top of page
Menu
Depression


When an Adolescent’s Psychiatric Symptoms May Have a Medical Cause
A teenager begins sleeping through alarms, stops finishing assignments, withdraws from friends, and seems irritable nearly all the time. Depression is one possibility. So are anxiety, ADHD, substance use, chronic sleep deprivation, or a reaction to something happening at home or school. Could a medical problem be producing, worsening, or disguising itself as a psychiatric one? Fatigue, poor concentration, restlessness, disrupted sleep, appetite changes, declining school perfo
Oct 149 min read


What to Expect at Your First Psychiatric Evaluation
Maybe you can't name what's wrong, only that something feels off. You wake at 4 a.m. and can't get back to sleep. Work that used to take an hour takes the afternoon. Or you've already been treated for depression or anxiety and still don't feel like yourself. A psychiatric evaluation is where those experiences get looked at closely. You don't need a diagnosis in mind or a tidy way of explaining yourself. Your clinician's job is to help you sort out what has been happening and
Sep 256 min read


Perimenopause Mood Changes: Anxiety, Depression, and What Helps
Many women approach perimenopause expecting hot flashes and irregular periods. Fewer expect to find themselves crying in a parking lot or losing their temper over something that would barely have registered a few years earlier. Perimenopause can bring mood swings, irritability, anxiety, and depressive symptoms. Hormonal changes may contribute, alongside disrupted sleep, life stress, and a history of mental health concerns. These symptoms deserve attention, especially when the
Sep 207 min read


Is Therapy and Medication More Effective Than Therapy Alone for Anxiety and Depression?
When considering mental health treatment, it is natural to wonder whether therapy, medication, or a combination of both offers the most effective path forward. There is no universal answer. The right approach depends on the nature and severity of your symptoms, their effect on your daily functioning, your treatment history, your medical context, and the goals you want care to help you achieve. For some people, therapy and medication together can be more effective than therapy
Aug 117 min read


SSRI vs SNRI: Understanding the Differences Between These Common Antidepressants
If you've been researching treatment options for anxiety or depression, you've likely come across the terms SSRI and SNRI, highlighting how personalized anxiety can help regulate autonomic hyperarousal and quiet persistent worry. These medications are among the most commonly prescribed first-line antidepressants and are often used to help manage conditions such as major depressive disorder, generalized anxiety disorder, panic disorder, and post-traumatic stress disorder. Whil
Jun 128 min read


How Long Does it Take for Antidepressants to Work?
Starting an antidepressant often comes with two competing emotions: relief that you’re finally getting help, and frustration that you don’t see improvement immediately. Many adults begin treatment hoping they’ll feel noticeably better within days. If your current medication provides only partial relief or has plateaued, explore our clinical insights on when an antidepressant is not working. When that doesn’t happen, it’s easy to assume the medication is failing, or worse, tha
Jun 99 min read


How Hormones Affect Anxiety and Depression: A Clinical Guide to Mood, Stress, and Hormonal Changes
When anxiety or depression seems to come on suddenly, many people try to link it to a stressful week at work or a major life event. Far fewer realize that hormones can directly drive those shifts. When estrogen, progesterone, thyroid hormones, or testosterone rise and fall during puberty, pregnancy, perimenopause, menopause, or endocrine disorders, the brain’s systems for regulating stress, sleep, and emotion can be pushed off balance, an important consideration for women ex
May 2511 min read


Online Psychiatrist vs. Therapist: What’s the Difference, and Which Do You Need?
If you’ve started looking into mental health care, you’ve probably come across two common options: working with a therapist or seeing a psychiatrist. When those services move online, the distinction between them can feel even less clear. It’s a simple question, but one that matters more than it seems: what’s the difference between an online psychiatrist vs. therapist, and how do you know which one is right for you? You don’t necessarily need to choose one over the other. Howe
May 85 min read


Sertraline (Zoloft) for Anxiety and Depression: Dose, Side Effects, Timeline, and How to Stop Safely
Many negative experiences with sertraline are not due to medication failure. They result from starting with too high a dose, expecting relief too quickly, or stopping too abruptly.
Apr 56 min read


Where Spirituality Fits in Treating Depression - and Where It Doesn’t
Where spirituality fits in treating depression - and where it doesn’t. A psychiatrist’s clear guide to meaning, biology, and what helps when you feel “better” but not alive.
Mar 68 min read


You’ve Been in Therapy for Months. How Do You Know It’s Working?
If you’re in therapy or on medication and still can’t tell what’s changing, here’s how to track progress, functioning, and when the plan should shift.
Mar 35 min read


Why Your Antidepressant Made You Stop Crying (And What That Flatness Is Really Trying to Tell You)
Antidepressants can quiet despair but also dull joy. Learn why emotional blunting happens, how to tell illness from side effect, and what to do next.
Dec 17, 202510 min read


Low Testosterone or Depression? How to Tell - And What to Do Next
Fatigue, low mood, and low libido: low T or depression? See the side-by-side signs, the right testing protocol, TRAVERSE safety data, and a 3–6 month stop rule for TRT.
Nov 12, 20254 min read


Emerging Psychiatric Treatments: Promise, Reality, and the Cost of Access
Curious about psilocybin, esketamine, IV ketamine, TMS, or ibogaine? This guide explains real benefits, risks, costs, and access so you can separate hype from reality.
Nov 3, 20256 min read


When Antidepressants Hijack Women’s Sex Lives
Antidepressants can restore mood but wreck sex drive. Learn why women are hit hardest and how to protect desire, arousal, and intimacy.
Oct 26, 20255 min read


Antidepressants & Weight: A Patient-Centered Guide for Women
Antidepressant medications are highly effective in treating depression and anxiety, but many women have concerns about side effects, especially weight gain. For guidance on navigating medication classes and matching treatments to your biological profile, read our resource on finding the right antidepressant. While the typical weight gain associated with antidepressants is only about 0.4 to 1.1 pounds over six months, about 10–15% of women may gain five or more pounds in that
Sep 2, 20255 min read


Finding the Right Antidepressant: A Woman’s Personalized Guide
Choosing an antidepressant can feel like trial and error. You wait weeks, hoping for relief, then feel flat, anxious, or sidelined by side effects. This guide shows you how to move from guessing to more precise care by matching the medicine to your symptoms, history, hormones, and life stage. Three Women's Experiences With Antidepressants Hannah, 22. She was depressed but hesitated to seek a consultation because social media "highlight reels" and comments from a friend made h
Sep 1, 20257 min read
bottom of page