Depression Treatment

Female psychiatrist specializing in Depression offers immediate help, including anxiety medication and treatment.

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Psychiatrist Appointment

Best Depression Psychiatrist - Weekend Psychiatrist Appointments Available

What is Depression?

The old definition of depression was ‘learned helplessness.’

You know you have depression when you don’t feel right even if nothing is wrong, and you can’t find a solution when something really is wrong.

Depression, also referred to as major depressive disorder or clinical depression is one of the most common conditions with over 80% of Americans reporting one or multiple symptoms of depression. Most people do not know that depression is treatable, and suffer in silence for years before seeking treatment.

Likewise many individuals are afraid to start treatment, because of fear of stigma, or because of failed treatments in the past, or because they have been prescribed the wrong medication.

Untreated depression, apart from making you feel miserable, can create problems at work, interfere with academic success, career progression, and can also cause health and relationship difficulties. It is important to get the right treatment to alleviate symptoms, and reduce suffering.

Effective management and treatment of depression is crucial for long term wellbeing. Here at Gaba Telepsychiatry, we offer a wide range of depression treatments including therapy, nutrition, hormone evaluation, and medication. Our depression psychiatrists are committed to helping you find the right treatment and supporting you through the recovery process.

Depression Psychiatrist

Board Certified Psychiatrist with Multiple State Licenses MBBS (MD)

Dr. Valeria Serban is an experienced and Board Certified neuropsychiatrist. She is compassionate and well-known for her warm personality and genuine commitment to patient care. She provides a warm and supportive environment for treatment and forms secure alliances with individuals and families to provide the maximum support for a complete recovery, or management of their symptoms.

Dr. Valeria Serban has a background in neuroscience and has completed her Ph.D. in Neuroscience. This background is a foundation for her interest in treating anxiety, postpartum depression, OCD, dementia, and a wide range of psychiatric illnesses.

She has a particular interest in the diagnosis and treatment of all mental health conditions related to depression. Treatment may involve cognitive behavioral therapy, among other modalities, to analyze the underlying thought processes that cause depression. This may involve prescribing medication, providing therapy, and using her general medical knowledge to rule out any physical causes of depression.

Dr. Serban has worked extensively with various neuropsychiatric conditions such as Parkinson’s disease, cerebral palsy, postpartum depression, bipolar disorder, schizophrenia, migraine, epilepsy, concussion, stroke, and dementia to name a few.

She explores different treatment options and works collaboratively with her patients to find one that best suits them. With more than twenty years of experience, she is knowledgeable and confident, treating all patients with utmost urgency and care.

To elevate patients’ quality of life, she offers customized treatment plans based on hormonal, nutritional, and medical health evaluations. Dr. Serban believes proper support, good therapy, and medications can greatly improve many psychiatric symptoms.

Medical School

University of Medicine and Pharmacy “Carol Davila” Bucharest, Romania

Neurology Residency Training

University of Medicine and Pharmacy “Carol Davila” Bucharest, Romania

Master of Philosophy (M.Ph.) – Neuroscience

NYS Institute for Basic Research, New York

Internal Medicine Residency

Temple University Hospital, Pennsylvania

Neurology Residency

Temple University Hospital, Pennsylvania

Doctor of Philosophy (Ph.D.) – Neuroscience

NYS Institute for Basic Research, City University of New York – Graduate Center

Clinical Neurophysiology Fellowship

Massachusetts General Hospital – Harvard Medical School, Massachusetts

Board Certification

American Board of Psychiatry and Neurology (ABPN)
Electromyography – American Association of Neuromuscular and Electrodiagnostic Medicine (AANEM)
Neuromuscular Medicine – American Board of Psychiatry and Neurology (ABPN)
Recertification – American Board of Psychiatry and Neurology (ABPN)

Board Certified Psychiatrist in New York & New Jersey (MD)

Dr. Tony Isaac is a double Board-certified Psychiatrist with nine years of experience practicing psychiatry. He provides compassionate discrete psychiatric evaluations, and psychiatric care services including medication management, and psychotherapy.

Dr. Isaac treats a wide range of psychiatric conditions, such as depression, insomnia, panic attacks, anxiety, OCD, bipolar disorder, and schizophrenia. He conducts suicide assessments, and acute stabilization and will work with your family and employer to provide support. He also provides specialized care for addiction recovery treatments and medication management.

Dr. Issac also provides follow-up appointments, and psychiatric services including psychotherapy and sensitive medication titration. Dr. Issac can work with you to achieve a collaborative treatment plan and work towards recovery and healing.

Dr. Issac is available for same-day appointments during emergencies and is available for weekend appointments to ensure that you receive the care and support you deserve.

Medical School

St. George’s University: School of Medicine

Psychiatry Residency Training

Richmond University Medical Center: affiliate of Mount Sinai Health Network

Bachelors of Science (B.S.) in Psychobiology

Binghamton University – State University of New York

Board Certification

American Board of Preventative Medicine – Addiction Medicine, Board Certification
American Board of Psychiatry & Neurology – Psychiatry, Board Certification

Board Certified Psychiatrist with Multiple State Licenses MBBS (MD)

Dr. Gundu Reddy is a board-certified psychiatrist with fifteen years of experience practicing clinical psychiatry.

Dr. Reddy has a special interest in treating depression, including postpartum depression and treatment resistant depression. Dr Reddy has worked at Manhattan psychiatric Center where she spent three years treating patients with treatment resistant depression.

She has trained in Medication Management, psychodynamic psychotherapy, and cognitive behavioral therapy, and integrative psychiatry. When treating depression, she states it is important to evaluate why treatment has failed in the past, and what needs to be done differently.

Dr. Reddy believes that multiple factors should be considered when providing depression treatment, including genetic factors, developmental factors, medical illness, nutrition, and hormones, as well as environmental and dynamic factors.

Dr. Reddy emphasizes that the decision to take psychiatric medication, should not be taken lightly and depression medication should be prescribed with the utmost care. The goal of medication management is to achieve maximum efficacy with minimum side effects, and gentle titration is required.

Dr. Reddy believes that in most cases depression is treatable, and most people can achieve significant improvement in symptoms, as well as social and occupational functioning, with high-quality and consistent care, including the expertise of a postpartum depression psychiatrist. Her goal is to provide the best possible treatment to patients in a telepsychiatry or online psychiatry setting, utilizing her expertise as a postpartum depression psychiatrist, and achieve the same standards of care as if seeing the patient in person.

Medical School

The United Medical Dental Schools of Guys Kings and St Thomas’ at King’s College London

Psychiatry Residency Training

Mount Sinai School of Medicine, New York

Psychodynamic Psychotherapy Training

NYU Psychoanalytic Institute

Board Certification

American Board of Psychiatry Neurology

Schedule an Appointment with one of our Online Psychiatrists

Book an Appointment Online for Telepsychiatry

Clinical Services: California, Florida, Illinois, New Jersey, New York, South Carolina, Tennessee

online psychiatrist

Forensic Psychiatry Services: All of the US and Canada

How much does it cost to see an Online Psychiatrist at Gaba Telepsychiatry?

depression treatment online psychiatrist

Your first online appointment with one of our psychiatrists will cost $400. The follow-up appointments will be $250. If you have out-of-network benefits, we can submit claims on your behalf.

Symptoms of Depression

Symptoms of depression can present in many different ways. Apart from mood, depression can affect cognition, thoughts, and body sensations. In severe cases, depression can cause paranoia, delusions and hallucinations. Symptoms of Depression can usually be categorized as follows:

Physical Symptoms of Depression
Physical Symptoms of Depression

Physical Symptoms of Depression

  • Headache
  • Fatigue
  • Muscle ache
  • Back pain
  • GI upset
  • Joint pain
  • Abdominal pain
  • Low sex drive
Cognitive Symptoms of Depression
Cognitive Symptoms of Depression

Cognitive Symptoms of Depression

  • Inattention
  • Memory loss
  • Impaired executive functioning
  • Impaired neuroplasticity
  • Impaired problem solving
  • Slow reaction time
Thought Distortions with Depression
Thought Distortions with Depression

Thought Distortions with Depression

  • Negative thoughts about self
  • Negative thoughts about others
  • Excessive guilt about the past
  • Pessimistic thoughts about the future
  • Low confidence in abilities
  • Low self worth
  • Suicidal thoughts
  • Angry thoughts
  • Nihilistic thoughts
  • Existential angst
Mood Symptoms Associated with Depression
Mood Symptoms Associated with Depression

Mood Symptoms of Depression

  • Bad mood
  • Loss of enjoyment in activities
  • Low motivation
  • Loss of ambition
  • Loss of will to live
  • Loss of appetite
  • Sleep disturbance
Psychotic Symptom Associated with Depression
Psychotic Symptom Associated with Depression

Psychotic Symptoms of Depression

  • Hallucinations
  • Delusions
  • Paranoia
  • Loss of touch with reality

Causes of Depression

Depressive disorders are often characterized by an intense feeling of sorrow, emptiness, loneliness, and irritable mood. Individuals suffering from depression often wonder ‘why me, or why is this happening to me, or why am I feeling like this?’

Causes of Depression

It is important to understand the different causes of depression, because in order to treat depression effectively, we first need to understand the underlying cause. The most common causes of depression include:

  • Congenital or idiopathic : Sometimes depression can occur without an identifiable cause.
  • Genetic : Those with a family history of depression are more likely to develop symptoms.
  • Developmental : Prolonged exposure to trauma during formative years.
  • Chronic/Acute illness : HIV, cancer, any illness  associated with chronic pain can increase risk.
  • Heavy metal poisoning : Lead, iron, mercury, arsenic can all cause mood symptoms.
  • Prolonged poverty
  • Psychodynamic conflict 
  • Academic stress : Pressure, undiagnosed ADHD, uncertainty about the future.
  • Hormone imbalance: Imbalance of thyroxine, estrogen, progesterone, growth hormone, testosterone.
  • Sleep disturbance: Sleep apnea, insomnia, narcolepsy.
  • Situational anxiety 
  • Nutritional deficiencies: B12, vitamin D , magnesium, zinc and iron deficiency.
  • Workplace stress: Overwork, burnout and toxic workplace environments.
  • Trauma: Prolonged trauma is recognized as a cause of depression.

Depression Treatment

A holistic approach to depression treatment, simply means, considering, screening, and addressing all the different factors which can cause depression.

Untreated depression can cause difficulties with academic performance, careers, relationships, and physical health. Depression is almost always treatable, and symptoms almost always improve with effective treatment. A depression psychiatrist tackles:

  • Treating underlying medical illness
  • Addressing nutrition deficiencies
  • Psychotherapy for the treatment of depression such as psychodynamic psychotherapy, CBT, family therapy, and group therapy
  • Treating hormone imbalance
  • Addressing external stressors, including housing, work-life balance
  • Addressing relationships and interpersonal stressors
  • Treating insomnia
  • Medication such as SSRIs, tricyclic antidepressants, MAOIs, serotonin modulators, mood stabilizers, and atypicals
  • Alternative treatments such as acupuncture, yoga, and meditation

Why is it important to get treatment for depression?

Untreated depression can cause difficulties with academic performance, careers, relationships, and physical health. Depression treatment involves:

Supplements for Depression

It is well known that common nutritional deficiencies can cause depression. For example, iron deficiency, B12 deficiency, and vitamin D deficiency is associated with an increased risk of depression. Dietary changes and supplement regimens are known to help in the treatment of depression. Supplements for depression treatment include:

Supplements For Depression
Supplements For Depression
  • Rhodiola
  • Magnesium
  • Saffron
  • Zinc
  • Vitamin D
  • SAM-e
  • B vitamins
  • N-acetyl-L-cysteine
  • Creatinine
  • Omega-3

Medication for Depression

Medication For Depression

Your depression psychiatrist will assess your mental condition, and accordingly prescribe you depression medications which include:

  • SSRIs
  • Tricyclic
  • Antidepressants
  • Monoamine oxidase
  • Inhibitors (MAOIs)
  • Serotonin modulators
  • Mood stabilizers
  • Neuroleptics
  • Anxiolytics and Atypicals

Depression Test

Depression Screening

The Beck Depression Inventory (BDI) and Hamilton Depression Rating Scale (HAM-D or HDRS) are most commonly used to assess symptoms of depression and also to accurately measure its severity. These two methods have been used successfully in several studies of depression and for its treatment.

What are the types of Depression?

Major Depressive Disorder

Major depressive disorder (MDD) is usually referred to as clinical depression, and is often characterized by:

  • Extremely depressed mood
  • Loss of interest in routine activities
  • Significant weight loss or weight gain
  • Insomnia or hypersomnia
  • Psychomotor retardation
  • Fatigue or loss of energy
  • Feelings of worthlessness or excessive guilt
  • Cognitive difficulty, impaired attention or indecisiveness
  • Suicidal ideation

As per the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), for a person to be diagnosed with MDD by a depression psychiatrist, he/she must exhibit at least five or more of the mentioned symptoms, of which one must be in a depressed mood or anhedonia that causes moderate to severe social or occupational impairment.

Persistent Depressive Disorder or Chronic Major Depressive Disorder, and Dysthymic Disorder

Persistent Depressive Disorder or Chronic Major Depressive Disorder, and Dysthymic Disorder
Major-Depression_-and-Dysthymic-Disorder

Persistent depressive disorder, also known as dysthymia or chronic major depressive disorder, is a long-lasting form of depression. The symptoms of dysthymia include:

  • Significant weight loss or weight gain
  • Insomnia or hypersomnia
  • Fatigue or loss of energy
  • Low self-esteem
  • Diminished ability to think or focus
  • Feeling of hopelessness.

As per the DSM-5, for a person to be diagnosed with persistent depressive disorder or dysthymia, during the 2 year period of the disturbance, the person should not be without symptoms from the above two criteria for more than 2 months at a time. The symptoms can cause clinically significant distress or impairment in critical areas of functioning.

Disruptive Mood Dysregulation Disorder

Disruptive Mood Dysregulation Disorder
Major-Depression_-and-Disruptive-Mood-Dysregulation-Disorder

Disruptive mood dysregulation disorder (DMDD) is characterized by:

  • Severe temper outbursts – three or more times per week, on an average
  • Outbursts – ongoing for at least 12 months
  • Chronically irritable or angry mood for most part of the day every day
  • Trouble functioning due to irritability in more than one setting

As per the DSM-5, for a depression psychiatrist to diagnose a person with DMDD, the individual must exhibit two or more of the depressive symptoms mentioned above. Furthermore, the symptoms must exist for 12 or more months, with no more than 3 consecutive months of symptom-free period. The symptoms can cause severe impairment in functioning.

Substance and Medication Induced Depressive Disorder

Substance and Medication Induced Depressive Disorder
Substance-and-Medication-Induced-Depressive-Disorder

An individual may experience substance and medication induced depressive disorder in response to the physiological use and abuse of substances and medications. The symptoms of substance and medication induced depressive disorder include:

  • Sad mood
  • Insomnia
  • Feelings of guilt
  • Suicidal ideation
  • Psychomotor retardation
  • Distractibility
  • Hopelessness
  • Irritability
  • Decreased libido
  • Anergy
  • Anorexia

As per the DSM-5, in order for a person to be diagnosed with substance and medication induced depressive disorder, the individual must show at least 5 or more depressive symptoms for a 2 weeks period with moderate to severe impairment in functioning.

Seasonal Affective Disorder

Seasonal Affective Disorder
Seasonal-Affective-Disorder

According to DSM-5, seasonal affective disorder or SAD is a recurrent major depressive disorder with a seasonal pattern usually beginning in the fall and continuing into winter months. The symptoms of SAD a depression psychiatrist looks for include

  • Sad mood
  • Low energy
  • Irritability
  • Crying frequently
  • Lethargy
  • Lack of focus
  • Hypersomnia
  • Withdrawal from social situations
  • Craving carbohydrates and sugars
  • Weight gain due to overeating

As per the DSM-5, for a person to be diagnosed with seasonal affective disorder, the symptoms will begin and end during a specific season every year (with full remittance during other seasons) for at least two years. The individual will exhibit mild to moderate impairment in functioning and severity.

Premenstrual Dysphoric Disorder

Premenstrual Dysphoric Disorder
Major-Depression_-and-Premenstrual-Dysphoric-Disorder

Premenstrual dysphoric disorder (PMDD) is an abnormal reaction to hormone changes that take place at all menstrual cycles. Individuals suffering from PMDD exhibit the following symptoms:

  • Depressive mood
  • Anxiety
  • Feelings of hopelessness
  • Self-deprecating thoughts
  • Affective lability (e.g. mood swings)
  • Increased interpersonal conflicts
  • Loss of interest in activity
  • Lack of focus
  • Lethargy
  • Change in appetite (e.g. overeating)
  • Hypersomnia or insomnia
  • Physical symptoms (e.g. breast tenderness or swelling, joint or muscle pain, the sensation of ‘bloating’)

As per the DSM-5, for a depression psychiatrist to diagnose a person to be PMDD, at least 5 symptoms must be present in the final week before the onset of menses, which start to improve within a few days after the onset of menses, and become minimal or absent in the week post menses. Further, 5 or more depressive symptoms must show for a duration of two consecutive menstrual cycles with these symptoms causing severe impairment in functioning.

Depressive Disorder due to another Medical Condition

A variety of medical and neurological conditions can produce depressive symptoms such as:

  • Constant depressed mood
  • Loss of appetite and sleep
  • Suicidal thoughts
  • Feeling of being a burden 

However, these symptoms are not due to any mental disorder. Instead, it is because of medical conditions not necessarily connected to depression.

Other specified Depressive Disorders

Recurrent
Brief Depression

Concurrent presence of depressed mood and at least 4 other symptoms of depression for 2 to 13 days at least once per month (not associated with the menstrual cycle) for at least 12 consecutive months in an individual whose presentation has never met criteria for any other depressive or bipolar disorder and does not currently meet active or residual criteria for any psychotic disorder.

Depressive Episode with
Insufficient Symptoms

Depressed affect and at least 1 of the other eight symptoms of a major dep