How does Talkiatry treat depression?
The first step in treating depression is getting a clinical diagnosis from a qualified mental healthcare professional. Your psychiatrist may ask you questions or recommend additional testing to rule out other causes of your symptoms, like other medical or mental health conditions. While a range of treatment options exist, most forms of depression are best managed with a combination of medication and supportive therapy.
With Talkiatry, you can see a psychiatrist from the comfort of home and you can schedule your first appointment in a matter of days.
Here’s what to expect in your first visit:
Evaluation: During your first visit with a Talkiatry psychiatrist, you’ll get to meet each other and answer questions about your current symptoms, personal history, medical history, and mental health goals. They'll also make sure that virtual treatment at Talkiatry is the best fit for you and what you're feeling.
Diagnosis: Based on the information you’ve shared, your psychiatrist will be able to provide a diagnosis of your condition, if you have one. Getting a diagnosis can feel scary, but it can also feel validating to finally put a name to what you've been experiencing. Your psychiatrist will help you navigate any emotions that come up and work with you on a path to move forward.
Treatment plan: You’ll collaborate with your psychiatrist on the best way to manage your symptoms. If medication is appropriate, you’ll discuss your options, including the benefits and potential side effects of each medication. Your psychiatrist will provide supportive therapy throughout your session, and may also recommend working with one of our therapists. Our therapists partner with our psychiatrists to provide collaborative care.
To get started, take our free online assessment
, to see if Talkiatry is right for you and get matched with a psychiatrist.
Many people with clinical depression will respond to medication as part of their treatment plan. The most common type of medications prescribed for depression are antidepressant medications, which fall into several different categories:
- SSRIs (selective serotonin reuptake inhibitors): including Prozac, Lexapro, Paxil, Zoloft, and Celexa work to increase the level of serotonin in the brain, a chemical messenger (neurotransmitter) which helps regulate mood, emotion, and sleep.
- SNRIs (serotonin-norepinephrine reuptake inhibitors): including Cymbalta, Effexor, Pristiq, and Savella increase the level of both serotonin and another neurotransmitter, norepinephrine, in the brain.
- TCAs (tricyclic antidepressants): including Elavil, Norpramin, Asendin, Silenor, and Tofranil also increase the levels of serotonin and norepinephrine in the brain, but have the potential to affect more body systems than newer SSRIs or SNRIs. These drugs may be an effective option for people whose depression is resistant to other medications, but they come with more side effects.
- Atypical antidepressants: including Wellbutrin, Remeron, and Trintellix work differently than other types of antidepressants, usually with multiple mechanisms of action. They can be effective on their own or in combination with other medications at treating the symptoms of depression.
- MAOIs (monoamine oxidase inhibitors): including Marplan, Nardil, Emsam and Parnate work to prevent the breakdown of serotonin, dopamine, and norepinephrine (natural mood-altering chemicals in your brain).
Most of these medications take several weeks to reach full effectiveness, and not all are appropriate for everyone with depression. That’s why it’s so important to work with a qualified healthcare provider who can respond to the specifics of your condition as well as your body’s response to different treatment options.
Your psychiatrist may additionally recommend supportive therapy (also called “talk therapy") to treat your depression. If your psychiatrist thinks this could be effective for you, we have therapists on staff to work with patients who are seeing our psychiatrists. Talk therapy may help you challenge destructive thought patterns and develop healthy coping skills to manage your depression symptoms.
Cognitive behavioral therapy (CBT)Back to top
is a therapy technique that’s been shown to successfully help treat the symptoms of depression. This short-term, goal-oriented type of talk therapy can help people with depression cultivate in-the-moment problem-solving skills to change thoughts and behaviors.