Depression
Advanced Therapeutic Solutions for Anxiety provides therapy for the treatment of Depression.
About 7% (1 of 14) of people experience major depressive disorder, most of whom are in the 18-29 year-old age group. Females also are at higher risk for depression, showing 1.5 - 3 times higher risk than males beginning in early adolescence. While depression can begin at any age, the likelihood increases with puberty. Symptoms can include:
- Depressed mood most of the day, nearly every day
- In children/adolescents, depressed mood may be expressed as increased irritability
- Lost interest in the things that used to be pleasurable
- Loss of appetite, or increased appetite
- Significant change in weight (weight loss or gain)
- Disturbed sleep; insomnia or hypersomnia
- Restlessness
- Physically moving slower than usual
- Feelings of worthlessness, guilt
- Difficulty concentrating
- Difficulty making decisions
- Thoughts of death
Depression can interfere with daily activities, ranging from self care (e.g., showering) to educational or occupational functioning (e.g., meeting expectations in school or at work). Depression can also impact family and social relationships. The presentation of depression can take many forms. Symptoms may range from mild to severe, can include anxiety, and can have a seasonal pattern. While a significant loss (e.g., bereavement, financial loss, loss from a natural disaster) can include depressive symptoms, the presentation may not meet criteria for a major depressive disorder, but may meet criteria for another condition (e.g., adjustment disorder). Regardless, improving the mood symptoms and reducing the interference in daily functioning is the goal for treatment.
Evidence-based treatment for depressive symptoms includes cognitive-behavioral therapy (CBT) to identify automatic negative thought errors, increase insight on how thought errors can derail you and your relationships, and learn ways to recognize and correct thought errors so that you feel more in control. Having an understanding of how thoughts (e.g. negative thoughts about yourself) can relate to how you experience the world (e.g., everyone is against me), and how that relates to your behavior and/or others’ behaviors (e.g., recurring interpersonal conflicts in relationships) is the cognitive triad that is focused on in treatment. Acceptance and commitment therapy (ACT) is also helpful to identify values, increase mindfulness, decrease distress, and focus on living a life true to your values.
Clinical Procedures for Depression Evaluation and Outpatient Treatment
Free Phone Intake Consultation
Up to 30-min phone consultation so we can hear about your presenting issue, the symptoms you are experiencing, when they started, the severity of symptoms, and if we are the appropriate place for your treatment. The diagnostic intake process is discussed, and your insurance/billing questions are answered. If the treatment you need is within our scope of services, we begin the scheduling process. If it is deemed that we are not the appropriate place, we will provide you with referrals and resources to help you. We want to make sure to connect you with services, and that includes helping you find treatment elsewhere if that's what you need.
Free
CPT CODE: 0
Treatment Planning Session
A 60-min session to review how the first sessions have felt to you, present hypotheses, and collaborate on a treatment plan. Treatment approaches may include Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP). Treatment dose is also discussed, specifically if weekly 60-min outpatient sessions will be effective, or if intensive doses (e.g., 3-hr sessions) should be considered. Likewise, location of where sessions should occur for most effective outcome is also discussed and planned out. Decisions are made as to whether to start with therapy sessions only, allowing for the future addition of psychopharmacological treatment as an adjunct, or whether to start with combined treatment, (or in rare cases to start with psychopharmacological treatment before CBT, ACT, or ERP).
Starting at 175
CPT CODE: 90837
Diagnostic Evaluation
A 90-min diagnostic interview is conducted to assess the presenting problem, symptoms severity (onset, duration, frequency), review areas of life that have been impacted (daily functioning, work, home), collect history, including family history of anxiety or depression, and review what you hope to gain from treatment at ATSA. Specific questions and or measures may be administered during the session for diagnostic purposes.
Starting at 295
CPT CODE: 90791