Depression Counseling Orangevale CA

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. Marilynn Irvine
Marilynn S. Irvine, Ph.D.
(916) 962-0218
4112 Pennsylvania Avenue
Fair Oaks, CA
Credentials
Credentials: Ph.D., MFT
Licensed in California
31 Years of Experience
Problems Served
Aging, Anxiety/Panic Disorders, Bipolar Disorders, Career/Employment Concerns, Child Abuse and Neglect, Couple or Marital Issues, Depression, Dissociative Disorders, Family Dysfunction, Grief/Loss, Interpersonal Relationships, Parenting Issues, Physical Il
Populations Served
ACOA (Adult Children of Alcoholics), Children of Divorce, Gay/Lesbian/Bisexual, Military/Veterans, Caregivers, Step Families, Gifted, Chronic Illness, Cancer Patients, Interracial Families/Couples, Biracial, Grandparents, Obese or Overweight, College Stude
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:
Julia D. Lucas
(916) 813-8844
2412 Professional Drive
Roseville, CA
Services
Individual Psychotherapy, Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Couples 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.)
Adolescents (13-17 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: George Washington University
Credentialed Since: 1979-07-09

Data Provided by:
Georgia B. Bland
(916) 525-6019
Kaiser Permanente Dept. of Psychiatry
Sacramento, CA
Services
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, Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Problem Related to Abuse or Neglect (e.g., domestic violence, child abuse)
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Children (3-12 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: St. Louis University
Credentialed Since: 1992-07-02

Data Provided by:
Ms. Merrill Powers
Merrill Powers, MSW, LCSW, A Professional Corporation
(530) 852-5066
991 Lincoln Way
Auburn, CA
Credentials
Credentials: MSW, LCSW
Licensed in California
17 Years of Experience
Problems Served
Anxiety/Panic Disorders, Attention Deficit (Hyperactivity) Disorder, Behavioral Problems, Child Abuse and Neglect, Couple or Marital Issues, Depression, Family Dysfunction, Interpersonal Relationships, Parenting Issues, Self Abuse, Sexual Abuse/Rape, Stres
Populations Served
ACOA (Adult Children of Alcoholics), Children of Divorce, Military/Veterans, Step Families, Gifted, Interracial Families/Couples, Grandparents
Membership Organizations
HelpPro.com
Age Groups Served
Children (6-12), Adolescents (13-17), Young Adults (18-25), Adults (26-59)

Data Provided by:
Leslie Davis
(916) 512-1868
Leslie Davis, MFT9700 Fair Oaks Blvd. Ste J
Fair Oaks, CA
Specialties
Anxiety or Fears, Depression, Relationship Issues, Bipolar Disorder
Qualification
School: National University
Year of Graduation: 1995
Years In Practice: 15+ Years
Patient Info
Ethnicity: Any
Gender: All
Age: Adults
Average Cost
$60 - $120
Payment Methods
Sliding Scale: Yes
Accepts Credit Cards: No

Genevieve Reilley
(916) 962-2978
P.O. Box 0183
Fair Oaks, CA
Services
Gender Issues (MenÆs/WomenÆs Issues), Disorder Diagnosed in Infancy-Adolescence (e.g., ADHD, LD, MR, or Pervasive Devel Disorder), Clinical Neuropsychological Assessment, Mood Disorder (e.g., depression, manic-depressive disorder), Clinical Neuropsychological Intervention
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Adolescents (13-17 yrs.)
Children (3-12 yrs.)
Education Info
Doctoral Program: University of Nevada - Reno
Credentialed Since: 1985-08-20

Data Provided by:
Michael R. Erickson
(916) 565-1500
10 Fullerton Ct, Ste 103
Sacramento, CA
Services
Disability Determination or Worker Compensation Evaluation, Individual Psychotherapy, Stress Management or Pain Management, Mood Disorder (e.g., depression, manic-depressive disorder)
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: University of Oregon
Credentialed Since: 1977-05-19

Data Provided by:
Ms. Carol Lee
Carol M. Lee, LCSW
(530) 888-6488
144 Oakwood Drive
Auburn, CA
Credentials
Credentials: LCSW
Licensed in California
29 Years of Experience
Problems Served
Aging, Anxiety/Panic Disorders, Couple or Marital Issues, Depression, Family Dysfunction, Grief/Loss, Interpersonal Relationships, Physical Illness/Impairment, Stress, Trauma/PTSD, Life Transitions, Neurological, Women's Issues
Populations Served
Disabled, Caregivers, Chronic Illness, Cancer Patients, Brain/Head Injured
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59), Seniors (60 +)

Data Provided by:
India Fleming
(916) 681-1600
MHS Family Practice Res Meth Hosp
Sacramento, CA
Services
Mood Disorder (e.g., depression, manic-depressive disorder), Behavioral Health Intervention involving Medical Conditions/Disorder, PostTraumatic Stress Disorder or Acute Trauma Reaction, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Stress Management or Pain Management
Ages Served
Adults (18-64 yrs.)
Children (3-12 yrs.)
Adolescents (13-17 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: University of Maryland - College Park
Credentialed Since: 1992-08-14

Data Provided by:
Mary Guzik
(916) 226-9761
5050 Sunrise Blvd.
Fair Oaks, CA
Specialties
Relationship Issues, Anger Management, Depression
Qualification
School: California State University at Sacramento
Year of Graduation: 1999
Years In Practice: 10+ Years
Patient Info
Ethnicity: Any
Gender: All
Age: Adolescents / Teenagers (14 to 19),Adults,Elders (65+)
Average Cost
$50 - $120
Payment Methods
Sliding Scale: Yes
Accepts Credit Cards: Yes
Accepted Insurance Plans: Out of Network

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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