Psychiatrists treat depression through a combination of evidence-based approaches tailored to each patient’s unique needs. As licensed medical providers and mental health professionals, psychiatric mental health nurse practitioners can evaluate the severity of symptoms of depression, diagnose underlying mental health conditions, and prescribe antidepressants such as SSRIs or SNRIs when appropriate. They also consider co-occurring medical conditions, substance use disorders, or other mental disorders like bipolar disorder, anxiety disorders, or ADHD that may influence the course of treatment.
In addition to medication, may recommend psychotherapy, such as cognitive behavioral therapy (CBT) or talk therapy, either directly or through collaboration with other mental health providers. For individuals with major depressive disorder or severe depression, more advanced interventions may be considered, such as transcranial magnetic stimulation (TMS), ketamine therapy, or even electroconvulsive therapy (ECT). The goal of depression treatment is to relieve symptoms, support daily life functioning, and improve long-term well-being, with the psychiatrist overseeing the development and adjustment of a personalized treatment plan.
The Psychiatry Process
The psychiatry process is designed to provide patients with a structured, supportive pathway toward improved mental health. Whether someone is struggling with major depression, bipolar disorder, or another mental illness, the goal is to create a personalized approach that addresses symptoms, lifestyle, and any coexisting medical conditions or substance abuse concerns. Working with a mental health professional, patients can explore the full range of treatment options—from psychotherapy and antidepressants to innovative therapies like TMS or ketamine—in a safe, evidence-based environment.
First Session/Consultation
During the initial visit, the psychiatrist will conduct a comprehensive assessment. This includes a detailed discussion of your symptoms of depression, daily life, medical history, family background, and any relevant mental health issues. The psychiatrist may ask about past treatments, current medications, and other factors such as substance use or suicidal ideation. This session helps form a clear clinical picture so that the provider can accurately diagnose conditions such as major depressive disorder, anxiety disorders, or ADHD, and begin outlining next steps.
Treatment Plan
After the initial consultation, the psychiatrist develops a customized treatment plan. This may involve antidepressants, CBT, talk therapy, or referrals to other mental health services, such as support groups or social workers. For more resistant forms of depression, transcranial magnetic stimulation (TMS) or ketamine therapy may be introduced. The treatment plan is a collaborative effort, guided by the patient’s preferences, progress, and any concerns about side effects or functional goals.
Follow-up Sessions
Ongoing sessions allow the psychiatrist to monitor the patient’s progress, adjust medications as needed, and reevaluate the treatment plan. These appointments are essential for addressing emerging mental health conditions, managing side effects, and supporting long-term well-being. In some cases, the psychiatrist may coordinate with other healthcare professionals, including nurse practitioners, primary care physicians, or psychotherapists, to ensure comprehensive care for both mental and physical health.
