Depression Counseling La Follette TN

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.

Tracy McKee Agostin
(901) 756-8398
8134 Country Village Drive
Cordova, TN
Services
Mood Disorder (e.g., depression, manic-depressive disorder), Disorder Diagnosed in Infancy-Adolescence (e.g., ADHD, LD, MR, or Pervasive Devel Disorder), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Individual Psychotherapy
Ages Served
Adolescents (13-17 yrs.)
Children (3-12 yrs.)
Education Info
Doctoral Program: University of Southern Mississippi
Credentialed Since: 2008-03-17

Data Provided by:
Mr. Larry Rose
Appalachian Family Outreach
(423) 542-4245
2600 State Line Road
Elizabethton, TN
Credentials
Credentials: LCSW
Licensed in Tennessee
30 Years of Experience
Problems Served
Adoption/Foster Care, Child Abuse and Neglect, Depression, Interpersonal Relationships, Parenting Issues, Spiritual/Religious Concerns, Stress, Life Transitions
Populations Served
Children of Divorce, Step Families
Membership Organizations
HelpPro.com
Age Groups Served
Children (6-12), Adolescents (13-17), Young Adults (18-25), Adults (26-59)

Data Provided by:
Sarah W. Penegar
(865) 691-5949
9724 Kingston Pike, Suite 502
Knoxville, TN
Services
Individual Psychotherapy, Personality Disorder (e.g., borderline, antisocial), Mood Disorder (e.g., depression, manic-depressive disorder)
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Children (3-12 yrs.)
Infants (0-2 yrs.)
Education Info
Doctoral Program: University of Tennessee
Credentialed Since: 1991-05-07

Data Provided by:
Jack M. Barlow
(423) 546-0447
505 Booth St
Knoxville, TN
Services
Individual Psychotherapy, Couples Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Personality Disorder (e.g., borderline, antisocial)
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Older adults (65 yrs. or older)
Children (3-12 yrs.)
Education Info
Doctoral Program: University of Tennessee
Credentialed Since: 1975-02-16

Data Provided by:
William Max Grisham
(901) 850-1586
671 Antebellum Cove
Collierville, TN
Services
Individual Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Couples Psychotherapy, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder)
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: University of Mississippi
Credentialed Since: 1988-11-07

Data Provided by:
Edward A. Wise
(901) 682-6136
Mental Hlth Resources, PLLC
Memphis, TN
Services
Psychological Assessment, Individual Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Behavioral Health Intervention involving Medical Conditions/Disorder, Personality Disorder (e.g., borderline, antisocial)
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: U Wyoming
Credentialed Since: 1982-05-10

Data Provided by:
Kendra Gray
(615) 269-6496
4015 Hillsboro Pike
Nashville, TN
Services
Eating Disorder (e.g., compulsive eating, anorexia, bulimia), Mood Disorder (e.g., depression, manic-depressive disorder), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Individual Psychotherapy, PostTraumatic Stress Disorder or Acute Trauma Reaction
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: Auburn University
Credentialed Since: 2007-04-26

Data Provided by:
L. Michael Sherrod
(865) 691-2425
L. MICHAEL SHERROD, PH.D., P.C.
Knoxville, TN
Services
Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Mood Disorder (e.g., depression, manic-depressive disorder), Substance-Related Disorder (e.g., abuse or dependency involving drug/alcohol), Health Services Consultation to Business or Organizations
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Texas Tech U
Credentialed Since: 1983-01-03

Data Provided by:
James E. Davis
(615) 648-4811
1854 Memorial Dr
Clarksville, TN
Services
Individual Psychotherapy, Family Psychotherapy, 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: Tenn St U
Credentialed Since: 1996-08-15

Data Provided by:
Roy E. Hutton
(615) 383-8944
1901 Acklen Avenue
Nashville, TN
Services
PostTraumatic Stress Disorder or Acute Trauma Reaction, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Couples Psychotherapy, Family Psychotherapy, 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: George Peabody College of Vanderbilt University
Credentialed Since: 1989-04-17

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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