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.

Victor A. Pestrak
(615) 859-6403
833-B Wren Rd
Goodlettsville, TN
Services
Psychological Assessment, Individual Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Forensic Evaluation (e.g., mental competency evaluation), Couples Psychotherapy
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: New Mexico State University
Credentialed Since: 1992-03-12

Data Provided by:
Frances M. Lockwood
(731) 668-2277
367B N. Parkway, Ste. 1
Jackson, TN
Services
Individual Psychotherapy, Play Therapy, Disorder Diagnosed in Infancy-Adolescence (e.g., ADHD, LD, MR, or Pervasive Devel Disorder), Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Mood Disorder (e.g., depression, manic-depressive disorder)
Ages Served
Children (3-12 yrs.)
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: University of Tennessee
Credentialed Since: 1975-02-26

Data Provided by:
Catherine Capelli
(615) 217-4432
1138 Dow Street
Murfreesboro, TN
Services
Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Eating Disorder (e.g., compulsive eating, anorexia, bulimia), Individual Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder)
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: University of Southern Mississippi
Credentialed Since: 2004-08-31

Data Provided by:
Floyd L. Covey
(901) 854-9030
PO Box 69
Collierville, TN
Services
Mood Disorder (e.g., depression, manic-depressive disorder), Couples Psychotherapy, Family Psychotherapy, Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Individual Psychotherapy
Ages Served
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: U Memphis
Credentialed Since: 1992-10-01

Data Provided by:
Mrs. Amanda Godin
A.G. Counseling
(423) 637-0499
1400 McCallie Ave Suite 112
Chattanooga, TN
Credentials
Credentials: LCSW
Licensed in Tennessee
5 Years of Experience
Problems Served
Aging, Depression
Populations Served
AIDS/HIV+, Obese or Overweight
Membership Organizations
HelpPro.com
Age Groups Served
Children (6-12), Adolescents (13-17), Young Adults (18-25), Adults (26-59), Seniors (60 +)

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:
Susan J. Stalgaitis
(865) 691-2425
9217 Park West Boulevard
Knoxville, TN
Services
Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Mood Disorder (e.g., depression, manic-depressive disorder), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Couples Psychotherapy, Stress Management or Pain Management
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: U Memphis
Credentialed Since: 1985-09-23

Data Provided by:
William F. Mealer
(901) 487-4788
5668 Rex Rd S, Ste 101
Memphis, TN
Services
Substance-Related Disorder (e.g., abuse or dependency involving drug/alcohol), Individual Psychotherapy, Couples Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), PostTraumatic Stress Disorder or Acute Trauma Reaction
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Tenn St U
Credentialed Since: 1994-12-02

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:
Jane S. Cox
(901) 372-9133
5154 Stage Road
Memphis, TN
Services
Individual Psychotherapy, PostTraumatic Stress Disorder or Acute Trauma Reaction, Mood Disorder (e.g., depression, manic-depressive disorder), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Behavioral Health Intervention involving Medical Conditions/Disorder
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: 1984-03-13

Data Provided by:
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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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