When the weight just won't lift.
Depression isn't always sadness. Sometimes it's flatness — the feeling that nothing is interesting, or worth the effort. If that's where you are, you don't have to stay there.
You might recognize some of these.
A heaviness that won't quit.
Mornings are harder. Tasks that used to be easy feel impossible. Showering, eating, replying to a text — all of it costs more than it should.
Numbness, not just sadness.
Many people expect depression to feel like crying. More often it feels like nothing — hobbies are dull, food has no taste, the people you love feel far away.
Sleep that isn't rest.
Sleeping too much, or not at all. Waking up exhausted. Lying awake at 3am with thoughts that won't slow down.
Thinking the worst.
Self-criticism that wouldn't be allowed about anyone else. Catastrophizing the future. Sometimes thoughts of not wanting to be here — those are worth saying out loud, in a safe place.
Care that begins with a conversation.
We start by talking, not by prescribing.
Your first visit is a conversation. We map what you're experiencing, what you've tried, what's worked and what hasn't. Talk therapy is the foundation — it's how we learn what's actually going on.
Medication is one tool, not the only tool.
When medication is the right call, we discuss the options, the trade-offs, and what to expect. Many patients improve dramatically on the right antidepressant. Some don't need one. We decide together.
We treat the whole picture.
Sleep, exercise, sunlight, social connection, alcohol, hormonal changes — all of it shapes depression. A real plan considers all of it, not just the prescription.
Pace is yours.
Some patients need weekly visits to start. Others come monthly. We adjust based on how you're doing, not on a rigid schedule.
“There is no version of you that I will judge for being depressed. Reach out whenever you're ready.”
Common questions about depression.
- Do I need to be on medication to work with you?
- No. Many of my depression patients do well with talk therapy alone. We figure out what's right for you together — medication is offered when it's likely to help, not as the default.
- How long does it take for antidepressants to work?
- Most antidepressants take 4–6 weeks to reach full effect, with the first signs of improvement around 2–3 weeks. We schedule a follow-up to evaluate honestly, not to lock you into the first thing we try.
- What if I'm having thoughts of suicide?
- Please say so on the call. If you're in immediate danger, call 988 or go to your nearest emergency room. Otherwise, this is exactly the kind of thing we can work with safely in regular care — you're not too much.
- Is virtual care actually as good as in-person for depression?
- Research consistently shows virtual psychiatric care is as effective as in-person for most adults with depression. For many patients, it's actually easier — no commute on the days when getting out of the house feels impossible.
Ready to talk about depression?
Free 15-minute phone consultation. No obligation. We'll figure out together if I'm the right fit.