Depression involves a wide and complex range of mental health conditions that manifest in various forms. The variety of depressive disorders adds to the challenge of understanding this condition, with each variant exhibiting unique traits and symptoms ranging from mild to severe. 

At Elevate Psychiatry, our profound understanding of these diverse forms of depression allows us to tailor our treatments to meet your individual needs. 

Our team of mental health professionals is committed to supporting you through your treatment journey, aiming to alleviate the effects of depression and help you take back control of your life.

Understanding Depression

Depression is a mental health condition characterized by persistent sadness, lowered interest in daily activities, and difficulties in thinking and concentration. 

This condition extends beyond normal responses to difficult life events, such as a job loss or a divorce, lasting for at least two weeks and often much longer. 

When left untreated, depression can worsen and potentially result in self-injurious behavior or, in severe instances, suicide. Nonetheless, effective treatment can alleviate the symptoms of depression.

Types of Depression

A variety of depressive disorders are recognized by the American Psychiatric Association (APA). Each disorder is characterized by different symptoms and varying degrees of severity. The APA classifies these disorders in the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

Persistent Depressive Disorder (PDD)

Previously known as dysthymia, Persistent Depressive Disorder (PDD) is a long-lasting type of depression that ranges from mild to moderate severity and lasts for a minimum of two years. The symptoms of PDD are usually less severe compared to those experienced in Major Depressive Disorder (MDD).

Disruptive Mood Dysregulation Disorder (DMDD)

Disruptive Mood Dysregulation Disorder (DMDD) is a disorder prevalent in children, noticeable by constant and severe irritability and regular episodes of extreme temper outbursts. The onset of symptoms typically occurs by the age of 10.

Premenstrual Dysphoric Disorder (PMDD)

Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome (PMS), shown by pronounced mood-related symptoms, such as significant irritability, anxiety, or depression. Typically, these symptoms improve following the onset of menstruation, yet their intensity can be substantial enough to disrupt daily life.

Seasonal Affective Disorder (SAD)

Seasonal Affective Disorder (SAD), a form of major depressive disorder, commonly manifests during the fall and winter months, with symptoms generally subsiding in the spring and summer.

This fluctuation in mood is thought to be associated with the variations in daylight hours throughout the seasons.

Prenatal and Postpartum Depression

Depression during pregnancy, known as prenatal depression, and postpartum depression, which occurs within the first four weeks after delivery, are significant mental health concerns. 

Prenatal depression can impact not only the mental and emotional well-being of the mother-to-be but also the health of the fetus and the pregnancy's outcome.

Postpartum depression begins in the first few weeks following birth, though its symptoms may develop at any point during the first year after childbirth. 

This condition extends beyond the less severe "baby blues," presenting similar symptoms to prenatal depression. It also includes challenges in forming a bond with the newborn, withdrawing from social interactions, experiencing severe irritability and anger, and harboring thoughts of self-harm or harming the baby. 

In extreme cases, postpartum psychosis may develop. This is considered a serious and rare mental health emergency.

Atypical Depression

Atypical depression, also referred to as major depressive disorder with atypical features, is marked by an improved mood when positive events occur, an increased appetite, and enhanced sensitivity to rejection.

Psychotic Depression

Psychotic depression is a severe form of depression where you experience not only the typical symptoms of depression, such as sadness and hopelessness, but also psychotic symptoms, including delusions and hallucinations. 

These symptoms can make it especially challenging to treat, as it requires a combination of antidepressant and antipsychotic medications.

Treatment-Resistant Depression (TRD)

In mental health, confronting treatment-resistant depression (TRD) poses a considerable challenge. TRD is diagnosed when you show a negative response to at least two different antidepressants or therapeutic interventions, complicating recovery.

Additional symptoms of TRD show as:

  • Escalating severity of depressive episodes
  • Brief intervals of remission followed by the resurgence of depressive symptoms
  • Increased anxiety levels

In the United States, approximately one-third of adults diagnosed with major depressive disorder are affected by TRD, translating to about 2.8 million individuals. If you're dealing with TRD, it's important to remember that you're not alone.

Understand that TRD doesn't mean there are no treatment options available; rather, identifying the appropriate treatment for you might take some additional time and effort. 

A treatment strategy incorporating psychotherapy, medication, and occasionally Transcranial Magnetic Stimulation (TMS) may be used to address TRD effectively.

Our commitment lies in supporting you through this process, offering a comprehensive suite of services and a customized treatment plan designed to meet your unique needs.

Major Depressive Disorder

Major depressive disorder (MDD), also known as clinical depression, is a widespread mental health condition impacting people worldwide. 

It transcends feelings of sadness or temporary mood dips, being more of an intense and persistent issue that deeply influences emotions, daily functioning, behaviors, and general health. 

Symptoms of MDD include persistent sadness and hopelessness alongside physical issues, such as disrupted sleep patterns and a lack of energy.

MDD can emerge at any life stage, though it often begins during childhood or early adulthood, and it spans across genders, ethnicities, and socioeconomic backgrounds, highlighting its commonness. 

The World Health Organization cites MDD as a leading cause of disability globally, emphasizing its serious health burden. The challenge of MDD is made worse by stigma, lack of awareness, or lack of access to treatment, preventing many from seeking necessary care.

We acknowledge the complexities of major depressive disorder and commit to delivering comprehensive, personalized treatment for those affected. 

Our therapeutic strategy combines evidence-based therapies, medication management, lifestyle adjustments, and supportive counseling. Our aim is to extend support beyond alleviating MDD symptoms. We empower you to reclaim your life and achieve sustained health and happiness.

At Elevate Psychiatry, we uphold the belief that everyone is entitled to a life free of depression. We are ready to work with you on your path to recovery.

Who Depression Affects

Depression can affect anyone across all ages and genders, though it is more common among women. Certain factors may increase the chance of someone experiencing depression, including:

  • Genetic predispositions: Having a family history of depression can increase the risk of the condition.
  • Biochemical imbalances: Differences in the brain's neurotransmitter levels or hormonal shifts can play a role in the onset of depression.
  • Environmental influences: Long-term stress, traumatic experiences, or ongoing life challenges, such as financial strain, relationship problems, or chronic health issues, can lead to depression.
  • Past mental health issues: Those with a history of depression or other mental health conditions are more vulnerable to future episodes.
  • Chronic health problems: Diseases like heart disease, diabetes, chronic pain, or cancer may lead to depression.
  • Substance misuse: The abuse of alcohol or drugs significantly increases the risk of depression.
  • Significant life events: Major transitions or losses, including the death of a loved one, separation, or unemployment, can trigger depressive episodes.

Data from 2020 shows that nearly 18.4% of adults in the U.S. have been diagnosed with depression at some point in their lives. Additionally, about 4.4% of U.S. children have been diagnosed with depression.

Treating Depression Effectively

Depression is a significant but treatable mental health condition. We offer a variety of mental health solutions tailored to different types of depression. Our treatments involve:

Talk Therapy

Talk therapy, also known as psychotherapy, serves as an effective treatment for mild depression and complements antidepressant use in more serious cases. We may use cognitive behavioral therapy (CBT), a highly effective form of talk therapy, which focuses on addressing present-day challenges.

Medication Management

Antidepressant medications can significantly alleviate depression symptoms by modifying the brain's chemical balance. These medications are non-addictive and while they may not stimulate those without depression, they offer relief to those experiencing this mental health condition.

Spravato (esketamine)

Spravato targets a different receptor in the brain, the NMDA receptor, to heighten glutamate levels. 

By raising glutamate levels, Spravato promotes the development of new neural pathways, enhancing the brain's communication network. This decreases symptoms such as persistent negative thoughts, cognitive impairments, and feelings of despair.

Advanced Treatment Techniques

In instances of severe depression or when conventional therapies are ineffective, advanced techniques, such as Transcranial Magnetic Stimulation (TMS) may be used.

Recognizing Suicidal Thoughts

Suicidal ideation involves thoughts of taking one’s own life, a serious concern often combined with mental health disorders and life stressors, demanding swift identification and action. 

We are aware of the difficulties suicidal ideation can present for both you and your family. This is why we strive to be a dependable support network by offering a broad spectrum of services to those grappling with these intense feelings. 

Our mental health professionals excel in providing compassionate care and developing tailored therapeutic approaches for everyone. We prioritize early detection of mental health issues, advocate for awareness, and highlight the critical nature of seeking help. 

We ensure a safe, welcoming environment where you can express yourself freely without fear of judgment. Our support also reaches out to family and friends, giving them the knowledge and tools needed to support their loved ones through challenging periods. 

Our approach to mental health considers the entirety of your situation and its effects on your psychological well-being. 

At Elevate Psychiatry, we are dedicated not just to managing symptoms but to addressing the root causes of suicidal ideation, working closely with you to assist in regaining control over your life and setting the stage for a hopeful and brighter future.

Treatment for Depression with Elevate Psychiatry

Elevate Psychiatry can help diagnose and treat a broad range of depressive disorders, putting a happier and more fulfilled life within reach. 

Our advice, diagnosis, or treatment will be shaped by your unique experiences, symptoms, and goals, ensuring you have the best chance of success.

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