Depression is more than a bad week. It can drain energy, flatten interest in things you used to enjoy, disrupt sleep and appetite, and make ordinary tasks feel heavy. Many of the people I see are still getting through work and family life while quietly struggling.
Depression is common and treatable. Most people improve with the right combination of medication, therapy and support.
Signs it may be time to get help
- Low or empty mood most days for two weeks or more
- Losing interest or pleasure in things you used to enjoy
- Changes in sleep, appetite or energy
- Trouble concentrating or making decisions
- Feelings of worthlessness or excessive guilt
- Thoughts that life is not worth living
How I approach treatment
We start with a thorough evaluation to understand your symptoms, history, and anything that may be contributing, such as thyroid problems, sleep, substances, or life stressors.
Treatment is individualized. It may include antidepressant medication, psychotherapy such as CBT, or both, along with practical changes to sleep, activity and routine. If you have tried medications before without success, we review what was tried, at what dose and for how long, before choosing a next step.
Visits are by secure video for patients located in California or New York at the time of the appointment. See what the first evaluation involves and how medication management works.
Questions people ask
How long does it take for antidepressants to work?
Many people notice some change within a few weeks, with fuller benefit over several weeks. We meet regularly during this period to check progress and side effects.
Do I have to take medication?
No. We discuss all options, including therapy alone, and decide together based on how severe your symptoms are and what you prefer.
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This page is general information, not medical advice for your situation.