Depression Counseling Washington DC

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.

Loren T. Wilkenfeld
(202) 461-7350
VA Central, Mental Health Serv
Washington, DC
Services
Individual Psychotherapy, Couples Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob)
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: New York University
Credentialed Since: 1990-04-16

Data Provided by:
Ronald L. Kimball
(202) 452-6257
910 17th St, NW, Ste 306
Washington, DC
Services
Personality Disorder (e.g., borderline, antisocial), Substance-Related Disorder (e.g., abuse or dependency involving drug/alcohol), Mood Disorder (e.g., depression, manic-depressive disorder), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Individual Psychotherapy
Ages Served
Adults (18-64 yrs.)
Education Info
Doctoral Program: University of Maryland - College Park
Credentialed Since: 1976-08-16

Data Provided by:
Mr. Edmond Degaiffier
(202) 297-1700
530 Seventh St. SE
Washington, DC
Credentials
Credentials: MSW, LICSW
Licensed in DC
9 Years of Experience
Problems Served
Anxiety/Panic Disorders, Couple or Marital Issues, Depression, Grief/Loss, Interpersonal Relationships, Psychoses/Major Mental Illness, Trauma/PTSD, Life Transitions
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59), Seniors (60 +)

Data Provided by:
Mr. Darryl Webster
Webster Stress, Anxiety, & Fitness Center
(202) 207-4964
1313 Q Street NW
Washington, DC
Credentials
Credentials: LICSW
17 Years of Experience
Problems Served
Anxiety/Panic Disorders, Depression, Interpersonal Relationships, Stress
Membership Organizations
HelpPro.com
Age Groups Served
Adolescents (13-17), Young Adults (18-25), Adults (26-59)

Data Provided by:
Gregory A. Grinc
(202) 331-8484
1400 20th Street NW Suite 114
Washington, DC
Services
Individual Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Stress Management or Pain Management, Behavioral Health Intervention involving Medical Conditions/Disorder, Substance-Related Disorder (e.g., abuse or dependency involving drug/alcohol)
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: DePaul University
Credentialed Since: 1980-03-12

Data Provided by:
Juliet M. Francis
(202) 638-6942
601 Pennsylvania Ave, NW, Ste 900
Washington, DC
Services
PostTraumatic Stress Disorder or Acute Trauma Reaction, Mood Disorder (e.g., depression, manic-depressive disorder), Group Psychotherapy, Family Psychotherapy, Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob)
Ages Served
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Children (3-12 yrs.)
Education Info
Doctoral Program: Wright St U
Credentialed Since: 1995-01-10

Data Provided by:
Ms. Ronda Bresnick Hauss
(202) 544-5050
1308 Constitution Avenue, N.E.
Washington, DC
Credentials
Credentials: LCSW
Licensed in DC
8 Years of Experience
Problems Served
Anxiety/Panic Disorders, Couple or Marital Issues, Depression, Grief/Loss, Interpersonal Relationships, Multicultural Issues, Sexual Abuse/Rape, Stress, Trauma/PTSD, Life Transitions
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59)

Data Provided by:
Mr. Michael Giordano
(202) 460-6384
1633 Q Street NW Suite 219
Washington, DC
Credentials
Credentials: LICSW
Licensed in DC
9 Years of Experience
Problems Served
Addictions/Substance, Adoption/Foster Care, Anxiety/Panic Disorders, Child Abuse and Neglect, Couple or Marital Issues, Depression, Grief/Loss, Interpersonal Relationships, Multicultural Issues, Physical Illness/Impairment, Sexual Abuse/Rape, Sexual Orient
Populations Served
ACOA (Adult Children of Alcoholics), AIDS/HIV+, Gay/Lesbian/Bisexual, Transgendered, Caregivers, Chronic Illness, Cancer Patients
Membership Organizations
HelpPro.com
Age Groups Served
Adolescents (13-17), Young Adults (18-25), Adults (26-59)

Data Provided by:
James R. Striker
(202) 458-4456
The World Bank, MSN-MC2-203
Washington, DC
Services
Health Services Consultation to Business or Organizations, Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Mood Disorder (e.g., depression, manic-depressive disorder), Crisis Intervention or Disaster Intervention, Cultural Diversity Issues
Ages Served
Adults (18-64 yrs.)
Education Info
Doctoral Program: George Washington University
Credentialed Since: 1985-02-28

Data Provided by:
Kenneth Michael Lomas
(202) 496-4971
Potomac Psychology Group, PLLC
Washington, DC
Services
Psychological Assessment, 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), Psychoeducational Evaluation
Ages Served
Children (3-12 yrs.)
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Howard University
Credentialed Since: 2006-04-18

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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