Depression can present as low mood, loss of interest, reduced motivation, irritability, sleep changes, or difficulty functioning. Treatment begins with a careful assessment of symptoms, medical factors, prior treatment, and individual goals.
Beyond "feeling sad"
Not everyone experiences depression as sadness. Some people notice loss of drive, blunted reward, irritability, sleep changes, or the sense that nothing feels interesting anymore. We screen for those patterns explicitly.
Treatment sequence
- First-line: FDA-approved antidepressant classes. Choice driven by symptom profile, side effects, and what you've tried before.
- Augmentation: Evidence-based combination and adjunctive strategies when monotherapy isn't enough.
- Treatment-resistant depression: Honest discussion of TMS, IV/IN ketamine, esketamine (Spravato). Referral coordination where appropriate.
Request an appointment
Initial intake is 60 minutes, $400 self-pay. Superbills available for out-of-network reimbursement. Book online.