Treatment-Resistant Depression

Unsure which treatment is right for you? Explore a side-by-side comparison to better understand your options and find the best fit. 

Depression that hasn’t lifted after two or more antidepressants. Elevium is a psychiatrist-led interventional practice in Florham Park, NJ, built for exactly that.

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973-270-9881

Ask us anything

973-270-9881

What is TRD?

When antidepressants haven’t worked

Treatment-resistant depression is depression that persists after two or more antidepressants. It’s common, and it means it’s time for treatments built for hard-to-treat depression, not another prescription.

You may have TRD if

Two or more antidepressants haven’t brought real relief
Symptoms return when you change or stop medication
Low mood or fatigue has lasted months or longer

Treatments for TRD

FDA-cleared for TRD

TMS

Non-invasive magnetic pulses that target the brain's mood circuits. Drug-free, 36 sessions (about 20 minutes each), with accelerated TMS available.

FDA-cleared for TRD

Spravato (Esketamine)

An esketamine nasal spray that can work in hours or days, not weeks. Given on-site at our certified Spravato REMS center.

Supporting care

Medication Management

A psychiatrist optimizes your medication instead of repeating what hasn’t worked.

Supporting care

Psychotherapy

Talk therapy alongside your treatment to build coping strategies.

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Built for hard-to-treat depression

Psychiatrist-led

Interventional care from psychiatrists who focus on complex depression.

One coordinated plan

TMS, Spravato, medication, and therapy under one roof.

REMS-certified

Fully certified to administer and monitor Spravato on-site.

Comfortable by design

Zero-gravity chairs, custom music, modern treatment rooms.

How treatment begins

1

Consultation

A 90-minute consultation with a physician to assess eligibility, review your history, and schedule your treatment day. This step is required before proceeding.

2

Your plan

Your treatment day begins with personalised TMS mapping by the physician to calibrate stimulation settings specific to you.

3

Treatment

You start, we monitor, and we adjust along the way.

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Will insurance cover it?

TMS and Spravato are often covered for TRD. We’re in-network with the plans below and verify your coverage before you start. Where something isn’t covered, we’re upfront about self-pay.

Learning Center

Featured Resources


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What to Expect


Ketamine therapy, TMS, Spravato, psychotherapy, or medication, here’s what you can expect before, during, and after each type of care.


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How Spravato Works


A fast-acting nasal spray for depression. FDA-approved and administered under medical supervision to reduce symptoms quickly and safely.


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How TMS Works


FDA-approved, non-invasive treatment for depression, offering a safe, drug-free alternative for those who haven’t responded to medication or therapy.


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Request a Consultation

For more details or to schedule a consultation, give us a call at 973-270-9881 or fill out our online form.

What Happens After I Send My Message?

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We assess your needs and recommend the best treatment.

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We guide you through coverage and payment options.

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Get clarity on TMS, ketamine, medication, and therapy.

A black silhouette of a telephone on a white background.
A black map pin with a white circle in the middle on a white background.

Request a Consultation

For more details or to schedule a consultation, give us a call at 973-270-9881 or fill out our online form.

What Happens After I Send My Message?

A gold arrow pointing down on a white background.

We assess your needs and recommend the best treatment.

A gold arrow pointing down on a white background.

We guide you through coverage and payment options.

A gold arrow pointing down on a white background.

Get clarity on TMS, ketamine, medication, and therapy.

A black silhouette of a telephone on a white background.
A black map pin with a white circle in the middle on a white background.

Request a Consultation

For more details or to schedule a consultation, give us a call at 973-270-9881 or fill out our online form.

What Happens In My Consultation?

A gold arrow pointing down on a white background.

We assess your needs and recommend the best treatment.

A gold arrow pointing down on a white background.

We guide you through coverage and payment options.

A gold arrow pointing down on a white background.

 Get clarity on TMS, ketamine, medication, and therapy.

A black silhouette of a telephone on a white background.
A black map pin with a white circle in the middle on a white background.