Depression Counseling Roanoke VA

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.

Ms. Kahlyne Nolde
(540) 343-0004
1115 First Street S.W.
Roanoke, VA
Credentials
Credentials: LCSW
Licensed in Virginia
10 Years of Experience
Problems Served
Addictions/Other (gambling, sex, etc.), Addictions/Substance, Anxiety/Panic Disorders, Bipolar Disorders, Depression, Dissociative Disorders, Self Abuse, Sexual Abuse/Rape, Stress, Trauma/PTSD, Dual Diagnosis, Life Transitions, Personality Disorders, Women
Populations Served
ACOA (Adult Children of Alcoholics), Disabled, Gifted, College Students
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59)

Data Provided by:
Charles H. Holland
(540) 774-4205
P.O. Box 21844
Roanoke, VA
Services
Individual Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Couples Psychotherapy, Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), PostTraumatic Stress Disorder or Acute Trauma Reaction
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: University of Connecticut
Credentialed Since: 1975-02-25

Data Provided by:
Ms. Roxana Navab-Boushehri
(540) 342-1140
Roxana Navab-Boushehri, Inc325 Mountain Avenue SW
Roanoke, VA
Specialties
Depression, Anxiety or Fears, Relationship Issues
Qualification
School: University of Illinois
Year of Graduation: 1989
Years In Practice: 20+ Years
Patient Info
Ethnicity: Any
Gender: Female
Age: Adolescents,Adults,Children
Average Cost
$30 - $40
Payment Methods
Sliding Scale: Yes
Accepts Credit Cards: No
Accepted Insurance Plans: AMERIGROUP

Psychological Health Roanoke
(540) 908-3814
Psychological Health Roanoke2727 Electric Road
Roanoke, VA
Specialties
Elderly Persons Disorders
Qualification
Years In Practice: 30+ Years
Patient Info
Ethnicity: Any
Gender: All
Age: Adults,Elders (65+)
Payment Methods
Sliding Scale: No
Accepted Insurance Plans: Aetna

Susan Boyes
(540) 491-4263
The Manassas Group3635 Manassas Drive
Roanoke, VA
Specialties
Relationship Issues, Depression, Anxiety or Fears
Qualification
School: James Madison University
Year of Graduation: 1986
Years In Practice: 20+ Years
Patient Info
Ethnicity: Any
Gender: All
Age: Children (6 to 10),Adolescents / Teenagers (14 to 19),Adults,Elders (65+)
Average Cost
$70 - $110
Payment Methods
Sliding Scale: No
Accepts Credit Cards: Yes
Accepted Insurance Plans: Aetna

Robert McNamara
(540) 526-2091
Virginia Tech Carilion Research Institute
Roanoke, VA
Services
Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Mood Disorder (e.g., depression, manic-depressive disorder), Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Disorder Diagnosed in Infancy-Adolescence (e.g., ADHD, LD, MR, or Pervasive Devel Disorder), Gender Issues (MenÆs/WomenÆs Issues)
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Children (3-12 yrs.)
Education Info
Doctoral Program: Colorado State University
Credentialed Since: 2010-03-05

Data Provided by:
Clyde P. Evely
(540) 772-0690
3247 Electric Road
Roanoke, VA
Services
Individual Psychotherapy, Psychological Assessment, Disorder Diagnosed in Infancy-Adolescence (e.g., ADHD, LD, MR, or Pervasive Devel Disorder), Problem Related to Abuse or Neglect (e.g., domestic violence, child abuse), 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: University of North Carolina - Chapel Hill
Credentialed Since: 1995-07-10

Data Provided by:
Patricia Leigh Powell
(540) 989-7700
Patricia Leigh Powell, LPC, LMFT Inc1901 Denniston Avenue
Roanoke, VA
Specialties
Relationship Issues, Depression, Anxiety or Fears
Qualification
School: Postmaster Virginia Tech
Year of Graduation: 1988
Years In Practice: 20+ Years
Patient Info
Ethnicity: Any
Gender: All
Age: Children (6 to 10),Adolescents / Teenagers (14 to 19),Adults
Average Cost
$80 - $90
Payment Methods
Sliding Scale: No
Accepts Credit Cards: No
Accepted Insurance Plans: Aetna

Ms. Ellen Arledge
(540) 307-0396
The Manassas Group3635 Manassas Drive
Roanoke, VA
Specialties
Trauma and PTSD, Relationship Issues, Depression
Qualification
School: Catholic University, Washington, DC
Year of Graduation: 1989
Years In Practice: 20+ Years
Patient Info
Ethnicity: Any, Latino
Gender: All
Age: Adults
Average Cost
$90 - $90
Payment Methods
Sliding Scale: No
Accepts Credit Cards: Yes
Accepted Insurance Plans: Aetna

Ms. Sarah Eggleston
Sarah F. Eggleston, LCSW
(703) 532-4504
500 N. Washington St., Ste 101
Falls Church, VA
Credentials
Credentials: LCSW
Licensed in Virginia
30 Years of Experience
Problems Served
Adoption/Foster Care, Couple or Marital Issues, Depression, Grief/Loss, Interpersonal Relationships, Parenting Issues
Membership Organizations
HelpPro.com
Age Groups Served
Children (6-12), Adolescents (13-17), Young Adults (18-25), Adults (26-59)

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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