Depression Counseling Juneau AK

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.

Edwin (Ben) Crawford
(907) 746-1149
P.O. Box 4646
Palmer, AK
Services
Individual Psychotherapy, Personality Disorder (e.g., borderline, antisocial), Mood Disorder (e.g., depression, manic-depressive disorder), PostTraumatic Stress Disorder or Acute Trauma Reaction, Group Psychotherapy
Ages Served
Children (3-12 yrs.)
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Education Info
Doctoral Program: Loyola University of Chicago
Credentialed Since: 1991-08-12

Data Provided by:
Siegfried A. Fink
688 Chena Ridge Rd
Fairbanks, AK
Services
Psychological Assessment, Forensic Evaluation (e.g., mental competency evaluation), Mood Disorder (e.g., depression, manic-depressive disorder), Child Custody Evaluation, Personality Disorder (e.g., borderline, antisocial)
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Children (3-12 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: West Cons Bapt Sem
Credentialed Since: 1985-09-04

Data Provided by:
Rick A. Graber
(907) 644-8044
18538 Snowy Plover Cir
Anchorage, AK
Services
Psychological Assessment, Individual Psychotherapy, Couples Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder)
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: University of New Mexico
Credentialed Since: 1992-09-24

Data Provided by:
Jennifer Beathe
(907) 272-0855
2550 Denali Street
Anchorage, AK
Services
PostTraumatic Stress Disorder or Acute Trauma Reaction, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Mood Disorder (e.g., depression, manic-depressive disorder), Substance-Related Disorder (e.g., abuse or dependency involving drug/alcohol)
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: The Wright Institute
Credentialed Since: 2009-09-11

Data Provided by:
Franklyn L. Nelson
(907) 458-0088
250 Cushman St
Fairbanks, AK
Services
Individual Psychotherapy, Personality Disorder (e.g., borderline, antisocial), PostTraumatic Stress Disorder or Acute Trauma Reaction, Mood Disorder (e.g., depression, manic-depressive disorder), Substance-Related Disorder (e.g., abuse or dependency involving drug/alcohol)
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Alliant International University - Los Angeles
Credentialed Since: 1984-09-14

Data Provided by:
Nami Juneau
(907) 523-2954
Juneau, AK
 
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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