Private, Personal Mental Health Care in Essex Fells, NJ
Discreet Care for a Close-Knit Borough
Essex Fells is one of the smallest boroughs in New Jersey — a couple of thousand residents on quiet, tree-lined streets between the Caldwells and Roseland. In a town this size, privacy is not an abstraction: people notice cars, schedules, and comings and goings. Many Essex Fells families choose us precisely because our office is a discreet ten-to-twelve-minute drive away at 80 Main Street in West Orange, and because secure telehealth means sensitive conversations can happen without leaving home at all.
Small-town calm does not exempt anyone from real life. We work with Essex Fells students moving from the borough’s K–6 school into West Essex Regional and the pressures that transition brings, with parents managing demanding careers behind composed exteriors, and with couples and families who want an experienced, licensed clinician rather than the nearest available appointment.
Total Family Solutions has served New Jersey since 2003. Our practice pairs therapists for children, teens, adults, and couples with psychiatric providers for evaluations and medication management — a full continuum of care, delivered with the discretion a community like Essex Fells expects.
Services for Essex Fells Residents
Essex Fells residents have quiet access to our complete practice:
Outpatient & Telehealth Care
Individual, couples, and family counseling ten minutes away in West Orange, or by encrypted telehealth from your own study.
Medication Management & Psychiatric Care
Psychiatric evaluation and medication management handled by the same practice as your therapy — fewer offices, fewer disclosures, better coordination.
Assessments & Evaluations
Assessments and evaluations for children and adults, conducted thoughtfully and shared only with those you designate.
Intensive In-Community Services (IIC)
State-contracted Intensive In-Community support available in-home for qualifying youth, delivered with professionalism and discretion.
Your Nearest Office
West Orange Office
80 Main Street, Suite 410
West Orange, NJ 07052
Phone: 856.772.5809
Fax: 856.772.5852
Office Hours
Monday – Friday: 8 a.m. – 8 p.m.
Saturday: 8 a.m. – 5 p.m.
Sunday: Closed
From Essex Fells, take Roseland Avenue or Fells Road toward Eagle Rock Avenue, then continue into West Orange — about ten to twelve minutes to our Main Street office, where sessions are scheduled to keep waiting-room overlap minimal.
Questions From Essex Fells Families
How do you protect privacy for clients from a small town?
Confidentiality is foundational to everything we do. Beyond the legal protections that cover all care, our office is outside the borough in West Orange, telehealth is fully encrypted, and we never disclose that someone is a client without written authorization.
Where would we be seen in person?
At 80 Main Street, Suite 410 in West Orange — roughly a ten-to-twelve-minute drive from Essex Fells via Eagle Rock Avenue.
Can you help a student adjusting to West Essex Regional?
Yes. School transitions are a common reason Essex Fells families reach us. Our therapists work with adolescents on anxiety, academic pressure, and social adjustment, with after-school and evening appointment times.
Is telehealth really as effective as office visits?
For most outpatient counseling and medication follow-ups, research and our own clinical experience say yes — and for clients who value privacy, it removes the drive entirely. Your clinician will tell you honestly if in-person care would serve you better.

