Depression Treatment in MA, RI, and UT
For depression that hasn’t responded to the usual approaches.
Depression doesn't always look like sadness. It can look like flatness, exhaustion, losing interest in what used to matter, or going through the motions of a life that looks fine on paper. For some people, it has lasted through several medications and several therapists.
You're not a lost cause. You may just need a different approach.
Who we help
Adults with ongoing or recurring depression
High achievers who are still performing but feel empty
People with treatment-resistant depression who have tried multiple medications
People receiving Ketamine or Esketamine treatment who want therapy to help make the changes last (we’ll make sure you’re seen within the 24-48 hour post-treatment neuroplastic window)
People whose depression is tangled up with trauma, burnout, or alcohol use
Therapy alongside Ketamine and Esketamine treatment
Ketamine and Esketamine can open a window of change for some people with treatment-resistant depression. Therapy helps you use that window, so insights from treatment turn into lasting shifts in how you think, relate, and live.
We coordinate with your prescribing clinic when you want us to.
How we work
Psychodynamic therapy, to understand patterns that keep repeating
CBT, ACT, and mindfulness for practical tools on hard days
Trauma-informed care, because unresolved trauma often keeps depression going
Body-based work, including trauma-sensitive yoga, when talking alone isn't enough
Who you’ll work with
Julia Schechter, MSW, LICSW (she/her)
Owner, PsychotherapistJulia Schechter, MSW, LICSW, has more than 16 years of experience in trauma-informed mental health care. She trained at Cambridge Health Alliance, has worked previously at McLean Hospital and Brigham and Women's Hospital, and teaches Advanced Clinical Practice classes at the Simmons University School of Social Work and Substance Use and Cognitive Behavioral Therapy classes at the Boston College School of Social Work. Her recent clinical work includes treating clients receiving Ketamine and Esketamine for treatment-resistant depression. She offers telehealth services across Massachusetts, Rhode Island, and Utah.
Kacey Malz, MSW, LCSW (she/her)
Kacey Malz, MSW, LCSW, brings firsthand experience from Lumin Health, a Ketamine and Esketamine treatment clinic, where she supports patients with treatment-resistant depression before, during, and after treatment. She understands what the treatment process asks of people: the hope, the uncertainty, and the work of making sense of what shifts. In therapy, she helps clients turn those shifts into lasting change, drawing on CBT, ACT, and Internal Family Systems. She also brings experience from Tufts Medical Center outpatient psychiatry and offers telehealth plus evening in-person sessions in Brookline, MA.
PsychotherapistFrequently Asked Questions
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It's commonly defined as depression that hasn't improved enough after at least two adequate trials of antidepressant medication.
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No. We're therapists, and we coordinate with psychiatrists and prescribing clinics when you want us to.
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Yes. Research generally supports combining therapy and medication for depression.
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We do not offer an after-hours on-call crisis service. If you're in danger, call or text 988 or go to your nearest emergency room.