Depression Treatment
Board-certified Psychiatrists, Neurologists and Depression specialist offer immediate help, including depression medication, online treatment for depression, therapy and help for treatment-resistant depression.
Best Depression Psychiatrist - Weekend Psychiatrist Appointments Available
Why seek Depression Treatment?
The old definition of depression was ‘learned helplessness.’
Depression is more than just feeling sad or going through a rough patch. It is a period of persistent low mood that impacts every part of your life. Unlike temporary sadness, symptoms of depression do not go away by simply “snapping out of it.”
Depression affects how you think, feel, and interact with the world around you, including your personal relationships, academic or work performance, and even basic daily activities.
Different types of depression treatment include:
- Major Depressive Disorder treatment (MDD)
- Persistent Depressive Disorder treatment (PDD)
- Seasonal Affective Depression treatment
- Premenstrual Dysphoric Disorder treatment
- Treatment of Mood disorder due to a general medical condition
- Substance-Induced Mood Disorder Treatment
- Atypical Depression treatment
- Treatment-Resistant Depression treatment
- Mild Depression treatment
Depressive disorders are characterized by various symptoms of depression, including:
- Persistent low mood
- Fluctuations of mood, including anger and aggression for some
- Loss of enjoyment in previous activities
- More negative thoughts
- Cognitive distortions
- Low energy motivation and ambition,
- Increased interpersonal conflict,
- Suicidal thoughts in severe cases
There are similarities and differences in the focus of depression treatment for all of these disorders. For example,
- Premenstrual dysphoric disorder may respond to a combination of hormones and medication management rather than medication alone.
- Seasonal affective depression treatment may include a combination of white light therapy and supplements, as well as possible medication management.
- Treatment-resistant depression treatment may involve medications working on two or more receptors or delicate combinations of medications to achieve symptom reduction.
Effective depression treatment involves careful evaluation combined with a customized treatment plan. Symptoms of depression can subside or resolve treatment.
Benefits of depression treatment include:
- Increased enjoyment in day-to-day activities
- Improved relationship satisfaction
- Improved academic performance
- Improved career satisfaction
- Better self-care and overall health
Dr. Reddy sincerely cared for her patients and will give you her full attention. She spends more time beyond the scheduled hours just to…Read More
make sure her patients are being attended well.
Dr. Bornfriend is a wonderful psychiatrist. She is not only a psychiatrist, but she cares so much that she reached into her own personal life experiences to convince me that I had the strength to go through with treatment when I didn’t believe in myself. I was stage 3 cancer. I had a negative perspective on everything in reference to cancer treatment. Dr. Bornfriend put…Read More
an optimistic spin on everything that I was confronted with. I’m SOOOOOO glad I met her. She was right! I could not do it on my own, I definitely needed help. I thank God for this woman. Working with her was an integral element of my healing process.
When to Seek Treatment for Depression?
If symptoms of depression are affecting personal relationships, ability to parent, and causing other problems at work or school. Or if you are having passive or active suicidal thoughts, it is essential to seek urgent depression treatment.
Experienced Board Certified Psychiatrists at Gaba Telepsychiatry offer urgent depression treatment and follow-up, including second opinion consults, short-term disability evaluations, and care for treatment resistant depression.
Reach out to a depression psychiatrist for support.
Depression Psychiatrist
Dr. Gundu Reddy
Integrative and Forensic Psychiatrist
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 depression treatment, including postpartum depression and treatment-resistant depression. Dr. Reddy has worked at Manhattan Psychiatric Center, where she spent three years as a psychiatrist treating patients with treatment-resistant depression.
She has trained in medication management, psychodynamic psychotherapy, cognitive behavioral therapy, and integrative psychiatry. When treating depression, she states it is important to evaluate the causes of depression, why treatment has failed in the past, and what needs to be done differently.
She is also experienced in treating several other mental health conditions like obsessive-compulsive disorder, generalized anxiety disorder, premenstrual dysphoric disorder (PMDD), panic disorder and many other.
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.
As an experienced depression psychiatrist, 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 prescribing medication for depression is to achieve maximum efficacy when alleviating symptoms of depression 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 depression treatment.
Her goal is to provide the best possible depression treatment to patients in a telepsychiatry or online psychiatry setting 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
Dr. Beena Saad
Triple Board Certified Psychiatrist with Multiple State Licenses (MD)
Dr. Beena Saad is a triple-board-certified child and adolescent psychiatrist holding fellowships in child psychosomatic medicine and child and adolescent psychiatry, making her one of the best online psychiatrists for children and adolescents.
With extensive expertise in child and adolescent mental health, Dr. Saad is dedicated to providing comprehensive online psychiatric care for young patients. She specializes in diagnosing and treating a wide range of psychiatric disorders in children and teens, including:
- Anxiety disorders (Generalized Anxiety, OCD, Health Anxiety, Panic Disorders)
- Attention-Deficit/Hyperactivity Disorder (ADHD)
- Autism Spectrum Disorder (ASD)
- Mood disorders, including Childhood Bipolar Disorder and Depression
- PANDAS and Obsessive-Compulsive Disorder (OCD)
- Post-Traumatic Stress Disorder (PTSD)
- Tic Disorders
- Childhood Schizophrenia
- Sleep Disorders
- Learning Disabilities
- Substance Use Disorders
- Psychiatric symptoms related to chronic pain and long-term illnesses
Dr. Saad understands the unique emotional and developmental needs of children and adolescents. She believes in empowering young patients and their families through a personalized and collaborative treatment approach. She carefully assesses environmental influences, family dynamics, and developmental history to create tailored treatment plans for each child.
Her expertise in psychopharmacology allows her to provide safe and effective medication management when necessary.
Additionally, she is skilled in various evidence-based therapies, including:
- Cognitive Behavioral Therapy (CBT)
- Psychodynamic Psychotherapy
- Supportive Psychotherapy
- Childhood Therapy
- Family and Parent Counseling
As one of the best online psychiatrists for children and adolescents, Dr. Saad offers convenient and accessible telepsychiatry services that allow families to receive expert mental health care from the comfort of their homes. Her compassionate and patient-centered approach ensures that children receive the support they need to thrive socially, emotionally, and academically.
Languages Dr. Saad speaks:
English, Urdu, Hindi and Sindhi
Medical Education
M.B.B.S. – Sind Medical College, Pakistan
Postgraduate Training
Child Psychiatry Fellowship – University of New Mexico
Child Psychosomatic Medicine Fellowship – Albert Einstein School of Medicine
Registered State Licenses –
- NY – 284008-01
- CA – A 145498
Dr. Cathleen Jane Gomez
Integrative Psychiatrist
with Multiple State Licenses (MD)
Dr. Cathleen Jane Gomez is a depression psychiatrist with extensive experience in diverse mental health settings. Dr.Gomez is known for her integrative approach to mental health care as she combines traditional psychiatric methods with innovative therapies to provide comprehensive and effective depression treatment.
Dr. Gomez provides treatment plans for various types of depression, like major depressive disorder (MDD), persistent depressive disorder (PDD), and treatment-resistant depression (TRD). She also treats severe depression or chronic depression and create a treatment plan depending on the severity of symptoms.
Her expertise lies in medication management and advanced techniques such as transcranial magnetic stimulation (TMS). Dr. Gomez prioritizes understanding the root causes of depression by evaluating biological factors, environmental influences, developmental history, and lifestyle choices. She emphasizes personalized care and creates tailored depression treatment plans that address the unique needs of each patient.
Dr. Gomez has significant experience managing complex cases, particularly those involving treatment-resistant conditions. She believes that a depression psychiatrist should adopt a compassionate and patient-centered approach to ensure her patients feel supported throughout their mental health journey. Dr. Gomez aims to provide an evidence-based depression treatment plan that not only alleviates symptoms but also enhances overall well-being and quality of life.
Dr. Gomez’s dedication to her patients is evident in her holistic approach. She integrates cutting-edge research with personalized therapy to achieve the best outcomes. Whether it’s through cognitive behavioral therapy, psychodynamic techniques, or lifestyle adjustments, she works collaboratively with her patients to empower them in their recovery.
Medical School
Ross University School of Medicine, Dominica
Psychiatry Residency Training
Richmond University Medical Center, Staten Island, New York
Integrative Psychiatry Training
Integrative Psychiatry Institute, Boulder, Colorado
Board Certification
- Psychiatry Board Eligible
Dr. Lynn Alison Bornfriend
Board Certified Psychiatrist with Multiple State Licenses (MD)
Special interest in Child and Adolescent psychiatry
Dr Bornfriend is a triple board-certified psychiatrist with 30+ years of experience trained first with four years in adult psychiatry before completing child psychiatry and now she treats both children and adults across Illinois, South Carolina, California, Pennsylvania, Tennessee, New Jersey and Hawaii.
She is passionate about supporting patients dealing with a variety of disorders, including:
- Generalized Anxiety Disorder, separation anxiety, social anxiety disorder, phobias, panic disorder
- Mood Disorders, disruptive mood dysregulation disorder, major depressive disorder, premenstrual dysphoric disorder, bipolar affective disorder and cyclothymia
- OCD, body dysmorphic disorder, trichotillomania, excoriation
- Autism Spectrum Disorder
Reactive Attachment Disorder, adoption-related issues - PTSD, acute stress disorder, adjustment disorder, prolonged grief disorder
- Oppositional Defiant
- Disorder, intermittent explosive disorder, conduct disorder
- Eating Disorders, Sleep Disorders
- Gender Dysphoria
- Substance Dependence and Abuse
- Psychiatric Disorders Secondary to Medical Illness
Dr Bornfriend considers all symptoms presented through the lens of the individual patient’s developmental stage, while also evaluating the impact of family dynamics, environment, academic experience, and developmental/genetic variants. She understands the shift in the importance of autonomy and self-determination as the child grows towards adulthood, assisting the patient and his/her family with active empathic listening and respectful communication.
She has worked with children and adolescents as well as their families, their schools, and the court systems in a variety of modalities from evaluation and diagnosis, medication management, and individual and family therapies, from a supportive, insight-oriented, and CBT/DBT and other modalities.
Dr Bornfriend’s patients have appreciated her varied experiences and training throughout her career. They appreciate her creativity, her warmth, her humor, her intellectual curiosity, and her ability to connect with a wide variety of patients, despite varied backgrounds and levels of psychological mindedness. She has formed long-term, long-lasting relationships with patients, which have hada dramatic impact on their current life experiences as well as their futures.
Medical School:
Pennsylvania State College of Medicine–Hershey, PA
Psychiatric Residency Program:
Timberlawn Psychiatric Hospital–Dallas, TX
Child and Adolescent Psychiatry Fellowship:
Timberlawn Psychiatric Hospital–Dallas, TX
Board Certifications (American Board of Psychiatry and Neurology):
Psychiatry; Child and Adolescent Psychiatry; Forensic Psychiatry
Currently licensed in IL, NC, SC, CA, PA, TN, NJ and HI.
Registered State Licenses –
- SC – 92041
- NC – 2026-00712
- HI – MD-21936
- PA – MD047115L
- IL – 336.11763
- IL – 036.154690
- CA – 176663
- TN – 75724
- NJ – 25MA05806200
Dr. Suja Raju
Board certified Psychiatrist (MD)
Licensed in: New York, NC, SC.
With a strong commitment to delivering personalized, patient-centered care, Dr. Raju provides expertise in medication management, evidence-based psychotherapy, and thoughtful, sensitive medication titration. She has particular clinical interest and passion in women’s mental health and trauma-related disorders, striving to support and empower her patients through every stage of their healing journey.
Medical School
Universal College of Medical Sciences, Nepal
Psychiatry Residency Program
Mount Sinai School of Medicine Elmhurst
Program, New York
Board Certification
American Board of Psychiatry and Neurology
Adult Psychiatry
Language spoken
English and Malayalam
Schedule an Appointment for Depression Treatment with one of our Online Depression Psychiatrists
Clinical Services: California, Florida, Illinois, New Jersey, New York, South Carolina, Tennessee
Forensic Psychiatry Services: All of the US and Canada
| State | Dr. Beena Saad | Dr. Tony Issac | Dr. Valeria Serban | Dr. Lynn Alison Bornfriend | Dr. Cathleen Gomez | Dr. Gundu Reddy | Dr. Suja Raju |
|---|---|---|---|---|---|---|---|
| California | Yes | – | Yes | Yes | – | Yes | – |
| Illinois | – | – | Yes | Yes | – | Yes | – |
| Florida | – | – | – | – | Yes | Yes | – |
| New Jersey | – | Yes | Yes | Yes | – | Yes | – |
| New York | Yes | Yes | Yes | – | Yes | Yes | Yes |
| South Carolina | – | – | Yes | Yes | – | Yes | Yes |
| North Carolina | Yes | – | – | Yes | – | Yes | Yes |
| Tennessee | – | – | – | Yes | – | Yes | Yes |
Can I receive depression treatment at Gaba Telepsychiatry if I live abroad or in another state?
If you reside outside the mentioned states, one of our depression specialists can collaborate with your primary care doctor and send a consultation with recommendations for effective depression treatment. It is common for those suffering from treatment resistant depression to seek a second opinion consult. The majority of primary care doctors, neurologists and internists have been happy to collaborate with us to provide expert psychiatric care for our patients.
Online Depression Treatment
Struggling with depression? Feeling isolated? Confused whether to take professional help or not?
Depression is just a condition; it does not define you. We are here to help; you do not have to go through it alone. At GABA Telepsychiatry, our board-certified psychiatrists offer an integrative approach to online depression treatment.
Sometimes it is difficult to find a psychiatrist for depression treatment in your area, and in such cases, online psychiatry services help a lot. It eliminates travel and waiting times and is highly preferred by those individuals who can not travel due to a busy schedule or a medical condition.
Advantages of online depression treatment:
- You can easily find a psychiatrist who specializes in treatment-resistant depression or obtain a second opinion consultation if you are having side effects from your current depression medication.
- You have the freedom to select a psychiatrist with whom you feel comfortable for online depression treatment.
- Online depression treatment is useful for emergencies and can prevent psychiatric hospitalization, time off work and job loss.
- Online depression treatment is useful for students who may not be able to find in-person help on campus.
Why choose
Online Treatment for depression?
Online treatment for depression is a convenient option, especially for those who need quick support. It offers same day psychiatrist appointments and immediate care in emergency situations. You can easily connect with a board-certified psychiatrist from the comfort of your home without long waiting times.
At GABA Telepsychiatry, our psychiatrists provide instant support through video calls and chats and provide a private and safe environment to share your true feelings and emotions. They offer flexibility in scheduling appointments and encourage people to seek help without hesitation.
Convenient &
easily accessible
select psychiatrist of your choice
Provides flexibility in scheduling
Ensures privacy
and comfort
Virtual Treatment for Adolescent Depression
Adolescent depression can be difficult to understand as it doesn’t always manifest in ways people expect it. Adolescent depression can appear as irritability, withdrawal, dropping grades, and loss of motivation. Other signs include changes in sleeping patterns and frequent emotional outbursts.
At GABA, our board- certified psychiatrists start with a comprehensive psychiatric assessment to analyse and understand emotional patterns, school functioning, friendship circles, family dynamics, medical history, etc.
Since depression symptoms in adolescents often overlap with anxiety, ADHD, trauma, or social issues, this requires a detailed evaluation. Treatment of depression in adolescents often involves psychotherapy, and among psychotherapies, cognitive behavioral therapy (CBT) is the most common. This is because it teaches adolescents how to identify negative thought patterns and enables them to find better coping strategies.
Another important factor in the treatment of adolescent depression is the parents and their role in the rehabilitation of the child. At GABA, our child and adolescent psychiatrists focus on more than just the symptoms, but plan on restoring confidence, emotional balance, and building a stronger foundation for the future.
Why GABA Telepsychiatry for online depression treatment?
Our board-certified psychiatrists bring 15-20 years of extensive experience in psychiatry and psychotherapy. They specialize in treating several mental disorders, including depression, anxiety and other disorders.
- Personalized treatment plan
- Judgement-free sessions
- Professional compassionate care
- Second-opinion consult
- Same-day and weekend appointments
- HIPAA-compliant telehealth platform
Studies show 70% of people feel better after getting online depression treatment. Don’t wait, book an appointment and start your healing today.
Why do most people fail to seek treatment for depression?
Depression is an extremely common condition, with over 80% of Americans reporting symptoms. However, the majority of sufferers either do not seek treatment or do not stick to depression treatment.
Most people are unaware that effective treatments for depression are available and continue to suffer in silence. Others are afraid of stigma or afraid of being judged. The very nature of depression renders a sense of helplessness and an inability to seek help. Sometimes sufferers are afraid of being prescribed depression medication or have had side effects to depression medication in the past.
Does depression treatment work ?
Depression is usually treatable, and most people suffering from even severe depression will report symptoms relief with treatment.
Depression treatment is most effective when:
- There is a strong therapeutic alliance
- Causes of depression are evaluated
- Reasons for past treatment failure addressed
- There is regular follow up
The decision to take psychiatric medication is not easy, and depression medication should be prescribed with the utmost care.
What can cause depression?
- Underlying medical conditions
- Nutritional deficiencies
- Life events
- Substance use
- Trauma
- Psychodynamic causes
- Genetics
- Side effects of certain medications, for example, chemotherapy, can block growth hormone receptors and other hormones exacerbating depressive symptoms
Depression is usually treatable, and depression treatment is most effective when the psychiatrist carefully considers the history and evaluates the underlying case.
Treatment Plan for Depression
Depression is almost always treatable, and symptoms almost always improve with effective treatment. Though antidepressant medication can in most cases cause rapid resolution of depressive symptoms, a holistic approach to depression treatment can work better than psychiatric medication alone.
A treatment plan For DEPRESSION includes:
Treating underlying medical illnesses causing depression
Depression can often be a symptom of or exacerbated by underlying medical conditions. Effective depression treatment includes screening for medical causes. Common examples of illnesses that can cause depression include:
- Hypothyroidism
- Diabetes
- Obstructive sleep apnea
- Pernicious anemia
Discontinuing offending agent
Examples of medications that can contribute to depressive symptoms include:
- Beta-blockers
- Calcium blockers
- Hormone receptor antagonists
Discontinuing offending agents whenever possible can alleviate symptoms of depression.
Addressing nutrition deficiencies that cause depression
Nutritional deficiencies can cause significant symptoms of depression and anxiety. An effective treatment plan for depression includes screening for nutritional deficiencies and adding supplements that have a mood-boosting effect. Common examples of nutritional deficiencies associated with depression include B12 deficiency, vitamin D deficiency and iron deficiency.
Evaluating the need for psychotherapy
Studies show that psychotherapy like talk therapy combined with medication is more effective than treatment alone. Psychotherapy is particularly effective for mild symptoms and situational depression treatment. Medication management may be more effective for severe symptoms and chronic symptoms.
Types of psychotherapy for depression treatment include:
- Individual psychotherapy : this can include
- Psychodynamic therapy
- Psychological therapy
- Cognitive behavior therapy (CBT)
- Supportive psychotherapy
- Interpersonal therapy
- Talk therapy
- Supportive therapy
- Peer group therapy
- Family therapy
The goals of psychotherapy include:
- Addressing external stressors
- Addressing thought distortions and catastrophic thinking
- Addressing interpersonal conflict
- Treating concurrent anxiety
- Addressing unconscious thoughts and behavioral patterns contributing to depressive symptoms
Hormone regulation as an adjunct or alternative to depression medication
Dysregulation of the following hormones is recognized as causes of depression or factors exacerbating symptoms of depression:
- Thyroid hormone – even mild or subclinical imbalances can cause mood symptoms
- Estrogen and Progesterone – imbalances of estrogen and progesterone can exacerbate symptoms of depression
Treating Insomnia
Poor sleep and lack of sleep hygiene can exacerbate symptoms of depression. Prolonged insomnia is a recognized cause of depression, and treatment can lead to rapid resolution of depressive symptoms.
Ensuring that patients have good sleep hygiene and are receiving adequate, restorative sleep is a key component of any treatment plan for depression.
Prescribing Medication for depression
For the majority of individuals, prescription medications can provides rapid relief from symptoms of depression. Prescribing medication is one of the most important steps in depression treatment, as recognized by the American Psychiatric Association (APA).
Common medications prescribed for depression include:
- Selective Serotonin Reuptake Inhibitors (SSRIs)
- tricyclic antidepressants (TCAs)
- Monoamine Oxidase Inhibitors (MAOIs)
- Dopamine reuptake inhibitors
- serotonin modulators
- mood stabilizers
- In some cases atypical antipsychotics at low dose can relieve symptoms of depression
In treatment-resistant cases, other medical treatments such as atypical antipsychotics may be considered. An experienced depression psychiatrist, often working in collaboration with other healthcare providers such as primary care physicians or therapists, should tailor the medication according to the patient’s specific depression symptoms, medical history, coping skills and response to previous treatments.
Psychiatrists at Gaba Telepsychiatry are all Board-certified expert Psychopharmacologists and specialize in the medical treatment of depression
Considering Alternative Treatments
Complementary therapies such as acupuncture, yoga, and meditation can be valuable additions to conventional depression treatment. Medical providers may also recommend online therapy to help individuals cope with emotional distress, relationship issues or challenges in everyday life. It also helps in managing symptoms like trouble focusing, stress or high blood pressure.
Studies show that for some patients, alternative approaches can work alongside prescribed medications, especially when dealing with anxiety treatment, withdrawal symptoms or chest pain related to stress. A psychiatric provider can prescribe controlled substances when needed. They focus on helping patients build healthy coping skills and find the right treatment combination, which may include other medicines for treating mental health conditions effectively.





Depression Screening
A depression screening test is a standard set of questions asked by the mental health provider when a person is suffering from symptoms of depression.
The Beck Depression Inventory (BDI) and Hamilton Depression Rating Scale (HAM-D or HDRS) are the most commonly used depression screening tests 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.
Causes of Depression
Individuals suffering from depression often wonder, ‘Why me, or why is this happening to me, or why am I feeling like this?’
While the exact cause of depression is still not fully understood, researchers believe that a combination of genetic, environmental, and psychological factors plays a role in its development.
It is important to understand the different causes of depression for effective depression treatment. The most common causes of depression include:
Congenital or Idiopathic Causes of Depression
Sometimes depression has no identifiable cause. Although family history and genetics can be an important factor.
Genetic Causes of Depression
Studies show that genetics may play a significant role in the development of depression. For example, evidence from family studies indicates a two- to three-fold increase in the risk of depression in first-degree children of patients with depression.
Developmental Causes of Depression
A person’s response systems and brain development might be affected by early life traumas such as abuse, neglect, or catastrophic bereavement. Early relationship formation can produce insecure attachment patterns, which are connected to depression by causing negative self-perception and trouble controlling emotions.
Medical Illness as a Cause of Depression
Many illnesses are associated with an increased risk of developing depressive symptoms. Common illnesses associated with depression:
- Diabetes
- Heart Disease
- Stroke
- High Cholesterol
- Cancer Diagnosis
- Concussion
Chronic pain as a cause of depression
Chronic pain is associated with increased risk of depression and treatment resistant depression.
Heavy Metal Poisoning is a common Cause of Depression
Heavy metal poisoning can cause depression, anxiety and psychosis. Both deficiency and toxicity associated with heavy metal poisoning can cause mood symptoms.
Common heavy metals associated with symptoms of depression include:
- Iron
- Lead
- Mercury
- Cadmium
- Zinc
- Selenium
Prolonged Poverty as a Cause of Depression
While poverty can be a contributing factor, depression can be a cause of poverty. Depression is associated with increased job loss, an inability to work, and failure to find solutions to financial difficulties.
Psychodynamic Conflict as a Cause of Depression
Conflicting self-perceptions, unresolved emotional experiences, and unfavorable ideas about the world and ourselves are symptoms of depression and contribute to feelings of depression. Psychodynamic Psychotherapy can be a powerful tool for addressing thought distortions and interpersonal conflict associated with depression.
Psychodynamic Psychotherapy is extremely useful to prevent relapse of depressive symptoms.
Academic Stress as a Cause of Depression
Academic pressure can increase the risk of depression, particularly among students. Depression can cause poor attention, concentration, motivation and impair the ability to meet deadlines.
Contributing factors can include:
- Unstable home environment
- being pressured to study unsuitable subjects
- Untreated ADHD can be a contributing factor
- Unstable home environment
- Unrealistic expectations set by self
- Unrealistic expectations set by others
Depression is associated with catastrophic thinking and thought distortions.
Common thought distortions associated with depression include:
‘I am going to fail .’
‘If I don’t get an ‘A,’ I won’t get into college.
If I don’t get a high GPA, I will never get a job.
If I don’t get into an Ivy Leage college, I will never get into medical school.
Depression medication can rapidly improve attention, concentration, motivation, anxiety, and thought distortions. Likewise, Cognitive Behavioral Therapy for depression can help address thought distortions. Likewise, Behavioral Therapy can help establish a study routine and set realistic goals and deadlines.
Hormone Imbalance as a Cause of Depression
Common hormone imbalances or deficiencies associated with depression include:
- Estrogen
- Progesterone
- Testosterone
- Growth hormone
- Thyroxine
Sometimes, in cases of treatment resistant depression, mood symptoms do not resolve unless hormone imbalances are addressed.
Sleep Disturbance as a Cause of Depression
Sleep disturbances like sleep apnea, insomnia, and narcolepsy can significantly affect brain activity and cause symptoms of depression.
Poor sleep hygiene can also disrupt REM sleep. Chronic sleep deprivation can lead to increased irritability, anxiety, and feelings of hopelessness, ultimately increasing the risk of depression.
Treatment of insomnia is the first line when a person is suffering from a sleep disorder as well as depression. Insomnia can exacerbate symptoms of depression. Individuals suffering from insomnia and depressive symptoms are at increased risk of suicide and depression treatment; it is important to seek psychiatric treatment.
Situational Causes of Depression
Situational causes of depression are stressors that occur shortly before or during the time of onset of depressive symptoms. These can include bereavement, job loss, academic failures, relationship difficulties, legal problems, and other acute stressors. Inability to recover from traumatic events may be a consequence of untreated depression.
Nutritional Deficiencies are common Causes of Depression
Nutrition deficiencies can both exacerbate and cause symptoms of depression. Studies have shown that addressing nutritional deficiencies, such as low levels of omega-3 fatty acids, vitamin D, B vitamins, and magnesium can make depression treatment easier and more effective.
Supplements may be prescribed in higher doses when used to treat depression, so medical supervision is essential to avoid toxicity.
Workplace Stress as a Cause of Depression
Conflict over career goals and interpersonal conflicts with colleagues, as well as lack of career progression, are common causes of workplace-related depression.
Likewise, a person who is depressed is less likely to meet deadlines, focus on tasks, and collaborate with colleagues.
Common symptoms of depression which affect workplace performance include:
- Irritability
- Poor attention and concentration
- Memory impairment
- Negative thoughts about job
- Lack of desire to perform, excel or contribute
- Anger towards colleagues and supervisors, as well as
- Immature defenses and difficulty acknowledging difficulties
- Fragility and catastrophic responses to feedback
These are common symptoms of workplace-related depression. Effective medication management can rapidly alleviate symptoms and improve motivation and performance. Likewise, psychotherapy can help address interpersonal conflict as well as set long-term and short-term goals.
When symptoms are severe, a leave of absence or short-term disability may be recommended while depression medications are being titrated.
Trauma as a Cause of Depression
Trauma can be a significant trigger for depression, and prolonged trauma is recognized as a cause of depression. Traumatic events such as accidents, the loss of a loved one, physical or emotional abuse, or a major life change can trigger emotions and cause symptoms of depression.
GABA Telepsychiatry’s experienced depression specialists consider all these causes when creating a treatment plan for depression.
Depression Specialist
Board Certified Depression Specialist in New York & New Jersey (MD)
Dr. Tony Issac is a double Board-certified depression specialist with nine years of experience practicing psychiatry. He provides compassionate, discreet psychiatric evaluations and psychiatric care services, including medication management and psychotherapy for depression treatment. He specializes in addiction recovery treatments and medication management.
Dr. Issac is an experienced mental health professional, who treats a wide range of mental health 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 as a qualified depression specialist.
Dr. Issac also provides follow-up appointments and psychiatric services, including psychotherapy and sensitive medication titration. Dr. Isaac can work with you to achieve a collaborative depression treatment plan and work towards recovery and healing.
Dr. Issac is a depression specialist who 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
Triple Board Certified Depression Specialist with Multiple State Licenses (MD)
Dr. Beena Saad is a triple-board-certified depression specialist with extensive expertise in treating depression and related mood disorders. With medical licenses in multiple states, Dr. Saad holds two prestigious fellowships in child and adolescent psychiatry and child psychosomatic medicine.
She is particularly passionate about helping individuals struggling with depression, including major depressive disorder (MDD), persistent depressive disorder (PDD), and treatment-resistant depression (TRD).
Dr. Saad’s approach to depression treatment is deeply rooted in understanding the unique emotional and developmental needs of her patients. She evaluates a wide range of factors, such as environmental influences, family dynamics, developmental history, and genetic predispositions, to develop personalized treatment plans. By addressing the underlying causes of depression, Dr. Saad empowers her patients to navigate their challenges and find lasting relief.
As a depression specialist, her expertise extends beyond psychopharmacology, as she is skilled in evidence-based therapies like cognitive behavioral therapy, supportive psychotherapy, psychodynamic psychotherapy, and family-focused therapy. She ensures that depression treatment plans are both compassionate and effective, prioritizing the mental and emotional well-being of her patients at every stage.
Dr. Saad’s extensive clinical experience includes working with patients experiencing co-occurring psychiatric conditions, such as anxiety, OCD, PTSD, and bipolar disorder. She is also adept at administering depression treatment to children and adolescents, providing age-appropriate care that improves both social and academic outcomes. Her compassionate and patient-centered approach ensures that every individual feels supported on their journey to recovery.
Medical Education
M.B.B.S. – Sind Medical College, Pakistan
Postgraduate Training
Child Psychiatry Fellowship – University of New Mexico
Child Psychosomatic Medicine Fellowship – Albert Einstein School of Medicine
Depression Medication
Your depression psychiatrist will assess symptoms of depression, causes of depression, severity of symptoms, and assess the need for depression medication.
Indications for depression medication include:
- Chronic symptoms
- Severe symptoms
- Impairment in social, academic and occupational functioning
Types of depression medication include:
Antidepressants
SSRIs:
SSRI antidepressants are the most commonly prescribed antidepressants because they have fewer side effects than older depression medication. They work by increasing serotonin levels in the brain, which helps regulate mood.
SNRIs:
SNRIs (serotonin and noradrenalin reuptake inhibitors) are another commonly prescribed class of depression medication. They are used frequently for individuals with chronic pain and are used off-label for ADHD. SNRI’s tend to cause less wait gain and sexual side effects than many SSRI’s, so they are preferred by many.
Tricyclic Antidepressants:
TCAs were among the first antidepressants developed for depression treatment and are still used when other depression medication does not work. Tricyclic antidepressants may be especially effective when treating treatment-resistant depression.
Monoamine oxidase Inhibitors (MAOIs):
MAOIs are considered a separate class from other antidepressants. MAOI’s are a highly effective class of depression medication. However, due to interactions with tyramine-containing foods (the cheese reaction), use is often reserved for treatment resistant depression.
Serotonin modulators:
Serotonin modulators work by blocking or stimulating the serotonin receptors in the brain. A depression specialist may prescribe these when patients do not respond well to other depression medications such as SSRIs.
- Atypical antidepressants
- Dopamine reuptake inhibitors
Mood stabilizers as an adjunct to depression medication
- Mood stabilizers affect neurotransmitters such as dopamine, serotonin and glutamate to enhance mood regulation. While traditional antidepressants tend to focus more on serotonin and dopamine, mood stabilizers also work on glutamate receptors. Mood stabilizers also regulate ion channels such as calcium, sodium, and magnesium, which regulate signal transmission in the neurons.
- Although not traditionally classed as depression medication, mood stabilizers help prevent fluctuations in mood, anxiety, irritability, and angry outbursts, as well as having an antidepressant effect.
- Mood stabilizers are commonly used for disruptive mood regulation disorder treatment, premenstrual depression treatment, and treatment resistant depression treatment.
Antipsychotic as depression medication
- Neuroleptics are also known as antipsychotics. Although not classically antidepressants, second and third-generation neuroleptics work on the serotonin and dopamine systems and can be effective for treatment of depression.
- At low doses, they can be highly effective as an adjunct depression medication and can also help with insomnia, irritability and anxiety-related symptoms of depression. As neuroleptics are prescribed at low doses for depression, the side effect profile is usually favorable. Neuroleptics are often used for treatment resistant depression.
Anxiolytics as an adjunct to antidepressants
- Anxiolytics and Atypicals: While anxiolytics reduce symptoms of excessive anxiety, agitation and nervousness, atypicals are second-generation antipsychotics that help manage symptoms of schizophrenia, treatment-resistant depression and severe mood instability.
I took medications before & it didn’t work.
Reasons for poor response to medication include:
- Inadequate trial of medication (not finding the correct medication)
- Inadequate dosing
- Drug, drug interactions
- Poor compliance
- Nutritional Deficiencies
- Vitamin D deficiency
- Endocrine problems: including PCOS, menopause, subclinical hyperthyroidism, and hypothyroidism
- Sleep problems including sleep apnea
- Developmental, Past Trauma, PTSD
Unresolved external stressors
Genetic
Wrong diagnosis
Wrong medication
I have had side effects to Psychiatric medications BEFORE.
Reasons for side effects to psychiatric medications can be:
- Idiopathic
- Slow enzyme metabolizer
- Drug/drug interactions
- Drug/food interactions
- High Dose
Ways to avoid side effects include:
- Discontinue the offending agent
- Screen for family history of drug interactions
- Screen for possible drug/drug interaction
- Slow titration
- Screen for food /drug interactions
I only want Psychotherapy and Natural Remedies.
Research has shown that supportive psychotherapy & cognitive behavioral therapy create similar changes in the frontal lobe on PET scan as SSRIs. Many patients with symptoms of depression, anxiety, PTSD and mild OCD improve with psychotherapy alone.
Natural treatments for depression, anxiety, OCD, include :
- Sunlight
- Exercise
- N-Acetylcysteine
- Nutritional supplementation
- Screening for heavy metal toxicity
- Treat subclinical hypo & hyperthyroidism
- Progesterone
- Psychotherapy
Do I need to take depression medication?
It is your choice whether you want to take depression medication. Medication for depression is usually recommended when:
- Symptoms of depression last more than two weeks
- Symptoms of depression are severe
- You are experiencing academic difficulty
- You are experiencing problems at work
- You are experiencing problems with social relationships
- You are having suicidal thoughts
Can depression medication cause suicidality?
In rare cases, some types of depression medication, such as SSRIs can exacerbate suicidal thoughts, especially when combined with high levels of anxiety, insomnia, or undiagnosed bipolar disorder. However, in most cases, depression medications alleviate suicidal thoughts.
If you are having suicidal thoughts, you should consult your doctor immediately or go to the Emergency Room depending on severity. Mood stabilizers, neuroleptics and anxiolytics can rapidly alleviate suicidal thoughts and be used as a first line for individuals with suicidal thoughts.
Online Depression Medication
When depression interferes with daily life, medication management can help restore balance. Gaba Telepsychiatry makes the entire process of seeing an online psychiatrist very easy, avoiding nuisances such as traffic and fits busy schedules. At GABA Telepsychiatry, our treatment for online depression medication does not start with a prescription but rather by undertaking a detailed evaluation. Our psychiatrists take time to understand your symptoms, history, and depression before prescribing or changing any medication.
Different people respond to different classes of depression medication. For some individuals, SSRIs work well. For others, SNRIs (Serotonin-norepinephrine reuptake inhibitors). Others may need atypical antidepressants instead. Receiving the appropriate medication and then monitoring it regularly makes a difference in effective treatment. Online psychiatrists at GABA make this very convenient through our online video platform, without the hassle of long drives or sitting in waiting rooms.
The path to recovery often requires more than just medication. At GABA, our board-certified psychiatrists offer constant support and therapy choices such as cognitive-behavioral therapy because depression can impact rest, strength, and prevent clear thinking. GABA Telepsychiatry provides online depression medication if required and clinically appropriate. This is based on assessing your symptoms, especially if they persist for more than a couple of weeks.
If depression is making it hard to function in daily life, the right medication can improve focus, lessen the risk of suicide, improve health, and increase productivity. Your path to recovery does not have to wait; our psychiatrists can help you on the way.
Supplements For Depression Treatment
It is well known that common nutritional deficiencies can cause or exacerbate symptoms of depression. For example, iron deficiency, B12 deficiency, and vitamin D deficiency are associated with an increased risk of depression. Studies have shown that use of supplements combined with depression medication can be more useful for treating symptoms of depression than taking depression medication alone.
Supplements are often administered at higher than over-the-counter doses to treat depression, so medical supervision is often required.
Examples of common supplements for depression treatment include:
- Rhodiola
- Magnesium
- Saffron
- Zinc
- Vitamin D
- SAM-e
- B vitamins
- N-acetyl-L-cysteine
- Creatinine
- Omega-3
Rhodiola supplement for depression treatment:
Rhodiola is an adaptogen that helps combat stress and fatigue, which can alleviate symptoms of depression by enhancing mood and energy levels.
Magnesium supplement for depression treatment:
Magnesium plays a crucial role in brain function and mood regulation, potentially reducing symptoms of depression, especially in those with a deficiency.
Saffron for depression:
Saffron has been shown to boost serotonin levels in the brain, acting as a natural antidepressant with effects comparable to some conventional medications used in depression treatment.
- Zinc supplement for depression treatment:
Zinc deficiency has been linked to depression, and supplementing with zinc can help improve mood and cognitive function, especially in those with low levels. Zinc is a heavy metal, and higher doses should be taken under medical supervision.
Vitamin D:
Vitamin D supports overall brain health, and low levels are often associated with depression; supplementation can improve mood, particularly in those with seasonal affective disorder.
SAM-e:
SAM-e (S-adenosylmethionine) is involved in the production of neurotransmitters like serotonin and dopamine, making it a powerful natural treatment for depression. Care must be taken as SAM-e can in rare cases cause agitation and psychosis.
B vitamins:
B vitamins, particularly B12 and folate, are essential for neurotransmitter production and energy metabolism, helping to reduce symptoms of depression.
N-acetyl-L-cysteine (NAC):
NAC boosts levels of glutathione, an antioxidant that reduces oxidative stress. At higher doses, NAC can help reduce depressive symptoms.
Creatinine:
Creatinine supports energy production in brain cells and may help alleviate mental fatigue and help in depression treatment. Care must be taken, as creatinine can be toxic to the kidneys and should be taken with medical supervision.
Omega-3:
Omega-3 fatty acids, especially EPA and DHA, are crucial for brain health and have been shown to reduce inflammation and improve mood in people with depression.
There are many supplements that can potentially help with depressive symptoms. Care must be taken when using supplements for depression without medication. This is because toxicity from an overdose can affect the liver, kidney , and vision and interact with other medications.
Supplements and their metabolites cross the blood-brain barrier and can positively effect mood. They are used frequently for treatment-resistant depression, premenstrual depression treatment, and atypical depression treatment. Supplements are also used for persistent depressive disorder. In some cases, supplements combined with therapy and alternative treatments can be a reasonable alternative to depression medication.
It is usually better to consult an integrative psychiatrist when taking supplements for depression treatment to ensure safety and avoid toxicity.
Alternative Treatments for Depression
Alternative treatments for depression were observed to offer potential paths to recovery and relapse prevention, particularly for individuals experiencing mild or moderate depression. Studies show that combining evidence-based treatment with alternative strategies may result in better long-term outcomes than depression medication or therapy alone.
These approaches can also support overall mental health care, especially for people going through a mental health crisis or at risk of a mental health emergency. A psychiatric provider or medical team may recommend these therapies alongside conventional treatment options and other medicines, ensuring that risks such as serotonin syndrome or the misuse of controlled substances are carefully monitored.
Herbal supplements such as St. John’s Wort are sometimes considered but they must be used cautiously and only under professional guidance due to possible interactions with other medicines. Studies show that online therapy platforms offer unlimited access to licensed professionals, and individuals can receive continuous support tailored to their emotional and physical needs.
Examples of Alternative therapies include:
- Yoga
- Meditation
- Deep breathing exercises
- Expressive therapies, including: music therapy, art therapy, and dance
- Writing and journaling
- Acupuncture
- Massage
- Aromatherapy
Are alternative treatments for depression effective ?
Although alternative therapies can be highly effective as an adjunct to conventional treatments. Alternative treatments for depression are also highly effective for preventing relapse when practiced diligently.
However, there are limitations:
- Alternative treatments can take a long time to be effective, and in the meantime, individuals may be suffering academic difficulty, suicidal thoughts, job loss and relationship difficulties.
- Alternative therapies are not suitable when symptoms of depression are severe or when acute treatment is needed, according to clinical practice guidelines.
- Alternative depression treatments like yoga and meditation can take years of practice and dedication and are better suited for relapse prevention and to help those with depression diagnosed at mild depression levels, rather than those in crisis. Many programs also include progressive muscle relaxation to reduce stress and improve sleep quality.
- Although physical activity is useful for preventing relapse of depression, effects can be limited when a person is suffering from an acute major depressive episode. Likewise, individuals who rarely or never exercise are unlikely to start when experiencing a depressive episode, as benefits can take at least two weeks to become noticeable.
- Alternative treatments for depression are typically helpful combined with conventional treatments for those who can incorporate these practices into their day-to-day lives and maintain a long-term approach to self-care.
- In the short term, alternative therapies appear to be more useful for the treatment of anxiety than depression. However, treating associated anxiety is an important part of depression treatment.
The very nature of depression, or being ‘clinically depressed,’ means that a person is unable to implement these lifestyle changes, stick to these lifestyle changes, or achieve symptoms remission from lifestyle changes.
Alternative depression treatments can be beneficial as complementary approaches to depression medication or for mild symptoms. For more severe symptoms it is important to see a depression specialist. Seeing a psychiatrist who can discuss alternative treatments as well as medication can be therapeutic.
Depression Doctor
Board-Certified Depression Doctor, Diplomate of American Board of Psychiatry and Neurology
Neurologist specializing in Depression Treatment
Dr. Valeria Serban is compassionate and well-known for her warm personality and genuine commitment to patient care. Dr. Serban provides a warm and supportive environment for depression treatment and forms secure alliances with individuals and families to provide the maximum support for a complete recovery or management of their symptoms.
She has a background in neuroscience and has completed her Ph.D. in neuroscience before completing her Neurology residency.
Dr. Serban has worked extensively with various neuropsychiatric conditions such as Parkinson’s disease, cerebral palsy, postpartum depression, anxiety disorders, generalized anxiety disorders, social anxiety disorder, cyclothymic disorder, schizophrenia, migraine, epilepsy, concussion, stroke, and dementia and treats concurrent depressive symptoms. She also treats depression in the elderly and her expertise makes her the best medical doctor for the depression treatment, while also helping patients find resources such as the Depression and Bipolar Support Alliance for ongoing care and education.
To elevate patients’ quality of life, Dr. Serban offers accurate diagnosis and customized depression treatment plans based on hormonal, nutritional, and medical health evaluations. She may recommend medications alongside therapy or other treatments to improve recovery outcomes.
As an experienced depression doctor, Dr. Serban believes proper support, good therapy, and medications can greatly improve many psychiatric symptoms. She also recognizes the importance of involving a family member in the treatment process when appropriate, ensuring patients have a strong support system. Her dedication towards treating patients makes her one of the best mental health professionals.
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)
Why is it important to get treatment for depression?
Leaving depression untreated can have severe consequences on your quality of life and overall well-being. It is important to seek depression treatment for several reasons:
Improved Quality of Life:
Untreated depression can diminish your quality of life. It can interfere with your ability to perform routine tasks, maintain relationships, and find enjoyment in activities you once loved.
Reduced Risk of Suicide:
Depression is a major risk factor for suicide. People who do not receive depression treatment are at a higher risk of experiencing suicidal thoughts and behaviors.
Better Physical Health:
Depression can worsen or contribute to other physical health problems, such as heart disease, obesity, diabetes, and chronic pain.
Prevention of Worsening Symptoms:
If left untreated, depression can become more severe and difficult to manage. Early intervention and depression treatment can prevent the condition from escalating and potentially becoming harder to treat in the future.
Improved Relationships:
Depression can strain relationships with family, friends, and colleagues.
Increased Productivity:
Depression can significantly impact your ability to concentrate, make decisions, and be productive at work or school. Depression treatment can help improve your focus, motivation, and overall productivity.
How many visits will I need for depression treatment?
Typically, most people need five to ten visits for precise medication titration. However, if you are suffering from ‘treatment-resistant depression,’ you may need more visits.
Symptoms of Depression
Symptoms of depression can present in many different ways. Apart from mood symptoms, depression can affect cognition, thoughts, and body sensations. In severe cases, depression can cause paranoia, delusions, hallucinations and trouble sleeping. Studies show that it is important to diagnose mental health conditions early for early treatment.
Symptoms of depression can usually be categorized as follows:
Physical Symptoms of Depression
Physical symptoms of depression manifest as bodily discomforts that can disrupt daily functioning and often go unnoticed as related to the mental health condition. These include:
- Headache
- Fatigue
- Muscle ache
- Back pain
- GI upset
- Joint pain
- Abdominal pain
- Low sex drive
Cognitive Difficulties are common unrecognized Symptoms of Depression
Cognitive symptoms of depression involve disruptions in thinking processes, leading to difficulties with concentration, decision-making, and memory. These include:
- Inattention
- Memory loss
- Impaired executive functioning
- Impaired neuroplasticity
- Impaired problem solving
- Slow reaction time
Thought Distortions as a Symptom of Depression
Thought distortions in depression involve persistent, inaccurate patterns of thinking that skew perceptions and reinforce negative beliefs. These include:
- 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
Thought distortions are a commonly unrecognized symptom of depression.
Mood Symptoms of Depression
Mood symptoms of depression refer to the emotional changes that are central to the condition, which include:
- Low mood
- Loss of enjoyment in activities
- Low motivation
- Loss of ambition
- Loss of will to live
- Loss of appetite
- Sleep disturbance
Psychosis as a Symptom of Depression
Psychotic symptoms of depression can complicate the depressive state and can lead to a more challenging and distressing experience of the illness. These include:
- Hallucinations
- Delusions
- Paranoia
- Loss of touch with reality
Atypical Symptoms of Depression
Atypical symptoms of depression can be devastating but often remain unrecognized.
- Anger
- Irritability
- Overeating
- Oversleeping
- Compulsive shopping
Types of Depression
As per the Diagnostic and statistical Manual of Mental Disorders (DSM V), there are many different types of depression such as major depression. The different types of depression can be clustered into groups based on causes and symptoms.
When creating a treatment plan for depression, the type of depression and response to previous treatment should be carefully considered.
Major Depressive Disorder Treatment
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
- Symptoms lasting > 2 weeks
A depression doctor will consider the following for administering major depressive disorder treatment:
- Through history and examination
- Treating underlying medical causes and nutritional deficiencies
- Psychotherapy to address external stressors, thought distortions and interpersonal stressors
- Careful Medication Management for rapid relief of symptoms and relapse prevention
- Supplements
- Alternative treatments such as exercise, yoga, medication and acupuncture
Virtual Treatment for Teen Depression
Feeling heavy, confused, and isolated does not just affect teenagers it can impact the whole family. Depression is a sadness that will not go away, and can make you lose interest in activities that you once enjoyed. Depression can cause changes in sleep or appetite, difficulty focusing, and feelings of worthlessness or despair. These feelings and your reaction to them can ruin academic performance, destroy friendships, and make you stop doing the things you enjoy, taking away your identity! But the good news is that adolescent depression is treatable, and proper support offered at early stages can make a huge difference.
At GABA, board-certified psychiatrists bring the best care right into the comfort and safety of your home, using safe, private, and easy-to-access platforms that are HIPAA compliant. Psychiatrists at GABA understand the lives of teenagers, how hormonal changes and social pressures intersect with other changes in their lives, and can affect their mood and self-image. Through secure video-based appointments, teens are able to open up to a psychiatrist who understands what they are going through...Read More
Appointments start with an in-depth review of symptoms, daily activities, school experience, and emotional patterns and trauma. After analyzing the results of the review, a personalized care plan is set that usually includes supportive talk treatment plus other evidence-based treatments (such as cognitive behavioral therapy-CBT) where indicated, and also medication if needed. Receiving virtual treatment allows regular checks that don’t disrupt school and family life, making care consistent and sustainable.
Teens find it easier to open up from their own space, while also having an experienced psychiatrist to help support emotional changes. Teens do not have to suffer alone. They can be heard, understood, and led towards relief that will last a lifetime.
Persistent Depressive Disorder Treatment
Persistent depressive disorder, also known as dysthymia or chronic major depressive disorder, is a long-lasting form of depression. Unlike major depressive disorder, where symptoms come in episodes, PDD involves chronic depressive symptoms.
Symptoms that indicate the need for persistent depressive disorder treatment are:
- 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
For a person to be diagnosed with persistent depressive disorder or dysthymia, symptoms of depression should last at least two years. The person should not be symptom-free for more than two months.
Persistent depressive disorder treatment can accelerate if individuals follow lifestyle changes such as:
- Regular exercise
- Healthy diet
- Consistent sleep routine
- Meditation and mindfulness practices
Persistent Depressive Disorder Treatment
Persistent depressive disorder, also known as dysthymia or chronic major depressive disorder, is a long-lasting form of depression. Unlike major depressive disorder, where symptoms come in episodes, PDD involves chronic depressive symptoms.
Symptoms that indicate the need for persistent depressive disorder treatment are:
- 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
For a person to be diagnosed with persistent depressive disorder or dysthymia, symptoms of depression should last at least two years. The person should not be symptom-free for more than two months.
Persistent depressive disorder treatment can accelerate if individuals follow lifestyle changes such as:
- Regular exercise
- Healthy diet
- Consistent sleep routine
- Meditation and mindfulness practices
Disruptive Mood Dysregulation Disorder Treatment
Disruptive mood dysregulation disorder (DMDD) is characterized by:
- Severe temper outbursts – three or more times per week, on 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
For a depression psychiatrist to diagnose a person with DMDD, the individual must exhibit:
- Two or more of the depressive symptoms mentioned above
- Symptoms should occur for 12 or more months, with no more than 3 consecutive months of symptom-free periods
Sometimes a depression diagnosis can be missed as sufferers report symptoms of anger and irritability rather than classic symptoms of depression.
Disruptive mood dysregulation disorder treatment is focused on treating mood swings, chronic and severe irritability and outbursts. This can include:
- Treat insomnia and other risk factors for explosive episodes
- Balance hormones
- Psychotherapy, including possible EMDR and DBT. Also to explore interpersonal relationships, triggers, and re-enactment
- Medication management is focused on mood stabilizers as well as antidepressants
- Alternative treatments to address anxiety as well as depressive symptoms such as yoga, meditation, exercise and acupuncture
Substance/Medication-Induced Depressive Disorder Treatment
An individual may require substance/medication-induced depressive disorder treatment when experiencing symptoms in response to the physiological use and abuse of substances and medications.
Symptoms of depression with associated substance abuse can be variable. The mainstay of treatment is to treat substance abuse.
Substance abuse treatment also involves:
- Peer support groups
- Individual therapy
- Peer sponsorship
- Antidepressants and mood stabilizers can sometimes help prevent relapse as well as treat symptoms of depression
Seasonal Depression Treatment
According to DSM-5, seasonal depression, also known as seasonal affective disorder, is a recurrent major depressive disorder with a seasonal pattern usually beginning in the fall and continuing into the winter months.
When receiving seasonal depression treatment, a depression psychiatrist looks for symptoms like:
- 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
For a person to be diagnosed with seasonal depression:
- Symptoms should begin and end during a specific season every year (with full remittance during other seasons) for at least two years.
- The individual should exhibit mild to moderate impairment in functioning and severity.
Premenstrual Dysphoric Disorder Treatment
Premenstrual dysphoric disorder (PMDD) is an exaggerated reaction to hormone changes that take place during 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’)
For a depression specialist to diagnose a person to be PMDD, a person must present with:
- At least 5 symptoms must be present the week before the onset of menses
- Symptoms of depression must improve within a few days after the onset of menses
- Symptoms of depression must become minimal or absent in the week post menses
Effective premenstrual dysphoric disorder treatment often involves a combination of medication and addressing causes of depression and atypical symptoms of depression.
- Prescribing medications to address symptoms of depression
- Hormone therapy to address hormone imbalance
- Evaluating other causes of depression and need for psychotherapy
- Suggesting lifestyle modifications and natural remedies
- Prescribing appropriate supplements that help regulate hormones
Feeling heavy, confused, and isolated does not just affect teenagers it can impact the whole family. Depression is a sadness that will not go away, and can make you lose interest in activities that you once enjoyed. Depression can cause changes in sleep or appetite, difficulty focusing, and feelings of worthlessness or despair. These feelings and your reaction to them can ruin academic performance, destroy friendships, and make you stop doing the things you enjoy, taking away your identity! But the good news is that adolescent depression is treatable, and proper support offered at early stages can make a huge difference.
At GABA, board-certified psychiatrists bring the best care right into the comfort and safety of your home, using safe, private, and easy-to-access platforms that are HIPAA compliant. Psychiatrists at GABA understand the lives of teenagers, how hormonal changes and social pressures intersect with other changes in their lives, and can affect their mood and self-image. Through secure video-based appointments, teens are able to open up to a psychiatrist who understands what they are going through...Read More
Appointments start with an in-depth review of symptoms, daily activities, school experience, and emotional patterns and trauma. After analyzing the results of the review, a personalized care plan is set that usually includes supportive talk treatment plus other evidence-based treatments (such as cognitive behavioral therapy-CBT) where indicated, and also medication if needed. Receiving virtual treatment allows regular checks that don’t disrupt school and family life, making care consistent and sustainable.
Teens find it easier to open up from their own space, while also having an experienced psychiatrist to help support emotional changes. Teens do not have to suffer alone. They can be heard, understood, and led towards relief that will last a lifetime.
Why seek depression treatment at Gaba Telepsychiatry?
- At Gaba Telepsychiatry, our Board Certified Psychiatrist provides specialized online depression treatment.
- Your Depression Treatment Plan is tailored specifically to you.
- Your Psychiatrist will evaluate atypical symptoms of depression as well as common symptoms of depression.
- Your Psychiatrist will evaluate for medical causes of depression as well as nutrition and hormones.
- Your Psychiatrist will take the utmost care when prescribing depression medication.
- Longer visits mean that time is taken to ensure you are receiving the correct medication and receiving the correct treatment.
- Online depression treatment includes psychotherapy as well as depression medication.
- Our Board certified psychiatrists are experts in treatment resistant depression treatment and provide second-opinion consults.
- Patient advocates help you file out of network claims, preauthorization, paperwork, short-term disability applications, and coordinate with your pharmacy. We believe that providing patients with personalized support in between sessions is an essential part of management.
How much does it cost to see an Online Psychiatrist for Depression Treatment at Gaba Telepsychiatry?
Private Pay
- Initial consultation: $400
- 30 minute follow-up appointment: $250
- Emergency phone calls and patient advocacy calls are free of cost
Out of Network Benefits
At Gaba Telepsychiatry, we provide ‘courtesy billing.’ Therefore, if you have out-of-network benefits, we file your claim forms for you and follow up with your insurance company to check the status of your reimbursement.
Can I continue to see my own therapist if I am prescribed depression medication?
We collaborate with your individual therapist at any location while providing medication management.
If you do not have out-of-network benefits and cost is a concern, it may be more economical for you to see a therapist within your insurance network.
Is online depression treatment covered by insurance ?
If you have out of network benefits, then your insurance company should reimburse you for visits. We can submit claims on your behalf. We use the self-pay model for medication management, as visits covered by insurance are shorter.
Does depression treatment work?
Depression is almost always treatable with different depression treatment options. This can include psychological treatments, taking antidepressants such as selective serotonin reuptake inhibitors and brain stimulation therapy methods like repetitive transcranial magnetic stimulation. But most people suffer alone as they are not aware that their mental health symptoms are treatable. At Gaba Telepsychiatry, we provide depression treatment to individuals who have never received treatment and to those who have had poor responses to treatment in the past.
Do I have to take depression medication if I start treatment?
Depending on the cause and severity of symptoms, including whether you have moderate or severe depression, the need for depression medication would be assessed, and the potential risks versus benefits would be explained to you by depression specialists or medical doctors.
Supplements, therapy and psychological treatments, as well as other drugs that may be prescribed, would also be discussed. In clinical practice, this may include reviewing lab tests to better understand your health profile and ensure medication safety.
For some patients, serotonin norepinephrine reuptake inhibitors may be recommended as part of antidepressant treatment, especially if they are at risk of developing depression again in the future. It is also important to inform your doctor about any recreational drugs or birth control pills you may be using, as these can interact with certain antidepressants.
If you are taking antidepressants, it is important to be aware that benefits may not be noticeable during the first few weeks and research from clinical trials has shown that gradual improvement is common. It is ultimately your choice whether you want to take medication for depression. The purpose of depression medication is to enhance, not diminish, your quality of life. Therefore, treatment is most effective when there is a close therapeutic alliance between patient and psychiatrist and all your concerns are addressed.
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Dr Bornfriend is very kind and compassionate. She is sensitive to what’s happening in your life and offers very solid advice to…Read More
work with whatever is going on. She’s there for You!
Dr. Raju is absolutely amazing. Finally a doctor that listens to what I’m saying. She truly cares about her patients. It’s difficult for me to connect with a doctor. Dr. Raju has…Read More
such a kind, warm and caring nature. It makes it so much easier to freely communicate with her. I’m so grateful I was referred to her.
FAQ
Yes, online depression treatment is as effective as in-person treatment and can have a significant impact on mental health recovery. At GABA Telepsychiatry, we focus on providing compassionate care from the comfort of your home. We connect you to a licensed board-certified psychiatrist with a doctoral degree, who is specialized and has experience of fifteen to twenty years in psychiatry.
Our psychiatrists help you gain insight into your thoughts, feelings and behaviors, while also addressing how depression negatively affects depression can have on your daily life, relationships and work. They provide both talk therapy and medication for only those individuals who require medication as part of their treatment plan. You do not need to travel or wait in long lines. Our goal is to save your time and make you feel safe.
If you are out of the country, you can still get online therapy and treatment for depression with GABA Telepsychiatry. Our services are available through secure virtual sessions, so you can connect from anywhere without needing a complicated app; just a phone or a laptop with internet makes it easy. Time zones are not a problem as we try to schedule sessions based on your availability. Our team is always ready to guide you every step of the way and answer your questions. No matter where you are, our board-certified psychiatrists are always available to improve your mental health care.
Yes, online depression treatment is very safe when provided by a board-certified psychiatrist and supported by the right steps. At GABA Telepsychiatry, we ensure your online depression treatment is both safe and effective.
To maintain the effectiveness of online depression treatment, we recommend that you follow the correct steps:
1. Getting blood work done: At GABA Telepsychiatry, we send lab requests to Scripts, Quest Diagnostics, LabCorp and other major centers. This helps ensure there are no undiagnosed medical conditions causing symptoms.
2. Cooperating with an annual physical exam and EKG.
3. Communicating immediately if you are experiencing suicidal or self-harming thoughts.
4. Having an emergency contact available.
5. Reporting any side effects of medication promptly.
6. Going to the emergency room if you are feeling suicidal or believe you may act on such thoughts.
Providing these steps are followed, we believe online depression treatment is as safe or even safer than in-person treatment.
The best treatment for depression depends on the unique needs of the depressed patients and the severity of their condition. Health and human services suggest initial treatment like interpersonal therapy, supportive therapy or antidepressant drugs. Studies show that some patients benefit from mindfulness-based cognitive therapy, which helps in changing the negative thought patterns.
Interpersonal psychotherapy focuses on improving relationships and communication. Behavioral activation encourages patients to increase positive activities. It has been observed that pharmacological treatments are often recommended for more severe depression.
How to deal with a depressed spouse?
Supporting a depressed spouse is at times overwhelming and emotionally challenging. Try to be patient to realize that your partner is experiencing a medical health condition and not something they can just suddenly recover from. Listen without offering solutions-simply validate their feelings by your presence. Encourage them with patience to seek professional help if needed. Help them look for a psychiatrist and even accompany them to the appointments, or help book the appointments. Practical support like helping in the daily routine, and reminding about medication, support in smaller steps of tasks when broken into pieces, will be very supportive on a tough day.
Why do I find comfort in sadness?
Finding comfort in sadness can at times feel comforting. Someone who has had many years of repeated disappointments, losses, and chronic stress may eventually adapt to the emotional ‘tone’ of sadness as their ‘new normal’. Therefore, over time, sadness is often perceived as ‘predictable’ and ‘safe.’ Some people will continue to feel sad as a way to protect themselves from future heartbreak or emotional damage by using sadness and detachment as protection.
When suffering from depression, the brain’s chemistry and thought patterns reinforce negative emotions, which makes it very difficult to break free from that cycle. Experiencing sadness can be comforting because it’s familiar, but that doesn’t mean it’s healthy to remain in that state. Sadness typically indicates that you are still dealing with an inner conflict or an event that caused you pain that has not been resolved, which could also be due to an untreated depressive disorder.
At GABA Telepsychiatry, we work to identify these patterns by providing you with a safe space to receive compassionate, nonjudgmental support through therapy, empowerment, and education, as well as the ability to build trust in your capacity to experience any emotion other than sadness. You deserve to thrive; you deserve to experience a full emotional life.
How to love yourself when depressed?
Loving yourself when depressed seems like an impossible task, especially since the negative thoughts seem louder than anything else. Depression can make you your own worst critic at times, and it can be difficult to practice self-love under those circumstances. Instead of forcing that positivity into your life, you can make small gestures that show you care for yourself. Simple daily routines like getting enough rest, eating healthy, nourishing meals, or getting some fresh air can help you reconnect with yourself and your needs. Slowly but surely, start speaking to yourself with patience rather than criticism and see how much it can help you get out of a depressive phase.
Depression can often make you feel like you’re not doing enough, but these are just your thoughts, not reality. Learning to notice the negative self-talk and replacing it with positive, reassuring thoughts can help you build a kinder inner voice. Progress does not have to look big or dramatic; even small steps like these deserve recognition.
Self-love during depression doesn’t mean feeling happy all the time. It means choosing kindness to yourself on difficult days. Talking to someone you trust, journaling, or spending time with yourself doing something you enjoy can create small moments of relief. Our board-certified psychiatrists at GABA Telepsychiatry can help you get a proper diagnosis for depression and guide you through treatment and medication for a better tomorrow.
What Does a Psychiatrist Do for Depression?
The first step is to understand your symptoms in detail. Our board-certified psychiatrists will ask about your sleep patterns, appetite, energy levels, ability to think and concentrate, as well as your ability to function on a day-to-day basis. There is a wide variety of symptoms that can go hand in hand with depression. Understanding these symptoms is essential in determining what type and how severe the disorder is. Once our psychiatrist has all the information, a personalized treatment plan will be created. This can include therapy, medication, or both. They monitor and adjust medications like SSRIs, SNRIs, or atypical antidepressants. Our board-certified psychiatrists at GABA will make changes to the medication based on how you respond, as the main focus of treatment is not to temporarily reduce symptoms, but to eliminate them.
Does Adderall Cause Depression?
Adderall is not known to generally cause depression as prescribed by a doctor, but some individuals will experience depressive symptoms while taking this medication. This is because Adderall increases concentrations of two neurotransmitters, which may help improve energy levels and concentration, but has a side effect that affects the mood in some individuals.
These individuals report a “comedown”, which is a term to describe the feelings and physical sensations felt once the effects of the medication have diminished. Symptoms of this include sadness, irritability, low energy, or even numbness. These will be magnified with higher doses, lack of sleep, and/or misuse. In rare cases, the effect of the medication on the individuals’ mood has exacerbated pre-existing depression.
At GABA Telepsychiatry, our board-certified psychiatrists closely monitor reactions while prescribing stimulants and re-evaluate medications and dosages if depressive symptoms develop.
