Depression Counseling Lawton OK

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.

Allison C. Howe-McNeil
(580) 585-5713
Lawton/Ft. Sill VA Outpatient Clinic
Fort Sill, OK
Services
Individual Psychotherapy, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Mood Disorder (e.g., depression, manic-depressive disorder), PostTraumatic Stress Disorder or Acute Trauma Reaction, Problem Related to Abuse or Neglect (e.g., domestic violence, child abuse)
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: University of Connecticut
Credentialed Since: 1993-08-06

Data Provided by:
Ms. Vivian Gentz
Vivian Gentz, LCSW
(918) 742-0700
5509 S. Lewis
Tulsa, OK
Credentials
Credentials: LCSW
Licensed in Oklahoma
32 Years of Experience
Problems Served
Anxiety/Panic Disorders, Behavioral Problems, Couple or Marital Issues, Depression, Grief/Loss, Interpersonal Relationships, Parenting Issues, Education/Personal Development, Life Transitions, Women's Issues, Infant Mental Health
Membership Organizations
HelpPro.com
Age Groups Served
Preschool (Under 6), Children (6-12), Adolescents (13-17), Young Adults (18-25), Adults (26-59), Seniors (60 +)

Data Provided by:
Dr. Cynthia Repanshek
Poyner Psychological Services
(405) 741-2844
14453 SE 29th Street Suite D
Choctaw, OK
Credentials
Credentials: Psy.D
Licensed in Oklahoma
Problems Served
Anxiety/Panic Disorders, Depression, Infertility
Membership Organizations
HelpPro.com

Data Provided by:
Cynthia Gustafson Repanshek
(405) 741-2844
14453 SE 29th St
Choctaw, OK
Services
Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Individual Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Psychological Assessment, Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob)
Ages Served
Children (3-12 yrs.)
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Argosy University - Washington, DC
Credentialed Since: 2010-03-30

Data Provided by:
Mr. Chad McKnight
Chad McKnight, LCSW
(405) 604-0657
4200 Perimeter Center Suite 245
Oklahoma City, OK
Credentials
Credentials: LCSW
Licensed in Oklahoma
19 Years of Experience
Problems Served
Addictions/Substance, Anxiety/Panic Disorders, Bipolar Disorders, Couple or Marital Issues, Depression, Interpersonal Relationships, Pain Management
Populations Served
ACOA (Adult Children of Alcoholics), Children of Divorce, Step Families, Chronic Illness
Membership Organizations
HelpPro.com
Age Groups Served
Adolescents (13-17), Young Adults (18-25), Adults (26-59)

Data Provided by:
Ms. Phyllis Nunoo-Williams
Phyllis Nunoo-Williams, MSW, LCSW
(405) 741-1591
7901 N.E. 10th Street, Suite B202
Midwesr City, OK
Credentials
Credentials: LCSW
Licensed in Oklahoma
25 Years of Experience
Problems Served
Anxiety/Panic Disorders, Bipolar Disorders, Depression, Domestic Violence, Multicultural Issues, Sexual Abuse/Rape, Women's Issues
Populations Served
ACOA (Adult Children of Alcoholics), Caregivers
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59)

Data Provided by:
Ms. K. Marlow
K. RENEE MARLOW
(918) 749-6838
2123 S. Atlanta Place Suite 125
Tulsa, OK
Credentials
Credentials: LCSW
Licensed in Oklahoma
32 Years of Experience
Problems Served
Addictions/Substance, Anxiety/Panic Disorders, Attention Deficit (Hyperactivity) Disorder, Behavioral Problems, Couple or Marital Issues, Depression, Dissociative Disorders, Family Dysfunction, Grief/Loss, Interpersonal Relationships, Sexual Abuse/Rape, St
Populations Served
ACOA (Adult Children of Alcoholics), Children of Divorce, Caregivers, Gifted, Obese or Overweight
Membership Organizations
HelpPro.com
Age Groups Served
Children (6-12), Adolescents (13-17), Young Adults (18-25), Adults (26-59)

Data Provided by:
Mr. Taylor Burns
Taylor Burns,LCSW
(918) 760-9796
5215 East 71st Street Suite 1300
Tulsa, OK
Credentials
Credentials: LCSW
Licensed in Oklahoma
21 Years of Experience
Problems Served
Addictions/Other (gambling, sex, etc.), Addictions/Substance, Adoption/Foster Care, Behavioral Problems, Career/Employment Concerns, Couple or Marital Issues, Depression, Domestic Violence, Family Dysfunction, Grief/Loss, Interpersonal Relationships, Multi
Populations Served
ACOA (Adult Children of Alcoholics), Children of Divorce, Gay/Lesbian/Bisexual, Transgendered, Step Families, Interracial Families/Couples, Biracial
Membership Organizations
HelpPro.com
Age Groups Served
Adolescents (13-17), Young Adults (18-25), Adults (26-59)

Data Provided by:
Mrs. Rachelle Hardin-Moniz
Helpful Connections
(405) 290-1484
1800 N. Interstate Dr. Suite 127
Norman, OK
Credentials
Credentials: LCSW
Licensed in Oklahoma
30 Years of Experience
Problems Served
Anxiety/Panic Disorders, Bipolar Disorders, Depression, Psychoses/Major Mental Illness, Women's Issues
Populations Served
ACOA (Adult Children of Alcoholics), Children of Divorce, Disabled, Caregivers, Step Families, Obese or Overweight
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59)

Data Provided by:
Ms. Debra Saltzman
(405) 366-6068
2420 Springer Dr. Suite 215
Norman, OK
Credentials
Credentials: MSW, LCSW
Licensed in Oklahoma
30 Years of Experience
Problems Served
Anxiety/Panic Disorders, Depression, Interpersonal Relationships, Trauma/PTSD
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59), Seniors (60 +)

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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