Therapy for depression in mobile, alabama.
Anyone who has ever experienced or is currently experiencing depression knows how debilitating and consuming this illness is. Whether it is something new, something periodic, or something chronic… no one should have to face depression alone.
If you are looking for a therapist, a doctor to prescribe medication, or both, you have come to the right place. As a family medicine doctor with several years of experience managing mental health concerns such as depression, I can discuss the right options for you. If you are currently residing in Alabama and value flexible, affordable service, keep on reading to learn more about what I offer and how I can be of service.
A typical session with me is through video and audio on your computer or phone, although I also do simple phone calls on an as-needed basis. You can imagine sitting on your sofa or a comfortable chair in the privacy of your room. Grabbing a blanket, a warm beverage, and playing soft music in the background. You can schedule your choice of a fifteen minute session for a quick check-in or follow up; a thirty minute session for a more in-depth discussion; and an hour long session to really dive deep. My hope is that you will always feel heard, understood, and supported to the best of my abilities.
Typical patients for depression include but are definitely not limited to:
A grieving mother who has undergone a grave family tragic
A burnt-out employee looking for coping mechanisms and stress relief
A child with multiple childhood traumas who has stopped trying at school
An angry teen without a support system
A patient with multiple medical conditions who can’t see the light
A geriatric patient with chronic pain
A single parent who takes care of everyone but themselves
A busy perfectionist with too much pressure
A new mother struggling to understand her sudden emotions
A young adult who has been battling depression and addictions their entire life
… and the list goes on and on.
All of this is to say that whatever your situation and your pain, you are not alone. There is no one way to experience depression, and there is no one reason for feeling depressed.
To learn more, have your questions answered, or to schedule an appointment, click here to contact us.
How depression treatment works with Dr. carrasquilla
Getting started is often the most difficult step towards healing. If you feel most comfortable, send us a message through email using our contact page. Alternatively, feel free to call and have your questions answered to see if our practice is a good fit for your needs.
If any concerns, questions, or obstacles come up before your session, no problem. We simply ask that you reach out at least 24 hours in advance to reschedule or cancel your appointment if needed. For further information, head over to our Terms and Conditions page for all the details.
What is depression?
Depression is a complex mental health condition that can affect individuals in various ways. To diagnose depression, we can either use judgement after a detailed interview or, most common clinically, we use a standardized scale called the “Patient Health Questionnaire-9”, or more widely known as the “PHQ-9”. Most important to note is that depression is characterized by multiple symptoms of at least two weeks duration, chief of which is a feeling of sadness. It is generally recommended that if you feel overwhelming sadness and suspect that you might be experiencing depression, you should go ahead and complete a quick screening to learn more. You can take the PHQ-9 screening yourself by going to Mental Health America and utilizing their free screening tool. However, if your screening is positive, please make sure to seek the guidance of a mental health provider for further management.
Here are some of the other most common symptoms of depression and what they may present like:
- Persistent sadness: Depression is characterized by a prolonged state of low mood and sadness that persists for at least two weeks or more. This feeling is often unexplained or disproportionate to the person's circumstances.
- Loss of interest: People with depression often experience a significant decrease in interest or pleasure in activities they once enjoyed. They may lose motivation and find it challenging to engage in daily tasks.
- Fatigue and low energy: Depression can lead to a persistent feeling of exhaustion, even after minimal physical or mental exertion. Individuals may struggle with concentration and experience a decline in productivity.
- Changes in appetite and weight: Depression can cause a loss of appetite or, in some cases, increased cravings for comfort foods. This can lead to noticeable changes in weight, either weight loss or weight gain.
-Sleep disturbances: Many individuals with depression experience disruptions in their sleep patterns. This may manifest as insomnia (difficulty falling or staying asleep) or hypersomnia (excessive sleepiness and prolonged sleep).
- Feelings of worthlessness or guilt: Depression often brings about intense feelings of self-blame, worthlessness, or excessive guilt. Individuals may criticize themselves harshly and struggle with low self-esteem.
- Difficulty in concentration and decision-making: Depression can impair cognitive function, making it challenging to concentrate, make decisions, or remember details. This can have an impact on work or academic performance.
- Recurrent thoughts of death or suicide: In severe cases, individuals with depression may have recurrent thoughts of death, dying, or suicide. It's crucial to take such thoughts seriously and seek immediate help. If needed, please call or text the 24-hour suicide and crisis lifeline at 988.
- Physical symptoms: Depression can manifest in physical symptoms such as headaches, digestive issues, body aches, and unexplained pain. These symptoms are often unresponsive to medical treatments.
- Social withdrawal: People with depression may withdraw from social activities, isolate themselves from friends and loved ones, and experience a sense of loneliness or detachment.
It is important to note that depression can vary in intensity and duration, and individuals may experience different combinations of symptoms. Seeking professional help if you are feeling these or other symptoms and if they are interfering with your daily life is crucial for an accurate diagnosis and appropriate, timely treatment!
depression is common
Depression unfortunately is a prevalent mental health condition in the United States, affecting a significant portion of the population. According to the National Institute of Mental Health (NIMH), approximately 17.3 million adults, or around 7% of the adult population, have experienced at least one major depressive episode in a given year. While some populations are said to be at higher risk of experiencing depression during their lifetime, including females, Caucasians, and some minorities such as those that identify as LGBTQIA+, studies have historically been inaccurate or inconsistent when attempting to quantify the groups who may be suffering from depression. Furthermore, this illness is sometimes difficult to recognize or admit to, with symptoms often being subjective, leading to numerous individuals being underdiagnosed. Thus, it is important to note that anyone, from any background and upbringing can at any point experience depression for a number of reasons.
What about in Alabama? Unfortunately, the statistics are even worse for the state of Alabama. According to an article in 2018 by the Birmingham Medical News, the depression rate in Alabama is at least twice the national average. UAB professor of psychiatry Richard Shelton, MD states in the article that Alabama is the "…perfect storm for depression. Alabama is a rural state where social isolation and lack of access to mental health services are a double burden. There is so much entrenched poverty, yet few people qualify for mental health services under Medicaid. People with jobs and insurance may also find it difficult to fit mental health services in between family budgets and the limited mental health reimbursement benefits offered by many health plans.” It is also jarring to note that Alabama has fewer mental health providers per capita than any other state in the nation.
The National Alliance on Mental Illness (NAMI) chapters in Alabama also back up the claims that Alabama tends to have worse mental health and less access to care than other states. According to this fact sheet from NAMI, these statistics also took a significant hit during the COVID-19 pandemic as we see that in February 2021, 43% of adults in Alabama reported symptoms of anxiety or depression. The same fact sheet also states that 44,000 Alabama adolescents between the ages of 12-17 have depression, the vast majority of which (61.8%) did not receive any care in the last year. Furthermore, we see that high school students with depression are more than twice as likely to drop out of school than their peers. Finally, we see that in Alabama, 823 lives were lost to suicide and 165,000 adults had thoughts of suicide in the last year. Clearly, there is a mental health crisis in our very own backyards that deserves to be addressed.
Signs of depression
Reproduced from Mental Health First Aid
types of depressive disorders
The following list outlines some of the more common forms of depression. Please note that this is not an exhaustive list and that there are other forms of depression. Consult a mental health provider for further information, diagnosis, and management.
Major Depressive Disorder (MDD):
This is the most common type of depressive disorder. It involves persistent feelings of sadness, hopelessness, and a loss of interest or pleasure in activities. MDD is typically diagnosed when these symptoms persist for at least two weeks.
Seasonal Affective Disorder (SAD):
SAD is a type of depression that follows a seasonal pattern. It typically occurs during the fall and winter months when there is less natural sunlight. Symptoms include low energy, increased sleep, weight gain, and a general feeling of sadness.
Psychotic Depression:
This is a severe form of depression that includes symptoms of psychosis. In addition to the typical symptoms of depression, individuals may experience hallucinations, delusions, and disorganized thinking.
Persistent Depressive disorder (PDD):
Formerly known as dysthymia, PDD is characterized by a long-term, chronic form of depression. Individuals with PDD experience a depressed mood most days for at least two years, along with symptoms such as low self-esteem, poor concentration, and feelings of hopelessness.
Bipolar Disorder:
Although Bipolar Disorder is primarily characterized by mood swings that alternate between episodes of mania and depression, the depressive episodes experienced by individuals with Bipolar Disorder can be severe. During depressive episodes, individuals may feel extremely sad, have a lack of interest in activities, experience changes in appetite and sleep, and have thoughts of death or suicide.
Postpartum Depression (PPD)
PPD occurs in some women after giving birth. It involves feelings of extreme sadness, anxiety, and exhaustion that can interfere with daily functioning. PPD can begin within weeks of delivery and can last for months if left untreated.
What’s the real cause of depression?
Depression, in its many forms, can be caused by a number of variables. From genetics and having a family history of depression in a parent or grandparent, to situational after trauma or heartache, to seasonal during the long winter months- there are so many reasons that one can experience depression or depressive symptoms at any point in their lives.
However, scientists are getting closer to understanding more about the interplay between brain chemistry and experiences that might increase one’s risk for developing depression. It has been posited that certain areas in the brain are more important when it comes to discussing depression, including the amygdala, the hippocampus, and the thalamus. These areas are all important when dealing with emotions and memory, and they play an important role in relaying all kinds of information to the rest of the brain. To learn more about brain studies when it comes to depression, check out this great article from Harvard Medicine.
Myths about depression
Perhaps you’ve also heard some myths about depression…
Here are some common INACCURATE thoughts about what a depressed person might look like or be feeling:
Depressed people are walking around always looking sad or always crying
While they may feel sad and/or irritable more than those who aren’t experiencing depression, a person who is depressed can learn to fake their symptoms. They can certainly also smile, laugh, and “look the part” while hiding their true feelings or only showing them when they are alone. However, if you notice that a loved one isn’t quite as “bubbly” or outgoing as their usual self, perhaps it is best to have an honest conversation with them to find out if something might be going on.
Depressed people just need to be told to cheer up
While I understand the sentiment in being positive and optimistic, depression isn’t simply about being sad. It can come across as overly simplistic or even disrespectful to tell a depressed person to “just cheer up.” Please understand that this is a mental illness that requires treatment and care just like a physical medical condition. Improvement sometimes takes weeks, months, or even years.
Feeling depressed is just a choice
Feeling depressed is unfortunately not a choice- I cannot imagine someone who would willingly choose to feel depressed. In fact, oftentimes it is a condition that completely overcomes any attempts at feeling happy or motivated. Please know that this is not a choice, and that it is important to receive proper care and management to overcome depression.
Which therapy or treatment is good for depression?
Why people avoid treatment for depression
There are many reasons that people would avoid treatment for depression, and unfortunately a lot of these reasons are complicated. Some of these include late diagnosis or inability to recognize symptoms; personal, cultural, and social stigma that exists when it comes to admitting to a mental illness or an emotional imbalance; fear of having to take a medication; inability to find a mental health provider due to cost, accessibility, or time; and the desire to overcome this ailment with self-medication or with time.
It is so important to obtain early treatment for depression. First, it is important to know that your condition can worsen with time if left untreated, and it can affect other areas of your life including your work, your relationship with your family, friends, and peers, your physical well-being, and your self-esteem. Secondly, no one should face this condition alone. It can be very debilitating and overwhelming, and it is important to know that help is always available. Please reach out to a mental health provider to learn more- I commend you for taking the first step towards personal healing!
What type of provider is best for depression?
The short answer for this is: a provider that has experience, knowledge, and that you trust. Whether that is a therapist, a spiritual leader, a life coach, a naturopathic/holistic doctor, a clinical psychologist, a psychiatrist, a social worker, or a medical doctor who treats mental illness- make sure that you find someone that can meet your needs and that you feel comfortable taking this journey with.
I would say this question depends on perhaps three questions: what have you tried, what would you like to try, and how severe are your symptoms? Generally speaking, therapy and treatments for depression can vary depending on the individual's specific needs/wants and the severity of their symptoms. Two commonly recommended approaches for treating depression are psychotherapy and medication. Psychotherapy, such as cognitive-behavioral therapy (CBT), aims to help individuals identify and change negative thought patterns and behaviors that contribute to their depression. It provides tools and strategies to manage symptoms, develop healthier coping mechanisms, and improve overall well-being. Medications, such as antidepressants, can be prescribed by a psychiatrist or a primary care physician to help alleviate symptoms of depression. In some cases, a combination of therapy and medication may be the most effective approach. Additionally, lifestyle modifications, such as regular exercise, a balanced diet, and sufficient sleep, can complement therapy and medication by promoting overall mental and physical well-being. It's crucial for individuals experiencing depression to consult with a mental health professional to determine the most appropriate treatment plan tailored to their unique circumstances.
Is it worth going to therapy for depression?
The short answer once again is yes, absolutely. Aside from the benefits of simply having the freedom to discuss and explore your feelings, thoughts, and struggles in a safe and nonjudgmental setting, some other potential benefits to therapy are understanding the core cause of your depression; learning more about treatment options; finding everyday coping mechanisms; tracking progress; and checking base with a professional who can provide guidance and perspective.
However, it is true that there are people who do not feel comfortable opening up or discussing their feelings for a multitude of reasons. For these individuals, there is always the option to start with medical management first and track progress much as you would when seeing a medical doctor for a physical concern.
Regardless of your preference or decision, it is always good to get started towards your individual path of healing.
How much does a therapist cost in Alabama?
In Alabama, the cost of a mental health provider varies substantially based on your needs and preferences as well as your location. The options range from free services for those of low income/uninsured to private therapy sessions close to $200-300 per session. Usually having health insurance can help with some of those costs, but this isn’t always guaranteed. Fortunately, my services are affordable for all; from the convenience of your home regardless of where you live in Alabama; and accessible. Occasionally, I also send discounts to those subscribed to my website and have monthly promotions based on holidays/events going on.
If you’d like to learn more about additional resources, including free mental health services in your area, check out my blog page discussing this topic. And make sure to subscribe to stay up to date on any new promotions/discounts!
How long do people stay in therapy for depression?
Therapy can take place as often and for as long as you and your provider deem it necessary and desired. This varies substantially from once a year for regular checkups on controlled conditions without any major changes; to two or three times a week for a new, uncontrolled condition. What is most typical is therapy on an ongoing, “as needed” basis until the problem becomes controlled and stable. This can mean once a week for two months, once a month for six months- really it depends on multiple variables, some of which include your schedule, your budget, your symptoms and severity, and your goals. Just know that this schedule is flexible and open to changes as they are needed.
When we start a new medication for depression, we generally recommend that you take this new medication- if it shows improvement and you are tolerating it well- for at least six months. After that, you can discuss with the doctor if continuing the medication is right for you.
How often should I see a therapist?
Just like the previous question, this answer is variable. Make sure that you discuss this with your therapist/provider and that you both come up with a solution that is right for you. The goal is to control your depression and overcome the symptoms, not to make you feel like you are always in therapy or that you are left “without a paddle”.
Is CBT the most effective therapy for depression?
CBT, or cognitive-behavioral therapy, is a very effective method of psychotherapy to manage multiple different mental health concerns, including depression. During CBT sessions, a therapist or mental health provider works collaboratively with the individual to identify and challenge negative or distorted thinking patterns that contribute to their difficulties. These thinking patterns, known as cognitive distortions, can include black-and-white thinking, overgeneralization, and catastrophizing.
CBT helps individuals develop healthier and more realistic ways of thinking by challenging these distorted thoughts and replacing them with more balanced and rational ones. The therapist may also help the person identify and modify maladaptive behaviors or coping strategies that perpetuate their distress.
While CBT is a great tool to use for depression, it certainly is not the only tool that can be used. The question of what the best form of managing depression is has more to do with the cause of the depression, the symptoms and their severity, and the goals of the patient rather than a one-size-fits-all approach. For this reason, it is very important to meet with a mental health provider that can tailor the approach to your specific needs and wants. Medicine today is heading towards a more collaborative approach, where the provider or therapist is guiding the sessions, but not dictating them, and the patient’s input is highly valued and necessary for the ongoing care. Talk to your provider about what approaches you are comfortable with, and they will also offer their recommendations and areas of expertise so that together, you may find the best approach for you.
What is the most effective treatment for anxiety and depression?
As stated above, the most effective treatment for anxiety and depression depends on a lot of factors and will vary from one individual to another. What has been found is that a combination of therapy and medication simultaneously tends to be the most effective treatment for anxiety and depression.
In addition to Cognitive-Behavioral Therapy (CBT) and medication, there are several other effective treatments for depression. These include:
Interpersonal Therapy (IPT): IPT focuses on improving interpersonal relationships and resolving interpersonal issues that may contribute to depression. It helps individuals identify and address difficulties in their relationships, improve communication skills, and enhance their social support network.
Psychodynamic Therapy: This approach explores unconscious patterns and unresolved conflicts from the past that may impact present behavior and emotions.
Person-Centered Therapy: Person-centered therapy emphasizes the importance of providing a supportive and accepting environment, allowing individuals to explore their own thoughts and feelings at their own pace.
Mindfulness-Based Therapies: Mindfulness-based approaches, such as Mindfulness-Based Cognitive Therapy (MBCT) and Mindfulness-Based Stress Reduction (MBSR), incorporate meditation, breathing exercises, and awareness techniques to cultivate present-moment awareness and develop a non-judgmental attitude towards one's thoughts and emotions. These therapies can help individuals better cope with depressive symptoms and reduce the likelihood of relapse.
Exercise and Physical Activity: Regular exercise has been shown to have a positive impact on mood and can help alleviate symptoms of depression. Engaging in activities such as aerobic exercises, strength training, yoga, or even walking can increase endorphin levels, improve sleep, boost self-esteem, and reduce stress
Medications used in treating depression
As stated above, medical management is one effective option for treating depression and anxiety. Unfortunately, an inaccurate negative stigma is associated with taking these medications. Some false beliefs include that antidepressant medications will make you feel like a zombie; that they will wipe away your personality; that there are many sure side-effects; or that they don’t work. The reality is that for the majority of people who take them, these medications are very safe and effective. In fact, for many people, they can be quite life-changing.
Antidepressants work by increasing the amount of serotonin and/or norepinephrine in the brain. These molecules are naturally-occurring in the brain and are responsible for symptoms of happiness, desire, motivation, focus, and energy. It is important to know that antidepressant medications are not addictive/non-habit forming and are generally inexpensive.
Some of the most common antidepressant medications include prozac, zoloft, wellbutrin, or lexapro. According to the CDC, 11% of the US population above the age of 11 take an antidepressant. And approximately 1/3 of those with severe depression are on an antidepressant medication. It is important to discuss this as an option for treating your depression and to learn more about the risks and benefits associated with this treatment.
New research on depression: Promising findings
Research looking into depression is ongoing, with lots of areas for growth. Pharmaceutical trials are looking into more effective medications that take less time to work than the traditional antidepressant. Scientists are also studying the brain to find out more about how depression may work and which areas are involved. New tests are coming out that may allow for personalization of treatment rather than the traditional “trial and error” method we have today. Psychologists are also exploring new treatment modalities and a variety of new therapies that may become as effective or even more effective than modern techniques. The links between diet, exercise, and depression are becoming clearer as we see that a common factor may be inflammation. And finally, naturalistic approaches and Eastern Medicine is becoming more popular in our Western world.
Fortunately, this paints a picture of optimism for those individuals who suffer from depression and also for the loved ones that are sometimes equally affected by this widespread disease.
Depression treatment can save lives
Whether this journey is about you or about a loved one, please know that depression treatment can and does save lives. The most important step is just to get started.
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