Home/Conditions/Depression

When the weight will not lift on its own.

Depression is more than a bad stretch. When low mood, fatigue, and loss of interest linger, treatment can help you feel steady and engaged again.

Understanding depression

Depression is a medical condition, not a personal weakness, and it is one of the most treatable.

Depression can look like persistent sadness, but it often shows up as numbness, exhaustion, irritability, or simply not caring about things that used to matter. Sleep and appetite frequently change, and even small tasks can feel heavy.

It is common for depression to arrive alongside anxiety, and treating both together tends to work better than treating either alone.

If you are in crisis or thinking about harming yourself, help is available right now. Call or text 988 for the Suicide and Crisis Lifeline, or call 911. This website is not for emergencies.
Signs and symptoms

What it can look like

Low or flat mood most days
Loss of interest or pleasure
Fatigue and low energy
Changes in sleep or appetite
Difficulty concentrating
Feelings of worthlessness

How Michael approaches it

Michael begins with a careful evaluation to understand the shape of your depression and rule out other contributors, such as sleep or thyroid issues.

Medication management is often part of the plan, chosen carefully and started conservatively. Michael explains what to expect, monitors how you respond, and adjusts rather than piling on.

Treatment is about more than a prescription. Sleep, routine, and daily structure all matter, and Michael treats the whole picture.

Common questions

Good to know

Do I have to take medication for depression?
Not necessarily, though for moderate to severe depression it is often helpful. Michael discusses the options and the trade-offs, and the choice is yours.
How soon do antidepressants work?
Many take several weeks to reach full effect. Michael sets expectations up front and follows up closely so the plan can be adjusted if needed.
What if I have tried medication before and it did not help?
That is common and worth exploring. Often the issue is the specific medication, dose, or duration. A fresh, careful evaluation can open up options you have not tried.

Get help for depression

Book an evaluation in Middletown or by telehealth. Care starts with a conversation.