NBCG — Treatment-Resistant Depression
when standard treatments haven't worked

Expert Care for Treatment-Resistant Depression

Advanced, focused support when standard treatments haven't worked.

first, let's name it

What is Treatment-Resistant Depression?

Treatment-resistant depression (TRD) refers to a form of major depressive disorder that doesn't improve after trying at least two different antidepressant medications at adequate doses and durations.

People with TRD experience persistent symptoms — such as low mood, lack of pleasure, fatigue, and difficulty functioning — even after multiple treatment attempts. It may also be associated with more severe or chronic symptoms.

If you've already tried — and tried again — there are still paths forward. You haven't run out of options.
when first-line care isn't enough

Advanced Depression Services

Sometimes traditional therapies and medication aren't enough. If that sounds like you, our advanced depression services may be the next step.

— one

TMS (Transcranial Magnetic Stimulation)

TMS is a non-invasive treatment that uses magnetic pulses to stimulate brain areas involved in mood regulation — often used for depression when other treatments haven't worked.

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— two

Spravato (Esketamine)

Spravato is a fast-acting nasal spray derived from ketamine. It works differently from traditional antidepressants by targeting the glutamate system in the brain, helping to restore neural connections involved in mood regulation. Administered in a certified clinic by highly trained medical staff.

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— three

Ketamine

Ketamine is a fast-acting medication used off-label for depression — especially treatment-resistant depression and acute suicidal thoughts. It targets the glutamate system to quickly improve mood and strengthen brain connections. Administered by our psychiatric providers via intramuscular injection or intranasal spray.

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— four

Psychiatric Medication Management

Ongoing support from a medical provider to monitor medications and help manage mental health symptoms — including augmentation strategies and combination approaches that go beyond what's been tried before.

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Meet with one of our care coordinators to see if TMS, Spravato, or ketamine would be the right next step for you.

our approach is rooted in

care that's personalized, adaptive, and integrative.

We understand that depression is not one-size-fits-all. That's why our approach is personalized, adaptive, and integrative — designed to treat the root causes, not just the symptoms. When prior treatments haven't moved the needle, we look closer.

i.

A fresh look at your story

We reassess your history of treatments, symptoms, and any co-occurring conditions to tailor your care from the ground up.

ii.

Beyond the standard playbook

Including augmentation, combination approaches, and newer options when appropriate — not just more of the same.

iii.

Evidence-based adjuncts

We offer evidence-based adjuncts and referrals for modalities like TMS, Spravato, or ketamine when clinically indicated.

iv.

Plans that evolve with you

Regular progress reviews and adjustments to your plan to improve outcomes — care that doesn't stay static when your needs shift.

why people choose us

The NBCG Difference

At NBCG, we go beyond medication to provide comprehensive mental health support — ensuring holistic care that aligns with your overall well-being.

Multiple locations across Northern Utah

A team of board-certified psychologists, therapists, psychiatric providers, and nurse practitioners who provide interdisciplinary, connected care

Integrated approach combining mental health therapy, medication management, advanced depression therapies, and mindfulness guidance for continued improvement at home

Evidence-based, patient-centered treatment plans

Skip the back-and-forth.

If you're ready to get help, you can schedule your first appointment directly with one of NBCG's expert providers.

Book an Appointment Now →

Not quite ready to book? Fill out our contact form and we'll reach out.

accessible care

We Accept Most Insurance

Our NBCG team goes above and beyond to verify your insurance benefits, investigate coverage, and complete prior authorizations — so you'll know your costs upfront and can begin treatment with confidence and affordability.

Depression looks different for everyone. Our services support those with treatment-resistant depression, postpartum depression, seasonal affective disorder, and depression occurring alongside OCD, PTSD, anxiety, and more.

we'd love to hear from you

Request a Consultation

One of our team members will reach out to talk through your options and answer any questions you may have.

To schedule an appointment, please call

(801) 823-3109
care close to home

Locations & Services

Logan
429 S Main Street
Logan, UT 84321
  • ABA & Autism Services
  • Speech Therapy
South Ogden
5974 S. Fashion Pointe Drive, Suite 140
South Ogden, UT 84403
  • ABA & Autism Services
  • Thrive Learning Center
  • Speech Therapy
5926 S. Fashion Pointe Drive, Suite 120
South Ogden, UT 84403
  • Psych & Neuropsych Testing
  • Mental Health Therapy
  • Psychiatric Med Management
  • TMS, Spravato, & Ketamine
Layton
920 West Heritage Blvd, Suite 210
Layton, UT 84041
  • Mental Health Therapy
Bountiful
415 S Medical Drive, Suite A100
Bountiful, UT 84010
  • Psych & Neuropsych Testing
  • Mental Health Therapy
  • ABA & Autism Services
  • Speech Therapy
  • Psychiatric Med Management
  • TMS, Spravato, & Ketamine
Salt Lake City
370 E South Temple Street, Suite 175
Salt Lake City, UT 84111
  • Psych & Neuropsych Testing
  • Mental Health Therapy
  • Psychiatric Med Management
  • TMS, Spravato, & Ketamine
West Jordan
7613 S Jordan Landing Blvd, Suite 120
West Jordan, UT 84084
  • ABA & Autism Services
  • Psychiatric Med Management
your next step

You haven't run out of options.

If standard treatments haven't worked, our team is ready to look at the full picture and find what comes next — together.

Indications for Treatment

The providers at Neurobehavioral Center for Growth (NBCG) offer medication management for a range of mental health conditions, including but not limited to Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), Attention-Deficit/Hyperactivity Disorder (ADHD), Obsessive-Compulsive Disorder (OCD), and Bipolar Disorder. Medications are prescribed based on individual assessments and in conjunction with other therapeutic interventions as needed.

Important Safety Information

Psychiatric medications are only available by prescription and should be taken as directed by a healthcare provider. A provider at NBCG can help determine if medication is right for you. Patients' responses to medications may vary, and ongoing monitoring is necessary to ensure safety and effectiveness.

Common side effects may include drowsiness, dizziness, nausea, changes in appetite, or mood fluctuations. Some medications carry risks such as dependency, withdrawal symptoms, or rare but serious adverse effects. It is important to discuss all potential risks and benefits with your provider.

Medications for mental health conditions should not be discontinued without consulting a healthcare provider. If you experience severe side effects, worsening symptoms, or thoughts of self-harm, seek immediate medical attention.