Depression Counseling Haleyville AL

Although numerous trials attest to St. John’s wort's efficacy for mild depression, sometimes even prescription antidepressants lose their effectiveness and require a higher dose. Read on for more information.

Dr. Gayle Janzen
Cahaba Psychology Center
(205) 403-0955
2 Riverchase Office Plaza Suite115
Birmingham, AL
Credentials
Credentials: Ph.D.
Licensed in Alabama
29 Years of Experience
Problems Served
Aging, Anxiety/Panic Disorders, Couple or Marital Issues, Depression, Eating Disorders, Grief/Loss, Interpersonal Relationships, Phobias, Sexual Abuse/Rape, Stress, Life Transitions, Women's Issues
Populations Served
ACOA (Adult Children of Alcoholics), Children of Divorce, Caregivers, Step Families
Membership Organizations
HelpPro.com
Age Groups Served
Adolescents (13-17), Young Adults (18-25), Adults (26-59), Seniors (60 +)

Data Provided by:
Julie Erin McDonald
(205) 822-7348
400 Vestavia Parkway
Birmingham, AL
Services
PostTraumatic Stress Disorder or Acute Trauma Reaction, Mood Disorder (e.g., depression, manic-depressive disorder), Behavioral Health Intervention involving Medical Conditions/Disorder, Couples Psychotherapy, Psychoeducational Evaluation
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: University of Alabama - Birmingham
Credentialed Since: 2005-07-12

Data Provided by:
Randal K. Burleson
(256) 535-3100
1309 Aldridge Drive
Huntsville, AL
Services
Mood Disorder (e.g., depression, manic-depressive disorder), Psychological Assessment, Couples Psychotherapy, Individual Psychotherapy
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Florida Institute of Technology
Credentialed Since: 1995-03-02

Data Provided by:
Richard Edison Beth
(205) 871-3919
1800 Providence Park
Birmingham, AL
Services
PostTraumatic Stress Disorder or Acute Trauma Reaction, Individual Psychotherapy, Hypnosis or Hypnotherapy, Psychological Assessment, Mood Disorder (e.g., depression, manic-depressive disorder)
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: University of Alabama - Birmingham
Credentialed Since: 2001-04-23

Data Provided by:
Ruth Ann Lyman
(205) 912-2000
3 Office Park Circle
Mountain Brook, AL
Services
Individual Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Couples Psychotherapy
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: University of Alabama - Tuscaloosa
Credentialed Since: 1975-02-24

Data Provided by:
Paul W. Davis
(205) 758-7343
P.O. Box 1046
Northport, AL
Services
Individual Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), PostTraumatic Stress Disorder or Acute Trauma Reaction, Stress Management or Pain Management
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Children (3-12 yrs.)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: University of North Carolina - Chapel Hill
Credentialed Since: 1997-04-01

Data Provided by:
Harvey N. Switzky
(815) 758-8478
409 Santa Rosa Ave
Daphne, AL
Services
Family Psychotherapy, Forensic Evaluation (e.g., mental competency evaluation), Behavioral Health Intervention involving Medical Conditions/Disorder, Mood Disorder (e.g., depression, manic-depressive disorder), Disorder Diagnosed in Infancy-Adolescence (e.g., ADHD, LD, MR, or Pervasive Devel Disorder)
Ages Served
Infants (0-2 yrs.)
Children (3-12 yrs.)
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Education Info
Doctoral Program: Brown U
Credentialed Since: 1999-11-29

Data Provided by:
Cynthia C. Bisbee
(334) 281-8344
484 Farmington Lane
Pike Road, AL
Services
Health Services Consultation to Business or Organizations, Schizophrenia or other Psychotic Disorder, Mood Disorder (e.g., depression, manic-depressive disorder)
Education Info
Doctoral Program: Auburn University
Credentialed Since: 1979-08-06

Data Provided by:
Jesse B. Milby
(205) 934-8723
172 Peachtree Circle
Birmingham, AL
Services
Substance-Related Disorder (e.g., abuse or dependency involving drug/alcohol), PostTraumatic Stress Disorder or Acute Trauma Reaction, Mood Disorder (e.g., depression, manic-depressive disorder), Forensic Evaluation (e.g., mental competency evaluation)
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: University of Alabama - Tuscaloosa
Credentialed Since: 1996-08-30

Data Provided by:
James A. Briley
(205) 854-1864
1809 9th St. N.W.
Birmingham, AL
Services
Individual Psychotherapy, PostTraumatic Stress Disorder or Acute Trauma Reaction, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Mood Disorder (e.g., depression, manic-depressive disorder)
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Children (3-12 yrs.)
Education Info
Doctoral Program: University of Alabama - Tuscaloosa
Credentialed Since: 1978-04-24

Data Provided by:
Data Provided by:

Depression

Provided by: 

by Dan Lukaczer, ND

Q I’ve taken St. John’s wort for the past few years, and it seemed to help. But recently I’ve experienced the same issues with depression I was having before. The St. John’s wort seems to have lost effectiveness. Any suggestions?

A There is a lot we don’t know about St. John’s wort (Hypericum perfolatum).
Although numerous trials attest to its efficacy for mild depression, I’m not aware of any studies that have followed patients long term—as in years. So we are left a bit on our own. I do have a few suggestions. To begin, sometimes even prescription antidepressants lose their effectiveness and require a higher dose. How much St. John’s wort have you been taking? I generally recommend 900 mg of a standardized extract.

Next, have you changed your medication routine? A number of other medications such as many oral contraceptives and some antibiotics, notably tetracycline, can both influence and be influenced by St. John’s wort. In addition, interactions undoubtedly exist between St. John’s wort and other medications that researchers don’t know about. Make a careful check of other prescription and nonprescription medications you’ve changed recently.

Last, have you changed the brand? Sticking to a brand you trust that uses a standardized extract is important. If you’re still using the same brand, check a new bottle against an old one and see if the formulation has changed (or, if you don’t have an old bottle, contact the company and ask if it changed anything).

With the warnings hitting the news about prescription antidepressants, you should take a careful look at these issues and see if you can uncover some clue as to what went wrong. St. John’s wort seemed to work well for you, and it’s possible it could do so again.

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