What conditions do you treat at Positive Reset Eatontown?

We treat a full range of outpatient mental health conditions: anxiety disorders, depression (including treatment-resistant), bipolar disorder, ADHD, OCD, PTSD, postpartum depression and perinatal mood disorders, eating disorders, substance use disorders alongside mental health (dual diagnosis), and adjustment-related issues. We see adults, adolescents (13+), couples, and families. We do not provide inpatient or 24/7 crisis care.

Do you offer TMS therapy?

Yes. We offer Transcranial Magnetic Stimulation (TMS) for adults with treatment-resistant depression — meaning depression that hasn't responded to at least two adequate trials of antidepressant medication. A typical TMS course is 5 days a week for 4–6 weeks. Most insurance plans cover TMS for treatment-resistant depression with prior authorization; we handle that paperwork.

Do I need therapy, medication, or both?

It depends on the condition and your preferences. Mild-to-moderate anxiety and depression often respond well to therapy alone. Severe depression, bipolar disorder, severe OCD, and ADHD typically require medication, sometimes alone but more often combined with therapy. Treatment-resistant depression may benefit from TMS. We make this recommendation after the first 1–2 sessions, and you always have the final say.

How long does treatment usually take?

For most outpatient mental health concerns, therapy runs 8–20 sessions over 3–6 months. Some people stay longer for ongoing support; others finish in fewer sessions. Medication is more variable — some people take an antidepressant for 6–12 months, others longer. We re-evaluate the plan every 90 days so you're not paying for sessions you don't need.

What therapy modalities do your clinicians use?

We use evidence-based modalities: Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), Acceptance and Commitment Therapy (ACT), Interpersonal Therapy (IPT), Behavioral Activation, and Emotionally Focused Therapy (EFT) for couples. Each clinician has primary modalities they're trained in — we match you to a clinician based on your concern and preferences.

How long until I can be seen?

Most new patients are seen within 7–14 days of their first call. Telehealth visits often have shorter wait times than in-person. If you're in crisis, call us — we triage same-week appointments for active safety concerns where appropriate, or refer you to crisis resources if our outpatient setting isn't the right level of care.

What should I do if I'm in crisis right now?

Call or text 988 — the national Suicide & Crisis Lifeline. It's free, available 24/7, and staffed by trained counselors. If you're in immediate danger, call 911 or go to your nearest emergency room. Positive Reset Eatontown is an outpatient clinic — we don't provide 24/7 crisis services, but we'll see you within a week for follow-up care once you're safe.

Treatment-Resistant Depression in NJ

If you’re in crisis

If you or someone you love is in immediate danger, call or text 988, or go to the nearest emergency room. The 988 Suicide & Crisis Lifeline is available 24/7. Positive Reset is an outpatient clinic and is not a 24/7 crisis line.

New Jersey residents can also reach the NJ Hopeline at 1-855-654-6735, a state-funded peer-support service for emotional distress.

Treatment-resistant depression (TRD) describes major depression that hasn't responded to at least two adequate trials of antidepressant medication at therapeutic doses for sufficient duration. About 30% of people with major depression meet TRD criteria, per National Institute of Mental Health data. TRD doesn't mean treatment is impossible — it means standard first-line treatments need supplementing or replacing with options like Transcranial Magnetic Stimulation (TMS), ketamine therapy, or careful medication-combination strategies. At Positive Reset Eatontown, we offer FDA-approved TMS for TRD, medication-management consultations to optimize regimens, and therapy designed for chronic depression. TMS is a non-invasive in-office treatment delivered Monday through Friday for 4-6 weeks. We accept NJ FamilyCare (Medicaid) and most major insurance for TMS, which usually requires prior authorization — we handle the paperwork. If you're in immediate crisis, call or text 988.

How we treat treatment-resistant depression

Our team uses evidence-based approaches matched to your specific situation. Common treatment paths:

Insurance and cost

Care for treatment-resistant depression is covered by NJ FamilyCare (Medicaid) — all 5 MCOs at $0 out-of-pocket for most members. Most major commercial plans also cover therapy and psychiatry under the federal Mental Health Parity Act. We verify your benefits in writing before your first visit — no surprises.

Medicaid (NJ FamilyCare)

Clinicians who specialize in treatment-resistant depression

Common questions about treatment-resistant depression

What conditions do you treat at Positive Reset Eatontown?
We treat a full range of outpatient mental health conditions: anxiety disorders, depression (including treatment-resistant), bipolar disorder, ADHD, OCD, PTSD, postpartum depression and perinatal mood disorders, eating disorders, substance use disorders alongside mental health (dual diagnosis), and adjustment-related issues. We see adults, adolescents (13+), couples, and families. We do not provide inpatient or 24/7 crisis care.
Do you offer TMS therapy?
Yes. We offer Transcranial Magnetic Stimulation (TMS) for adults with treatment-resistant depression — meaning depression that hasn't responded to at least two adequate trials of antidepressant medication. A typical TMS course is 5 days a week for 4–6 weeks. Most insurance plans cover TMS for treatment-resistant depression with prior authorization; we handle that paperwork.
Do I need therapy, medication, or both?
It depends on the condition and your preferences. Mild-to-moderate anxiety and depression often respond well to therapy alone. Severe depression, bipolar disorder, severe OCD, and ADHD typically require medication, sometimes alone but more often combined with therapy. Treatment-resistant depression may benefit from TMS. We make this recommendation after the first 1–2 sessions, and you always have the final say.
How long does treatment usually take?
For most outpatient mental health concerns, therapy runs 8–20 sessions over 3–6 months. Some people stay longer for ongoing support; others finish in fewer sessions. Medication is more variable — some people take an antidepressant for 6–12 months, others longer. We re-evaluate the plan every 90 days so you're not paying for sessions you don't need.
What therapy modalities do your clinicians use?
We use evidence-based modalities: Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), Acceptance and Commitment Therapy (ACT), Interpersonal Therapy (IPT), Behavioral Activation, and Emotionally Focused Therapy (EFT) for couples. Each clinician has primary modalities they're trained in — we match you to a clinician based on your concern and preferences.
How long until I can be seen?
Most new patients are seen within 7–14 days of their first call. Telehealth visits often have shorter wait times than in-person. If you're in crisis, call us — we triage same-week appointments for active safety concerns where appropriate, or refer you to crisis resources if our outpatient setting isn't the right level of care.
What should I do if I'm in crisis right now?
Call or text 988 — the national Suicide & Crisis Lifeline. It's free, available 24/7, and staffed by trained counselors. If you're in immediate danger, call 911 or go to your nearest emergency room. Positive Reset Eatontown is an outpatient clinic — we don't provide 24/7 crisis services, but we'll see you within a week for follow-up care once you're safe.

References

About 30% of patients with major depressive disorder meet criteria for treatment-resistant depression. NIMH (opens in new tab).
Repetitive transcranial magnetic stimulation (rTMS) is FDA-approved for treatment-resistant depression. FDA (opens in new tab).
TMS achieves clinically significant response in approximately 50-60% of patients with treatment-resistant depression. APA (opens in new tab).

Written by Positive Reset Eatontown editorial team. Clinically reviewed by Joseph Vacchiano, LCSW LCADC. Last reviewed: 2026-04-29.

Treatment-Resistant Depression treatment in Eatontown, New Jersey