We Measure What’s Working. We Don’t Guess.
Other clinics prescribe and hope. We identify your depression subtype, track 23 stress, depression, and anxiety dimensions at every visit, and use our de-identified data from over 1,100 patients to guide your treatment.
Research Finds:
Over 80% of psychiatrists do not routinely use any rating scale to monitor treatment outcomes.
Without measurement, providers detect only about 1 in 5 patients whose symptoms are actually getting worse.
The few clinics that do use a scale typically administer a 9-question depression screening form at intake — once — and never repeat it.
23 questions that change everything
With us, at every appointment, you complete a brief rating scale called the LW-23.
It takes about three minutes and measures three domains: depression, anxiety, and stress — across 23 specific symptom dimensions.
The LW-23 was built to monitor treatment, not to screen for a diagnosis you already have.
You and your provider see your data every appointment.
Treatment decisions are driven by data, not by impression.
Research-method diagnosis
Every new patient receives a 60-minute structured diagnostic evaluation designed to answer four questions:
Depression or bipolar?
They require different medications. Antidepressants often make bipolar disorders worse.
Is ADHD in the picture?
If present, ADHD must also be treated for depression to fully respond.
Anxiety: separate or secondary?
If anxiety accompanies your depression, treating the depression first often resolves anxiety, too. If anxiety is independent of depression, it may require separate treatment.
Psychotic features?
Psychosis is a psychiatric emergency and must be treated first.
have comorbid
ADHD.
Not All Depression is the Same
We classify depression into five subtypes based on symptom patterns identified during the intake.
Each subtype responds to different medications at different rates.
Your subtype determines which medications have the strongest track record — drawn from hundreds of patients with the same pattern.
Which type of depression do you have?
7 questions. About 90 seconds. Not a diagnosis — a starting point.
Take the Depression ScreenerFree. No email required. No strings.
Our outcomes — by stress level, over time
946 MDD patients with at least 4 appointments.
82% had failed treatment elsewhere.
Life stress during treatment changes outcomes dramatically. Patients under stress take longer but keep improving.
Depression response by time point and stress level
946 MDD patients · Response = ≥50% improvement in core depression symptoms
| Time point | Stress level | N | Response rate | % Improving |
|---|---|---|---|---|
| Appointment 4 (~3 months) |
Low stress | 456 | 53.5% | 84.2% |
| Appointment 4 (~3 months) |
High stress | 510 | 29.2% | 77.6% |
| Appointment 8 (~8 months) |
Low stress | 285 | 62.1% | 87.7% |
| Appointment 8 (~8 months) |
High stress | 320 | 41.9% | 78.8% |
By appointment 4 (~3 months), over half of low-stress patients and nearly a third of high-stress patients achieve a 50% or greater reduction in depression symptoms.
4 out of 5 patients show measurable improvement by that point.
By appointment 8, high-stress patients continue improving.
9% of patients deteriorate.
When that happens, it triggers a structured reassessment and a change in treatment.
Why we measure stress
Life stress — financial problems, relationship conflict, job loss, caregiving, grief — reduces medication effectiveness.
This effect holds across all drug classes, all subtypes, and all providers.
No prior depression study, including STAR*D, has measured it.
If you're under high stress, medication alone is less likely to be enough.
We track stress at every visit and coordinate with your therapist so treatment addresses the whole picture.
How every patient makes the next patient's treatment better
Every rating scale, every medication trial, every diagnosis flows into our Live Well clinic-wide database.
Our providers view the analytics run on that data — broken down by depression subtype, ADHD status, medication, and stress level.
The analytics show what works, what doesn't, and what makes things worse.
The treatment feedback loop
Step 1
Collect: Your 23 data points, every visit
The LW-23 captures depression, anxiety, and stress scores. Your medication, diagnosis, subtype, and ADHD status are recorded alongside every rating.
Step 2
Aggregate: All patients, all providers, one database
Your data joins outcomes from 1,909 patients across 7 providers.
Step 3
Analyze: Which medications work for which subtypes
The same medication produces response rates ranging from 24% to 60% depending on the depression subtype. Some medications carry higher deterioration risk for specific subtypes. Stress changes outcomes by 30 to 60 points.
Step 4
Apply: Your treatment plan is informed by hundreds who came before you
Your clinician draws on outcomes from hundreds of patients with the same subtype and ADHD profile.
↺ Your outcomes feed back into Step 2
Every patient treated at Live Well improves the data that guides the next patient's care.
The trajectory: 85% improving by month 8
Because we measure at every visit, we know when treatment works.
Across all patients and all conditions, 85% show measurable improvement by their 7th or 8th appointment.
How this compares to the largest depression study ever run
STAR*D was a landmark federally funded study of depression treatment.
It tested what happens when each failed medication is followed by another attempt.
By the third try, their response rate had dropped to 14%.
Our trajectory bends the other way. By appointment 7–8, 85% of our patients are improving.
Previously treated patients
Response after prior treatment failure
Key differences:
- We identify and treat five subtypes of depression.
- We identify and treat ADHD.
- We identify whether anxiety is part of depression or not.
- Our treatment is based on de-identified outcome data for over 1,100 patients.
Which depression subtype might you be?
Take the 90-second screener, or schedule your intake.
Live Well Psychiatry · Treasure Valley, Idaho
The LW-23 is a proprietary monitoring instrument of Live Well Psychiatry.
Insurance
Aetna PPO (Trinity)
Allegiance Benefit
Allied Benefits (Aetna on card)
Blue Cross Connected Care
Blue Cross Federal
Blue Shield Commercial
Boon-Chapman Administrators
ComPsych
EBMS
First Choice Health Network
Health Management (HMA)
Meritain Health
Moda Select
Mountain Health Co-Op
PacificSource (SLHP, Oregon)
Regence
Group Administrators
Select Health (SLHP)
Trustmark
WebTPA
Some plans have network or provider restrictions. Call us with your insurance card in hand and we'll confirm coverage before your first visit.
Cost
A typical in-network insurance copay is $20 to $60.
The copay for the intake may be more.
We bill your insurance directly.
We'll tell you your expected cost before you schedule.
Wait Time
Your first appointment can be scheduled within two weeks of contacting us.