For Depression That Has Not Responded

Medication-Assisted Therapy in Columbia, Maryland

For depression that hasn’t responded to the usual treatments.

You have done the things you were supposed to do. Tried the medication. Maybe more than one. Showed up to therapy. And the weight has not lifted the way you hoped it would.

That is not a failure of effort, and it does not mean nothing will work. Some people need a different kind of help than a standard prescription and a weekly session. Medication-assisted therapy combines psychotherapy with a medication given under medical supervision, in a longer and more carefully held session than ordinary therapy.

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Or call us — we are happy to talk it through first. (410) 498-6833

Wellness Space Counseling Team

Licensed Mental Health Professionals

In-Person at our Columbia, MD office
Licensed Maryland Clinicians
Medically supervised throughout
Evening & Weekend Availability

Start With a Free 15-Minute Consultation

Before anything else, a conversation. No commitment, no pressure, and no obligation to move forward. If we do not think it is a reasonable fit, we will say so.

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We respond within one business day. Your information stays confidential and HIPAA-protected.

Who We Are

Wellness Space Counseling is a group practice in Columbia, Maryland. We provide psychotherapy for individuals, couples and teens, and our clinicians are trained in trauma-focused and evidence-based approaches including EMDR, somatic therapy and Internal Family Systems.

Medication-assisted therapy sits alongside that work rather than replacing it. It is offered to a specific group of clients, after an assessment, when our clinical team believes it is a reasonable fit.

Licensed Maryland clinicians
Medical supervision throughout every session
In-person sessions at our Columbia, MD office
Evening and weekend availability
Private pay practice

Two armchairs and a low table in a calm, private therapy office.

Four members of the Wellness Space Counseling team, photographed individually and arranged in a collage.

The Team You’d Be Working With

This work asks for a lot of trust, and it should. You will be in a vulnerable state in a long session, and who is in the room matters.

Every clinician involved is licensed in Maryland, and a medical provider oversees every session.

Not sure who would be the right fit? That is exactly what the free consultation is for — tell us what is going on, and we will match you with the clinician whose training fits what you need.

Meet Us on a Free Consultation

What Happens Next

1
You reach out.
Fill in the form or call. It takes two minutes.
2
We talk briefly.
A free 15-minute call to hear what you have been dealing with and what you have already tried, and to answer your questions honestly — including about the medication and its risks.
3
We assess carefully.
If it sounds like a possible fit, you meet with our team to go through your history, your current medications and your health. Not everyone is a good candidate, and we will tell you plainly.
4
You decide.
Nothing is scheduled until your questions are answered and you have chosen to go ahead.

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How Medication-Assisted Therapy Works Here

This is not a clinic where you receive a treatment and go home. The therapy is the point; the medication supports it.

Assessment comes first

Before anything is scheduled, you meet with our team to talk through your history, what you have already tried, your current medications and your health. Not everyone is a good candidate, and we will tell you plainly if we do not think this is right for you.

Preparation

You and your therapist spend time before the first session getting clear on what you are hoping to work on, what the experience is like, and how you would like to be supported during it.

The session itself

Sessions are considerably longer than a standard therapy hour and take place in our office, with a clinician present and monitoring you throughout. You are never left alone.

Integration

The session after matters as much as the session itself. You meet with your therapist to make sense of what came up and turn it into something usable in your life.

Two approaches

We work at two different levels, and which one fits you is a clinical decision made with you, not for you.

A lighter approach keeps you present, talking and working directly with your therapist throughout the session. It tends to suit people who want to stay in dialogue.
A deeper approach uses a more immersive session, with your therapist alongside you throughout and the real work happening in the integration afterward. It tends to suit people working with entrenched trauma or long-standing depression.

Frequently Asked Questions

Your clinician will go through this with you in detail on your consultation — what it is, how it is given, how it works, what the risks and side effects are, and what the evidence does and does not show. We would rather have that conversation properly with a clinician than summarise it on a web page.

Typically adults whose depression has not responded adequately to standard antidepressants or talk therapy alone. Suitability depends on your medical history, current medications and other factors, which is what the assessment is for. Some people are not appropriate candidates, and we will tell you.

No. The therapy is the centre of it. The medication supports the therapeutic work — it does not replace it, and we do not offer it on its own.

Considerably longer than a standard therapy hour. Your clinician will give you exact timing so you can plan your day, including arranging a ride home.

Yes. You will not be able to drive yourself after a session. We will go over all of this before your first appointment.

Wellness Space Counseling is a private pay practice. We do not bill insurance directly, which keeps your care free from insurance restrictions and lets us tailor treatment to you. On request we can provide a superbill you may submit to your insurer for possible out-of-network reimbursement, and we will be upfront about rates on your consultation.

Yes. Sessions are confidential and HIPAA-protected, with the narrow legal exceptions your clinician will walk you through at the start.

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