Telehealth for Severe & Treatment-Resistant Depression

Finally feel better.

Do you have severe or treatment-resistant depression?

Roughly 1 in 3 people with depression are deemed “treatment resistant,” meaning 2 or more medications haven’t been effective in treating their depression. If finding the right treatment for managing depression has been difficult, you’re in the right place.

The Options MD Difference

Compassionate Care from Psychiatric Experts

We started a company to help people with severe and treatment-resistant depression access the care they need. For that reason, we’ve hired the nation’s top psychiatric experts and medical researchers who each have years of experience managing long-term, complex cases of depression. Our psychiatrists are backed by a team of medical researchers who work together to get you access to the right treatments.

Personalized Care

One-size-fits-all is not in our vocabulary. With over 200 treatment options, our psychiatrists create comprehensive programs to find the right fit for your needs.

Real Relationships

Our clinical experts work to understand your preferences and concerns, so that for once, you’ll actually enjoy getting treated.


We have no financial incentives tied to your prescriptions. Our physicians only get paid when they deliver you high quality care. This means that we can stay focused only on what’s best for you.

We partner with most major insurance plans, including:

How it works.

Our model of care was developed by medical researchers and clinical experts in treatment-resistant depression (TRD).
Meet with clinical experts.

Once accepted, you’ll be able to schedule an intake session with a psychiatrist to talk in depth about your care needs. Our board-certified psychiatrists specialize in treatment-resistant behavioral diseases, specifically focusing on depression.

Access treatments tailored for you.

Our toolkit includes 200+ treatments that range from pharmacological protocols to evidence-based behavioral treatments like EMDR, ACT, and CBT.

Get continuous care and support.

You’re not alone. You can call or text us anytime and join our community for support and advice from others in the same place as you.

Telehealth Services by Options MD

We offer expert telehealth services for depression management in New York.

Work with a specialist to create your personalized care plan. Feeling better shouldn’t be hard.

Schedule Virtual Visit >

Meet Our Founders

We know what depression feels like.

We know what it’s like to struggle with mental health. Our personal experiences, and the heartbreaking experiences of our loved ones, are what inspired Options MD.

Over 50% of people with mental health disorders have a negative experience with the first medication they try. We believe feeling better shouldn’t be hard, so we’re creating a virtual clinic with some of the best psychiatric experts out there.

Kyle Pierce & Morgan Hewett

Options MD Psychiatric Experts

Our board-certified team of psychiatry experts has a minimum of 7 years of real-world clinical experience. Together, they have created a holistic approach to managing severe and chronic depression that is backed by clinical research.

Dr. Carl Marci

• Options MD Medical Director
• Board-certified psychiatrist at Massachusetts General Hospital
• Assistant Professor of Psychiatry at Harvard Medical School

Dr. Andrew Leuchter

• Options MD Medical Advisor
• Distinguished Professor and Director, Neuromodulation Division, Department of Psychiatry and Biobehavioral Sciences, UCLA
• Author of over 200 scientific articles regarding treatment of mood disorders

Dr. Swapna Vaidya

• Options MD Medical Director
• Board-Certified Adult Psychiatrist
• Artificial Intelligence Researcher
• Best-Selling Author

Dr. Joshua Cohen

• Options MD Head of Data Science
• Board-Certified Adult Psychiatrist
• Volunteer Clinical Professor at the University of California San Francisco
• Conducted Studies on Testing Novel Neuromodulation Technologies for the Treatment of Depression.

Intake Session
1-Hour Consultation Meeting

Assess your history of depression, symptoms, lifestyle, overall health, and personal treatment preferences.
You’ll receive a diagnosis confirmation, a personalized treatment plan, and access to the professionals you need to regain control of your life.

Prices are dependent on insurance coverage and copays. Most patients pay $20-$85.

Need Based

Receive personalized, evidence-based therapy like CBT, ACT, DBT, or EMDR that can be combined with other treatment options.

Prices are dependent on insurance coverage and copays. Most patients pay $20-$55.
Psych Follow-up
As Recommended by Your Psychiatrist

Optimize your treatment through close monitoring of your symptoms. Adjust medication to manage side effects and combine them with therapies that work for you.

Prices are dependent on insurance coverage and copays. Most patients pay $20-$55.

Self-pay pricing will be increased starting March 25th. This will not impact patients using insurance.

Our competitive prices offer you access to leading experts who provide innovative, high-quality care.

Options MD is not your typical telehealth service.

How We Compare
The Typical Telehealth Service
Appointment AvailabilityUp to 3 Months WaitSame Week Appointments
Time Spent With Psychiatrist20 Minutes1 Hour Intake, 30 Minute Follow Ups
ServicesMedication ManagementDiagnosis Confirmations, Second-opinion Services, Personalized Treatment Plans, Medication Management, Evidence Based Therapy
Doctor QualificationsPsychiatric Nurse PractitionersBoard-certified Psychiatrists and Medical Researchers from Harvard, Columbia, UCSF and more
Doctors Trained InGeneral Psychiatry and
Basic Talk Therapy
Research, Evidence-based, and Innovative Treatments
Treatment OptionsSSRIs100s of Treatment Options
Referral CoordinationNoneReferral coordination for intensive treatment options like TMS, ECT and Ketamine
Appointment Availability
The Typical Telehealth Service
Up to 3 Months Wait
Same Week Appointments
Time Spent With Psychiatrist
The Typical Telehealth Service
20 Minutes
1 Hour Intake, 30 Minute Follow Ups
The Typical Telehealth Service
Medication Management
Diagnosis Confirmations, Second-opinion Services, Personalized Treatment Plans, Medication Management, Evidence Based Therapy
Doctor Qualifications
The Typical Telehealth Service
Psychiatric Nurse Practitioners
Board-certified Psychiatrists and Medical Researchers from Harvard, Columbia, UCSF and more
Doctors Trained In
The Typical Telehealth Service
General Psychiatry and
Basic Talk Therapy
Research, Evidence-based, and Innovative Treatments
Treatment Options
The Typical Telehealth Service
100s of Treatment Options
Referral Coordination
The Typical Telehealth Service
Referral coordination for intensive treatment options like TMS, ECT and Ketamine

What People Are Saying

About Options MD

“I found them to be really accessible in terms of being able to find what you need, being able to get to it, the language that was used, and the way that the research and the information was laid out”


“I’ve struggled with depression for over 15 years. I was starting to feel hopeless until I found Options MD. Their individual approach to treatment helped steer me in the direction I needed to go to feel normal again.”


“I’ve been struggling with depression for the better part of a decade. I now have an appointment to speak with my provider regarding some of these options, and I’m excited and hopeful for the future.”


Our Core Values

Know our beliefs to understand our services.

You deserve to be happy.

Your emotions matter.

There are no bad patients.

Find What Works for You

With over 200 treatment options, we’ll find a solution that’s right for you.

Feel like you’ve tried everything? We will help you find the treatment that works for you.

The great news: there are over 200 treatments for depression, and our team of psychiatric experts are equipped to work with you on determining the best and most appropriate treatment.

Treatment options include medication, therapy, lifestyle changes, and natural treatment.The right solution for you may even include a combination of treatments.

Let Us Help

Chronic depression can be hard to manage. Let us know how we can help.

Join The
Options MD Community

You are not alone.

We started the largest Facebook community for people with severe and treatment-resistant depression.

Join to learn about better medication options and leading-edge treatments, get access to more qualified doctors, and find friendship and support.

Check It out >

Chronic Depression FAQs

These are just some of the questions our patients have about chronic and treatment-resistant depression.

What is treatment-resistant depression (TRD)?

Roughly 1 in 3 people with depression are deemed “treatment resistant.” 

Treatment-resistant depression (TRD) occurs when you have an inadequate response to at least two antidepressants or treatments. TRD doesn’t mean that there isn’t a treatment that will work for your depression; it is just taking extra time to figure out the right treatment. 

If you have struggled to find the right treatment for your depression, you may have TRD. Luckily, you are in the right place! Options MD specializes in assisting individuals with TRD to find the right treatment.

What is chronic depression?

Depression can be a chronic and recurring disorder for some individuals. For others, depression lasts for a set amount of time and is resolved with the right treatment. Chronic depression is a general term that is used to describe multiple forms of depression that can be chronic. 

Persistent depressive disorder (PDD) is a type of chronic depression where symptoms are present on the majority of days for two or more years. 

The symptoms of PDD are less severe than those associated with major depressive disorder (MDD). The persistent nature of the symptoms can cause people to normalize the symptoms; however, PDD also requires treatment. The symptoms can include: 

  • Low energy
  • Appetite changes
  • Difficulties with concentration
  • Feelings of hopelessness
  • Sleep disturbances

Major depressive disorder (MDD), bipolar depression, psychotic depression, and seasonal affective disorder (SAD) can all be chronic, resulting in recurrent depressive episodes over the course of someone’s life. Unlike PDD, depressive episodes for these types of depression are usually shorter but the symptoms may be more severe than PDD.

What are the different types of depression?

There are many types of depression. Some types of depression are caused by life events and others by chemical changes in your brain. 

  • Treatment-resistant depression (TRD)
  • Major depressive disorder (MDD)
  • Persistent depressive disorder (PDD)
  • Bipolar disorder
  • Seasonal affective disorder (SAD)
  • Psychotic depression 
  • Peripartum (postpartum) depression
  • Premenstrual dysphoric disorder (PMDD) 
  • Situational depression 
  • Atypical depression

How do you know what treatments will work for my depression?

At Options MD, you undergo an extensive intake process, where we learn as much as possible about your medical history, lifestyle, and unique circumstances to understand what treatments will work for you. This is a personalized process that requires close work with the team to find the right solutions for you.

Is depression a chronic disorder?

Yes, depression can be a chronic and recurring disorder for some individuals. For others, depression lasts for a set amount of time and is resolved with the right treatment.

What is the most severe form of depression?

Major Depressive Disorder (MDD), also known as major depression, can have the most severe and serious symptoms. 

With major depression, the dark mood associated with depression is all-consuming. You may lose interest in activities that previously brought you pleasure. You are more likely to have numerous depressive symptoms at the same time, like low energy, appetite changes, difficulty with concentration, sleep disturbances, or feelings of hopelessness or guilt.  

These symptoms are severe enough to impact your relationships, work performance, or other important areas of your life. Your depressive symptoms may sometimes start after a personal loss or difficult life event, but symptoms persist significantly longer than what would normally be expected. 

Major Depression can be managed with the right treatment.

Show More

Explore New Care Pathways

Our clinical team is always on the look-out for the latest and greatest treatments. Click below to download our free guide about groundbreaking and experimental therapies for treatment-resistant depression.

Download Our Free Guide >
Options MD

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Fax #:+1 (212) 214-0639
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