Depression Counseling Pikeville KY

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.

Roger Coleman
(859) 428-8943
Therapeutic Counseling Services384384 North Mayo Trail
Pikeville, KY
Specialties
Depression, Anxiety or Fears, Anger Management, Dissociative Disorders
Qualification
Years In Practice: 15+ Years
Patient Info
Ethnicity: Any
Gender: All
Payment Methods
Sliding Scale: Yes
Accepts Credit Cards: No
Accepted Insurance Plans: Aetna

Andrea Dawn Evans
(606) 329-9333
207 16th Street Ste 301
Ashland, KY
Services
Mood Disorder (e.g., depression, manic-depressive disorder), Disability Determination or Worker Compensation Evaluation, Psychological Assessment, Personality Disorder (e.g., borderline, antisocial), Biofeedback
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Forest Institute of Professional Psychology
Credentialed Since: 2008-01-09

Data Provided by:
Mark John Hovee
(606) 297-7315
P.O. Box 51
Paintsville, KY
Services
Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Mood Disorder (e.g., depression, manic-depressive disorder), Personality Disorder (e.g., borderline, antisocial), PostTraumatic Stress Disorder or Acute Trauma Reaction
Ages Served
Children (3-12 yrs.)
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: George Fox University
Credentialed Since: 2008-06-19

Data Provided by:
Linda A. Soucek
(502) 423-9509
8139 New Lagrange Rd.
Louisville, KY
Services
Mood Disorder (e.g., depression, manic-depressive disorder), Individual Psychotherapy, Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Couples Psychotherapy
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Spalding University
Credentialed Since: 2001-01-08

Data Provided by:
Robert Sivley
270-886-5163x23
Pennyroyal Mtl Hlth Ctr
Hopkinsville, KY
Services
Mood Disorder (e.g., depression, manic-depressive disorder), Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Individual Psychotherapy, Forensic Evaluation (e.g., mental competency evaluation), Clinical Neuropsychological Assessment
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Spalding University
Credentialed Since: 2002-02-07

Data Provided by:
Joseph F. Edwards
(502) 425-5422 ext 601
1300 Clear Springs Trace
Louisville, KY
Services
Individual Psychotherapy, Psychological Assessment, Family Psychotherapy, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Mood Disorder (e.g., depression, manic-depressive disorder)
Ages Served
Children (3-12 yrs.)
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Education Info
Doctoral Program: Spalding University
Credentialed Since: 1995-12-01

Data Provided by:
Raymond D. Martorano
(859) 259-9710
637 Sayre Avenue
Lexington, KY
Services
Substance-Related Disorder (e.g., abuse or dependency involving drug/alcohol), Family Psychotherapy, Individual Psychotherapy, Disorder Diagnosed in Infancy-Adolescence (e.g., ADHD, LD, MR, or Pervasive Devel Disorder), Mood Disorder (e.g., depression, manic-depressive disorder)
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: Rutgers, The State University of New Jersey
Credentialed Since: 1993-08-13

Data Provided by:
Ms. Dona Airey
Anodon, Inc Dona J. Airey
(502) 420-9911
Transforming Within 408 Virginia Ave.
Louisville, KY
Credentials
Credentials: LCSW, ACSW,
Licensed in Kentucky
20 Years of Experience
Problems Served
Anxiety/Panic Disorders, Couple or Marital Issues, Depression, Dissociative Disorders, Family Dysfunction, Grief/Loss, Interpersonal Relationships, Pain Management, Parenting Issues, Phobias, Stress, Trauma/PTSD, Education/Personal Development, Dual Diagno
Populations Served
Children of Divorce, Caregivers, Step Families, Chronic Illness
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59), Seniors (60 +)

Data Provided by:
Sally McLaren
(270) 223-0451
P.O. Box 746
Franklin, KY
Services
Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Couples Psychotherapy, Individual Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Problem Related to Abuse or Neglect (e.g., domestic violence, child abuse)
Ages Served
Adults (18-64 yrs.)
Education Info
Doctoral Program: Oklahoma State University
Credentialed Since: 2004-08-16

Data Provided by:
James Thomas Davis
(859) 301-5900
Behav Hlth Ctr-St. Elizabeth Healthcare
Edgewood, KY
Services
Problem Related to Abuse or Neglect (e.g., domestic violence, child abuse), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Mood Disorder (e.g., depression, manic-depressive disorder), Personality Disorder (e.g., borderline, antisocial), Clinical Neuropsychological Assessment
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: Wright St U
Credentialed Since: 1994-04-25

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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