Depression Treatment & Therapy

Compassionate, evidence-based care for major depression, persistent depressive disorder, and related mood disorders

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Understanding Depression

Depression is more than just feeling sad or going through a rough patch—it's a serious medical condition that affects how you feel, think, and handle daily activities. Depression affects approximately 21 million adults in the United States, making it one of the most common mental health conditions.

The good news is that depression is highly treatable. Between 80-90% of people with depression eventually respond well to treatment. With proper care, you can feel better and reclaim your life.

21M+

Adults affected annually

80-90%

Treatment success rate

#1

Cause of disability worldwide

Types of Depression We Treat

Depression presents in various forms, each requiring specialized treatment approaches.

Major Depressive Disorder (MDD)

Characterized by persistent feelings of sadness, hopelessness, and loss of interest in activities. Symptoms last at least two weeks and significantly impact daily functioning.

  • Severe depressed mood most of the day
  • Loss of interest in previously enjoyed activities
  • Significant impact on work, relationships, self-care
  • Can occur as single or recurrent episodes

Persistent Depressive Disorder (PDD)

Chronic depression lasting two years or longer. While symptoms may be less severe than major depression, their persistent nature significantly affects quality of life.

  • Depressed mood for most of the day
  • Symptoms present for 2+ years
  • May include periods of major depression
  • Impacts long-term functioning and wellbeing

Postpartum Depression

Depression that occurs during pregnancy or after childbirth. More severe than "baby blues," it requires professional treatment and affects the ability to care for oneself and baby.

  • Severe mood swings
  • Difficulty bonding with baby
  • Overwhelming fatigue
  • Thoughts of harming self or baby

Seasonal Affective Disorder (SAD)

Depression that follows a seasonal pattern, typically beginning in fall/winter and improving in spring/summer. Related to reduced sunlight exposure affecting brain chemistry.

  • Depression during specific seasons
  • Increased sleep and appetite
  • Weight gain and social withdrawal
  • Low energy and difficulty concentrating

Psychotic Depression

Severe depression accompanied by psychotic features such as delusions or hallucinations. Requires immediate professional treatment and often hospitalization.

  • Severe depressive symptoms
  • Delusions (false beliefs)
  • Hallucinations (false perceptions)
  • Requires intensive treatment

Bipolar Depression

Depressive episodes that occur as part of bipolar disorder, alternating with periods of mania or hypomania. Requires different treatment than unipolar depression.

  • Depressive episodes in bipolar disorder
  • Alternates with manic/hypomanic episodes
  • Requires mood stabilizers
  • Different treatment from MDD

Signs & Symptoms of Depression

Depression affects your emotions, thoughts, physical health, and behavior.

Emotional Symptoms

  • Persistent sad, anxious, or "empty" mood
  • Feelings of hopelessness or pessimism
  • Feelings of guilt, worthlessness, or helplessness
  • Loss of interest or pleasure in hobbies and activities
  • Irritability, frustration, or restlessness
  • Difficulty experiencing positive emotions
  • Crying spells for no apparent reason
  • Emotional numbness or feeling "empty"

Cognitive Symptoms

  • Difficulty thinking, concentrating, or remembering
  • Difficulty making decisions
  • Negative or distorted thinking patterns
  • Thoughts of death or suicide
  • Rumination (dwelling on negative thoughts)
  • Poor self-esteem
  • Difficulty focusing on tasks
  • Slowed thinking or processing

Physical Symptoms

  • Fatigue or decreased energy
  • Sleep disturbances (insomnia or oversleeping)
  • Changes in appetite or weight
  • Unexplained aches and pains
  • Headaches or digestive problems
  • Slowed movement and speech
  • Decreased sex drive
  • Chronic pain without clear cause

Behavioral Symptoms

  • Withdrawing from family and friends
  • Neglecting responsibilities
  • Decreased performance at work or school
  • Losing interest in previously enjoyed activities
  • Substance abuse
  • Neglecting personal hygiene
  • Avoiding social situations
  • Increased risk-taking behaviors

Our Comprehensive Treatment Approach

We offer evidence-based treatments proven highly effective for depression.

Thorough Assessment

Comprehensive evaluation to accurately diagnose depression type, assess severity, identify contributing factors, and screen for co-occurring conditions like anxiety or substance use.

Psychotherapy (Talk Therapy)

Multiple evidence-based therapy approaches proven effective for depression:

  • Cognitive Behavioral Therapy (CBT): Identify and change negative thought patterns and behaviors
  • Interpersonal Therapy (IPT): Address relationship issues contributing to depression
  • Behavioral Activation: Increase engagement in positive activities
  • Problem-Solving Therapy: Develop skills to handle life stressors
  • Mindfulness-Based Therapy: Reduce rumination and increase present-moment awareness

Antidepressant Medications

When appropriate, medications can effectively treat depression. We prescribe and monitor:

  • SSRIs: First-line treatment (Prozac, Zoloft, Lexapro, etc.)
  • SNRIs: Effective for depression and pain (Effexor, Cymbalta)
  • Bupropion: Helps with energy and focus
  • Mirtazapine: Helpful for sleep and appetite
  • TCAs: Older medications, still effective for some
  • MAOIs: For treatment-resistant depression

Advanced Treatments

For treatment-resistant depression, we offer or refer for:

  • Esketamine (Spravato): Rapid-acting nasal spray for resistant depression
  • TMS (Transcranial Magnetic Stimulation): Non-invasive brain stimulation
  • ECT (Electroconvulsive Therapy): Highly effective for severe depression
  • Combination treatments: Multiple medications or therapy + medication

Lifestyle Interventions

Evidence shows lifestyle changes significantly impact depression:

  • Exercise: Regular physical activity as effective as medication for mild-moderate depression
  • Sleep: Sleep hygiene and treating sleep disorders
  • Nutrition: Balanced diet supporting brain health
  • Light Therapy: Particularly effective for SAD
  • Social Connection: Rebuilding relationships and support networks

Ongoing Support & Monitoring

Regular follow-up to monitor progress, adjust treatment, prevent relapse:

  • Regular medication monitoring
  • Symptom tracking and assessment
  • Treatment adjustments as needed
  • Relapse prevention planning
  • Long-term maintenance care

Benefits of Depression Treatment

With proper treatment, most people with depression experience significant improvement.

Improved Mood

Relief from persistent sadness, hopelessness, and emotional pain

Increased Energy

Reduced fatigue and greater ability to engage in daily activities

Better Sleep

Improved sleep quality and normal sleep patterns

Restored Interest

Return of pleasure and interest in activities you once enjoyed

Improved Concentration

Better focus, memory, and decision-making abilities

Enhanced Relationships

Improved connections with family, friends, and colleagues

Better Work Performance

Increased productivity and ability to meet responsibilities

Reduced Physical Symptoms

Relief from pain, digestive issues, and other physical complaints

Hope for the Future

Restored optimism and ability to envision positive outcomes

Improved Physical Health

Better overall health as depression's physical effects diminish

When to Seek Help

Depression is treatable. Seek help if you experience:

Persistent sad, anxious, or "empty" mood lasting 2+ weeks

Loss of interest in activities you once enjoyed

Significant changes in sleep, appetite, or weight

Difficulty concentrating, remembering, or making decisions

Fatigue or loss of energy nearly every day

Feelings of worthlessness or excessive guilt

Withdrawal from family, friends, or social activities

Thoughts of death or suicide

Crisis Resources

If you're having thoughts of suicide or self-harm, get help immediately:

988 Suicide & Crisis Lifeline: Call or text 988

Crisis Text Line: Text HOME to 741741

Emergency: Call 911 or go to nearest emergency room

You are not alone. Help is available 24/7.

Frequently Asked Questions

How long does it take to feel better?

Some people notice improvement within 2-4 weeks of starting treatment. Antidepressants typically take 4-6 weeks to reach full effect. Therapy shows benefits within 8-12 sessions for many people. Complete recovery often takes several months.

Do I need medication or is therapy enough?

Research shows that for mild-to-moderate depression, therapy alone can be very effective. For moderate-to-severe depression, a combination of therapy and medication is often most effective. We'll work with you to determine the best approach.

Will antidepressants change my personality?

No, antidepressants don't change your personality. They help restore normal brain chemistry so you can feel like yourself again. Many people say they finally feel like "their old self" once treatment works.

How long will I need to take antidepressants?

For a first episode of depression, treatment typically continues for 6-12 months after symptoms improve to prevent relapse. Some people need longer-term treatment, especially if they've had multiple episodes.

Can depression come back after treatment?

Depression can recur, especially if you've had multiple episodes. However, with proper treatment and maintenance care, many people remain depression-free. We work on relapse prevention strategies as part of treatment.

What if treatment doesn't work?

If initial treatment isn't effective, we have many other options including different medications, therapy approaches, combination treatments, and advanced therapies like TMS or esketamine. Most people find an effective treatment with persistence.

You Don't Have to Suffer Alone

Depression is treatable, and you can feel better. Our compassionate team is here to help you find hope and healing.