and psilocybin as soon as they receive FDA approval. 

Dr. Giles travels several times a year to conferences and serves on professional committees in order to stay updated on the newest treatments and data available for depression and anxiety disorders. 

As a member of the Emory Healthcare Network, Breakthru Psychiatric Solutions physicians can directly access the health records of Emory patients, ensuring better continuity of care. We accept most of the major insurance providers in the area for your convenience. 

Visitors to the practice can enjoy a relaxing, calm experience with valet parking, easy check-in, and complimentary hot and cold beverages. Each treatment room has luxury recliners with custom sound experiences, soft blankets, and eye masks for optimal comfort.  

For more details of the exceptional services available, call Breakthru Psychiatric Solutions or request an appointment online today.

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our mission
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 Beliefs

1

We offer unconditional positive regard to our patients, their families, each other, and ourselves.

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We reside at the front edge of science, offering the most effective, innovative mental health treatments. 

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We are here to make the patient journey easier, not harder. 

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Our patients and their families are our North Star. 

5

We create an environment where our patients are truly seen and heard. 

what they say about us

Our Reviews

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

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John S. | Apr 22, 2025
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Very professional and courteous It was obvious they wanted to help me get the most out of this experience

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Michael P. | Mar 16, 2025
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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.

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Kimberly S. | Mar 14, 2025
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Madison S. | Mar 05, 2025
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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!!

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Tori B. | Nov 15, 2024
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Dr. Giles is extraordinary! She blends genuine empathy and concern for patients with a wide breadth of scientific and medical knowledge.

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Sandra W. | Oct 01, 2024
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Dr. Giles is simply the very best clinician!

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Sandra W. | Aug 15, 2024
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My intake wast the most thorough and compassionate experience I have EVER had in decades of mental health treatment. Dr. Giles and her staff have been compassionate, proactive and very responsive. I was blown away by the care and concern taken for me as the patient and just as a person even before I got to my appointment with Dr. Giles. Dr. Giles was so thorough going over my history; medical, trauma (compassionately) and psychiatric in order to make sure she had all the information she needed to make certain we were going to make the best choices for my treatment. This was the most seen I have felt as a patient and as a person in psychiatric care in a very, very long time if ever. I look forward to what comes next in my journey of treatment with this being just the out of the gate experience with Dr. Giles and Breakthru!

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Magnolia N. | Aug 08, 2024
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Dr. Giles was so kind and helpful. She listened and offered great suggestions. She gave us hope and made us feel like there are a lot of things we can do to get well.

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Mary Corinne F. | Jul 01, 2024
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I haven’t started treatment yet. But Dr. Giles took a lot of time talking with me and really listening. Many doctor’s offices want to get you in and out as quickly as possible. That was not the case at all with Dr. Giles. I definitely felt heard and understood during my very thorough pre-consultation. When I start my treatments, I have confidence that her practice will help me with my 20 year struggle with anxiety and depression.

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Travis T. | May 15, 2024
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Amazing. From the initial reach out to my first appointment, I’ve received white glove service from Dr. Giles’s office.

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Zelda R. | Jan 17, 2024
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I have never met with a psychologist that I actually wanted to understand how you were feeling and what you were going through. Dr. Giles didn’t just ask me what my symptoms were, but how I was feeling and how it was affecting my life. I would 100% recommend anybody to reach out to her for treatment.

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Vincent A. | Nov 21, 2023
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One of the most intelligent, informed, conscientious, and compassionate physicians I have known.

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Sandra W. | Nov 14, 2023
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Dr. Giles is thoughtful, compassionate, and up to date on the newest treatments for depression. Her office staff is exceptional with communication and care of patients. I would absolutely recommend this practice to my friends and family.

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Evander F. | Oct 12, 2023
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I recommend Dr. Giles and her team to everyone I meet struggling with treatment resistant depression (TRD). Dr. Giles is committed to innovative strategies to help conquer and thinks outside the box to find something that works. My experience combining IV ketamine with transcranial magnetic stimulation (TMS) was the right solution to get me closer to full remission of symptoms. My anxiety is much lower and I'm closer to remission than I have been in 2 years! I'm close to the end of TMS treatment and I'd say I'm at least 85% better and I'm optimistic that I'll get to 100% as the treatment continues to work and as I continue intensive therapy and implement a healthier lifestyle to augment the treatment. Before treatment, I didn't have the motivation to make the changes needed to feel better. Her staff is wonderful and I feel so well cared for. To the point where I'll miss going in for TMS treatment each day! Highly, highly recommend!

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Joni L. | Sep 23, 2023
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Every visit is just like the previous visit. Wonderful !!!! I am very happy O looked for a new Doctor and found Breakthrough.

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Victor V. | Sep 13, 2023
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Dr. Giles is the best physician I have ever had. She has a strong pedigree and brings immense experience and expertise in her field. Dr. Giles is also always up to speed on the latest innovations in her space and applies quickly and safely to her patients. She is also caring, compassionate and spends much time speaking with her patients to understand their needs and as a result is able to apply the most effective treatment. I would highly recommend Dr. Giles,

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Lisa B. | Aug 07, 2023
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Dr Giles is extremely professional and yet approachable and compassionate at the same time. Her knowledge and expertise in her field is apparent.

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Leigh S. | Aug 01, 2023
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Dr. Giles is kind, gentle and understanding. She is a good listener and makes you feel safe. Dr. Giles is very knowledgeable and explains treatment options clearly and honestly. For the first time in a long time, I feel hopeful.

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Lauren C. | Jul 20, 2023
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I knew from the first appointment that I was in good hands, and I was right. Dr. Giles is a gifted and compassionate doctor who is genuinely committed to providing the best possible care. Her team is equally compassionate and committed, which makes this practice even more special. The office is warm and welcoming, which is comforting for both patients and caregivers. I truly feel like I'm receiving exceptional care and I am very, very grateful to be a patient of Dr. Giles.

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Joni L. | Jul 12, 2023
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Everybody is so nice. Very professional group...yet friendly. Dr. Giles is AWSOME . Easy to talk to . I am very comfortable talking to her

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Victor V. | Jul 12, 2023
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Dr. Giles is consistently present, kind and understanding. She provides solutions and is very knowledgeable of the different medication options available for depression, anxiety and ADHD. Her practice is inviting and warm. The aesthetics and smells make me at home and relaxed.

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Maisah W. | Jul 11, 2023
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Dr. Giles is awesome. She truly cares about her patients and is by far one of the best docs in Atlanta.

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Cary S. | Jul 07, 2023
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Dr. Giles is very thorough and comprehensive in her approach. She listens to the patient and comes up with a plan that is both effective and in line with what the patient wants.

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Craig H. | Jun 22, 2023
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Phenomenal physician and practice. Dr. Giles is intelligent, informed and open minded. Her bedside manner is also top notch, which is a plus. Her practice is on the cutting edge of psychiatry. I've never felt so heard by a physician and feel like finding her was a gift from above.

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Leighann L. | May 05, 2023
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I appreciate how thorough the initial appointment was in both the questions that were asked of what was going on as well as the in-depth information provided on the different available treatments. The lengths they went to describe everything made me like a true patient opposed to a way to obtain a revenue goal.

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Ramon R. | Apr 20, 2023
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We absolutely love Dr. Giles and the entire team! We always feel welcome, heard, and well cared for. Dr. Giles is innovative and attentive, with a great gift for listening to her patients' opinion. The entire staff went out of their way to accommodate our somewhat difficult schedule and provided treatment for us at 7 o'clock in the morning.

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Tatiana K. | Apr 06, 2023
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Dr Giles, Jim, and the entire staff are amazing!

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Robert G. | Mar 31, 2023
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Dr Giles, Jim, and her entire staff are absolutely five stars across-the-board. Dr Giles has been a great help to me personally.

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Daniel K. | Mar 27, 2023
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Awesome. Doctor and staff really care about the patience and do everything they can to make you feel comfortable and truly care about your health and well being.

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Vincent A. | Mar 24, 2023
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Always wonderful experience in this office. Everyone from Dr. Giles to front desk staff genuinely concerned, caring, professional, empathetic, and helpful.

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Tori Y. | Mar 05, 2023
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I feel as though Dr. Giles is VERY invested in treating my depression and won’t leave any stone unturned. I am very grateful and I feel like I am cared for, supported and that she will do whatever she can.

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Catherine L. | Mar 04, 2023
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Dr. Giles is an incredibly caring physician who changes the lives of her patients.

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Lucy H. | Jan 29, 2023
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After years of being just a patient, Dr. Giles and her team treated me as a person. When I showed up on her doorstep, lost, struck with grief, I couldn’t even find words but somehow her partner, Jim Benjamin, found ways to communicate with me that helped me through the anxieties of knowing I deserved better than just a script and a copay as I walked out the door like so many practices. Just three months at Breakthru helped me progress quicker than years and the difference is they listen, follow through and care for your personal well being and growth.

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Alyssa G. | Jan 26, 2023
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So thankful to have found Dr Giles and her team. I feel completely comfortable in their care. Dr. Giles truly cares about her patients and spend the time necessary to determine the best treatment for each individual case. She is thorough in explaining treatments and goes above and beyond any other doctor I have experienced in Psychiatric treatment. She is truly an exceptional doctor in her field.

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Amy T. | Dec 14, 2022
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Very personalized and easy to discuss with, staff was super attentive and helpful

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Megan M. | Dec 12, 2022
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I have never met a clinician like Dr. Giles before. From the first phone call, I knew she and the team there were dedicated to making a difference. I have been to therapists and psychiatrists for years will no success, any sense of relief was unfathomable to me. But now, I see a future. Dr. Giles saved my life.

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Jude P. | Dec 06, 2022
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I am very thankful for having found Dr. Giles and Breakthru. She is exceptional at quickly learning your style/needs that allows you feel supported and understood. I have a very high standard of connection needed and she delivered.

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Jen B. | Oct 24, 2022
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Dr Giles is very compassionate, attentive, flexible, and responsive. We have enjoyed working with her and feel grateful to have her helping our family!

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Keith B. | Oct 02, 2022
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I had a very warm and welcoming experience. The atmosphere is bright and wonderful. The front staff was extremely accommodating and kind. Dr. Giles is present, aware, and very knowledgeable. I’m grateful for my wonderful experience. I will definitely be back for my care.

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Sherru Z. | Sep 28, 2022

professional associations

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Insurance

We accept most insurance providers. If you have specific questions regarding your coverage, please contact us for additional information.
Aetna
Aetna
Anthem Blue Cross Blue Shield
Anthem Blue Cross Blue Shield
Cigna
Cigna
Humana
Humana
United Health Care
United Health Care

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