Depression care for teens and adults in Cos Cob, Greenwich

Depression Treatment in Greenwich, CT, built around you.

Depression can make even small things feel heavy, and reaching out is often the hardest part. Our Yale-trained psychiatric nurse practitioners offer medication management, therapy and FDA-cleared NeuroStar® TMS under one roof, so your care can adapt as your needs change.

  • Careful, collaborative medication management for teens and adults
  • FDA-cleared NeuroStar® TMS when medication hasn’t been enough
  • Plans that combine treatments when it’s the right fit
  • Optional Genomind® genetic testing to help guide medication choices
  • We verify your insurance benefits before your first appointment
Meet Jill, Maryellen, and our therapy dogs

Personal care, close to home

Care that starts with understanding you.

From your first conversation, we take time to understand your history and what you’ve already tried. Your plan is shaped around your age, symptoms and goals, then reviewed together and adjusted over time.

Whether you’re seeking care for the first time or your current plan isn’t working, you’ll have one team coordinating everything.

Jill Vaughan Tesei, APRN

Jill Vaughan Tesei, APRN

Founder, Family Psychiatric Nurse Practitioner

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A smiling patient seated in the NeuroStar treatment chair with a therapy dog resting on his lap

Yale-trained providers

Specialized training in psychopharmacology through the Yale Child Study Center.

Does this sound familiar?

It’s okay to ask for help. This is a good place to start.

Depression doesn’t look the same for everyone. Check anything you’ve been noticing lately. Nothing here is saved or sent.

This is not a diagnosis. Only a qualified provider can evaluate your symptoms, and our team can help you take that first step.

0 of 5 sound like me

Check anything you have been noticing lately.

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A clinician positions the NeuroStar TMS coil for a smiling patient seated in the treatment chair

Everything under one roof

Medication, therapy and NeuroStar® TMS

Treatment options

More than one way to feel better.

There is no single right treatment for depression. Your provider will talk with you about whether medication, NeuroStar® TMS, or a combination makes sense, and adjust the plan as you go.

01

Medication management

Careful support, whether you’re starting treatment or adjusting a current plan.

02

NeuroStar® TMS

A non-invasive, medication-free option when antidepressants haven’t been enough.

03

Composite care

Two or more treatments, such as TMS and medication, combined into one plan.

  • Teens and adults
  • Board-certified providers
  • Therapy available
  • Optional genetic testing

When medication isn’t enough

TMS has strong research behind it.

If antidepressants haven’t helped enough, NeuroStar® TMS may be worth discussing. Everyone responds differently, and your provider will talk with you about realistic expectations.

83%

of patients responded to an acute course, by clinician rating (CGI-S)1

62%

reached remission, by clinician rating (CGI-S)1

12 mo

follow-up: 62.5% of responders still met response criteria2

Level A

“definite efficacy” rating for this TMS approach in international guidelines3

1. Sackeim HA, et al. J Affect Disord. 2020;277:65-74. NeuroStar Outcomes Registry; clinician-rated CGI-S results, patient-rated rates were lower. 2. Dunner DL, et al. J Clin Psychiatry. 2014;75(12):1394-1401. Patients continued medication and could receive additional TMS sessions. 3. Lefaucheur JP, et al. Clin Neurophysiol. 2020;131(2):474-528. Rating for high-frequency TMS of the left dorsolateral prefrontal cortex in depression. Individual results may vary.

How to get started

Getting started is simpler than you think.

One conversation is all it takes to begin. We guide you through each step from there.

  1. 1

    Free discovery call

    Talk with our team about your history, your questions and your goals. No obligation.

  2. 2

    We verify your benefits

    We check your insurance coverage before your first appointment, so you know what to expect.

  3. 3

    Your personalized plan

    Your provider builds a plan around your age, symptoms and goals, with genetic testing if helpful.

  4. 4

    Ongoing support

    We review your progress together and adjust your plan over time.

Schedule a Free Discovery Call

Rather talk it through first? Call 203-769-1365.

Insurance & cost

Know what to expect before you begin.

Coverage and eligibility vary by plan and by service, so we verify your benefits before your first appointment. Most commercial and Medicare plans now cover TMS therapy for depression.

What to expect

  • We verify your benefits before your first appointment
  • Coverage and eligibility vary by plan and by service
  • For TMS, we help obtain prior authorization, and out-of-network benefits may apply
  • Not sure about your plan? Call us and we’ll check for you

No surprises: we walk you through your benefits and next steps before you begin.

FAQ

Questions about depression treatment.

Something else on your mind? Call 203-769-1365 and ask. There is no such thing as a silly question.

Schedule a Free Discovery Call

A free discovery call is an easy first step. It’s a no-obligation conversation with our team about your history and your questions. You don’t need to have anything figured out beforehand.

We offer medication management, therapy with our providers and FDA-cleared NeuroStar® TMS, all under one roof. When it’s the right fit, your provider may combine two or more of these into one plan.

Your treatment plan is personal. Your provider will talk with you about whether medication, NeuroStar® TMS, or a combination makes sense for you, and you’ll make that decision together.

TMS is typically used when antidepressant medications haven’t been effective, have stopped working, or as an alternative to medication. It is non-invasive, needs no anesthesia, and most patients drive themselves to and from sessions.

Genomind is a genetic test that helps guide medication decisions by analyzing how your body may respond to different mental health treatments. It uses a simple cheek swab and is optional.

Yes. We provide care for adolescents and adults, tailoring each plan to the person’s stage of life, symptoms and goals, and we involve families as partners throughout care.

Coverage varies by plan and by service. Most commercial and Medicare plans now cover TMS therapy for depression, and we verify your benefits before your first appointment so you know what to expect.

Before your first visit, you’ll complete new patient forms, including consent for treatment and payment information. Please bring the completed forms with you to your initial appointment.

In crisis or thinking about suicide? Call or text 988 to reach the Suicide & Crisis Lifeline any time, or call 911 for an emergency.

Reaching out is a strong first step.

A free, no-obligation discovery call with our team. No pressure, just a conversation about what you’re going through and the options that may help.

Schedule a Free Discovery Call