Depression Treatment in Portland & Salem, Oregon
Depression
Depression is more than just feeling sad -- it's a serious health condition that affects mood, energy, sleep, appetite, and daily life.
Depression, also known as major depressive disorder (MDD), is one of the most common mental health conditions in the United States. According to SAMSHA, more than 20 million adults in the United States struggle with depression. At NeuStart Psychiatry & TMS, we specialize in treating depression.
What Causes Depression?
Depression can have multiple causes, including biological, psychological, and environmental factors. Genetics play a significant role, as individuals with a family history of depression may be at a higher risk. Brain chemistry is another important factor --imbalances in neurotransmitters like serotonin and dopamine can contribute to depressive symptoms. Life events such as trauma, grief, chronic stress, or major transitions may trigger depression in some individuals. Additionally, medical conditions, including chronic illness and hormonal imbalances, have been linked to depression. Substance use, including alcohol and drugs, can also worsen symptoms of depression.
Symptoms of Depression
Depression presents differently for everyone, but common symptoms include:
- Persistent sadness or low mood
- Fatigue or lack of energy
- Difficulty concentrating
- Changes in sleep or appetite
- Feelings of hopelessness or worthlessness
- Loss of interest in activities once enjoyed
- Physical symptoms such as headaches or digestive issues
- Suicidal thoughts or self harm
If you are experiencing these symptoms, seeking professional help is an important step towards healing.
Depression Treatments
Depression treatment options vary widely, allowing for individualized care based on the severity and type of depression. Traditional treatment include antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), which work by balancing neurotransmitters in the brain. Psychotherapy, including cognitive behavioral therapy (CBT) and interpersonal therapy (IPT), helps individuals develop coping strategies, challenge negative thought patterns, and improve emotional regulation. For those wishing to avoid medications or who are struggling with treatment resistant depression, alternative interventions such as transcranial magnetic stimulation (TMS) have gained recognition. TMS is a non-invasive neuromodulation technique that uses magnetic pulses to stimulate areas of the brain associated with mood regulation. Ketamine is an option for treatment resistant depression as well. Ketamine, administered as an intravenous infusion or nasal spray (esketamine), acts on the glutamate system and has been shown to provide relief for some individuals. Other options include electroconvulsive therpay (ECT) for severe, treatment-resistant cases. There are a lot of options to treat depression, allowing for a patient-centric, tailored approach to depression treatment.
Depression Treatment at NeuStart Psychiatry
Our dedicated team works to build a supportive therapeutic relationship that empowers you in every aspect of your depression treatment. We believe in a comprehensive and personalized approach, combining treatment options such as TMS and medication management with lifestyle adjustments to help you take an active role in your healing. Together, we will work toward lasting well-being.
2
TMS
Transcranial Magnetic Stimulation (TMS) is an FDA-approved, non-invasive treatment for depression that uses magnetic pulses to stimulate areas of the brain associated with mood regulation
3
Supportive Therapy
Supportive therapy offers guidance alongside medication management. Unlike stand alone therapy, supportive therapy is present-focused, offering emotional support, problem solving and psychoeducation.
If you or someone you love is struggling with depression, know that you are not alone, and help is available. Depression is a treatable condition, and with the right support- whether through therapy, medication, lifestyle changes, or advanced treatments like TMS- many people find relief and regain a sense of hope. Seeking help is a sign of strength, and taking the first step toward treatment can make a meaningful difference. If you're ready to explore your options, reach out. There is hope, and healing is possible.
Creating Connections and Community
At NeuStart Psychiatry & TMS, we believe in creating connections, building community, and transforming lives. Whether you visit us in Portland or Salem or connect through telehealth across Oregon, our compassionate team is here to support you. Together, we'll help you take the next step toward healing with care that truly understands your journey.