Depression Counseling Sturgis MI

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.

Deborah G. Harms
(248) 258-5102
625 Purdy
Birmingham, MI
Services
Individual Psychotherapy, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Couples Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Psychoanalysis
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: University of Detroit Mercy
Credentialed Since: 1987-12-11

Data Provided by:
Ms. Pamela Manela
Pamela Manela, LMSW, PLLC (ACSW, LMFT)
(248) 593-1717
32270 Telegraph Rd. Suite 240
Bingham Farms, MI
Credentials
Credentials: LMSW-CM, LMFT, ACSW, DCSW, SSW
Licensed in Michigan
30 Years of Experience
Problems Served
Aging, Attention Deficit (Hyperactivity) Disorder, Behavioral Problems, Bipolar Disorders, Career/Employment Concerns, Couple or Marital Issues, Depression, Developmental Disability, Family Dysfunction, Grief/Loss, Interpersonal Relationships, Learning Dis
Populations Served
Children of Divorce, Disabled, Immigrants/Refugees, Caregivers, Step Families, Chronic Illness, Interracial Families/Couples, Grandparents, College Students, Diabetes
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:
Irene T. Mann
(269) 353-3063
5360 Holiday Terr
Kalamazoo, MI
Services
Individual Psychotherapy, Couples Psychotherapy, 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)
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Michigan State University
Credentialed Since: 1986-02-10

Data Provided by:
Gary Wautier
(906) 225-3985
580 W. College Ave.
Marquette, MI
Services
Family Psychotherapy, Psychoeducational Evaluation, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Mood Disorder (e.g., depression, manic-depressive disorder), Psychopharmacology
Ages Served
Children (3-12 yrs.)
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: University of Detroit Mercy
Credentialed Since: 2005-01-21

Data Provided by:
Ms. Michele Gustafson
Hillside Center for Behavioral Services
(810) 424-2400
8435 Holly Rd.
Grand Blanc, MI
Credentials
Credentials: LMSW, DCSW
Licensed in Michigan
29 Years of Experience
Problems Served
Anxiety/Panic Disorders, Bipolar Disorders, Depression, Eating Disorders, Family Dysfunction, Grief/Loss, Interpersonal Relationships, Phobias, Self Abuse, Sexual Abuse/Rape, Spiritual/Religious Concerns, Stress, Trauma/PTSD, Education/Personal Development
Populations Served
ACOA (Adult Children of Alcoholics), Gay/Lesbian/Bisexual, Military/Veterans, Caregivers, Step Families, Chronic Illness, Grandparents, College Students
Membership Organizations
HelpPro.com
Age Groups Served
Adolescents (13-17), Young Adults (18-25), Adults (26-59), Seniors (60 +)

Data Provided by:
Mrs. Barbara Nickel
Barbara Nickel, LMSW, ACSW, PLLC
(248) 892-7401
27620 Farmington Road Suite 208
Farmington Hills, MI
Credentials
Credentials: LMSW, ACSW
Licensed in Michigan
20 Years of Experience
Problems Served
Addictions/Substance, Bipolar Disorders, Depression, Eating Disorders, Interpersonal Relationships, Parenting Issues, Stress
Populations Served
ACOA (Adult Children of Alcoholics), Children of Divorce, Chronic Illness, Obese or Overweight, College Students
Membership Organizations
HelpPro.com
Age Groups Served
Children (6-12), Adolescents (13-17), Young Adults (18-25), Adults (26-59)

Data Provided by:
Patrick Triggiano
(906) 932-1500
N10565 Grand View Lane
Ironwood, MI
Services
Mood Disorder (e.g., depression, manic-depressive disorder), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Individual Psychotherapy, Behavioral Health Intervention involving Medical Conditions/Disorder, Couples Psychotherapy
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: U Wisc, Madison
Credentialed Since: 2009-05-19

Data Provided by:
Ms. Elizabeth Moberg
Catholic Social Services of the Upper Pennisula
(906) 786-7212
1100 Ludington St., Suite 401
Escanaba, MI
Credentials
Credentials: LMSW, QCSW, CAAC
Licensed in Michigan
Problems Served
Anxiety/Panic Disorders, Behavioral Problems, Depression, Parenting Issues, Stress
Populations Served
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:
Mrs. Bernadette Ryan
Harbor Psychological Associates
(231) 726-2299
1148 Fourth St
Muskegon, MI
Credentials
Credentials: MA,LLP,LPC
Licensed in Michigan
16 Years of Experience
Problems Served
Anxiety/Panic Disorders, Behavioral Problems, Couple or Marital Issues, Depression, Family Dysfunction, Grief/Loss, Interpersonal Relationships, Stress, Life Transitions, Women's Issues
Populations Served
ACOA (Adult Children of Alcoholics), Children of Divorce, Step Families
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59)

Data Provided by:
Patricia A. Dwyer
(734) 458-2406
38121 Plymouth Road
Livonia, MI
Services
Individual Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob)
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Wayne State University
Credentialed Since: 1986-06-11

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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