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.

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:
Leila Bremer
(202) 887-0404
1330 New Hampshire Ave, NW
Washington, DC
Services
Individual Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), PostTraumatic Stress Disorder or Acute Trauma Reaction
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: Rutgers, The State University of New Jersey
Credentialed Since: 2005-04-12

Data Provided by:
Ms. Karen Osterle
(202) 744-2922
1234 19th Street, NW, Suite #901
Washington, DC
Credentials
Credentials: MSSA, LICSW
Licensed in DC
10 Years of Experience
Problems Served
Anxiety/Panic Disorders, Couple or Marital Issues, Depression, Interpersonal Relationships, Multicultural Issues, Stress, Anger Management
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59)

Data Provided by:
Mr. Daniel Wilson
Daniel W. Wilson, PLLC
(202) 669-5959
1350 Connecticut Ave., NW Suite 1030
Washington, DC
Credentials
Credentials: LICSW
Licensed in DC
15 Years of Experience
Problems Served
Aging, Anxiety/Panic Disorders, Couple or Marital Issues, Depression, Family Dysfunction, Grief/Loss, Interpersonal Relationships, Physical Illness/Impairment, Sexual Orientation, Spiritual/Religious Concerns, Stress, Life Transitions, Sexuality Issues, At
Populations Served
AIDS/HIV+, Gay/Lesbian/Bisexual, Sensory Impaired (hearing, vision, etc), Alzheimer's, Caregivers, Chronic Illness
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59), Seniors (60 +)

Data Provided by:
Dr. Patricia DeLorme
Patricia M. DeLorme, PhD. LICSW, LCSW-C
(202) 496-1818
1050 Connecticut Avenue, N. W. 10th Floor
Washington, DC
Credentials
Credentials: PhD, LICSW, LCSW-C
Licensed in DC
40 Years of Experience
Problems Served
Anxiety/Panic Disorders, Bipolar Disorders, Career/Employment Concerns, Child Abuse and Neglect, Depression, Grief/Loss, Interpersonal Relationships, Multicultural Issues, Obsessive/Compulsive Disorder, Psychoses/Major Mental Illness, Sexual Abuse/Rape, St
Populations Served
Military/Veterans, Interracial Families/Couples, Biracial
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59), Seniors (60 +)

Data Provided by:
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:
Mr. Jeffrey Frank
District Therapy, PLLC
(202) 345-0100
1800 R St, NW Suite C-4
Washington, DC
Credentials
Credentials: LICSW
Licensed in DC
Problems Served
Addictions/Other (gambling, sex, etc.), Addictions/Substance, Anxiety/Panic Disorders, Couple or Marital Issues, Depression, Stress
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59), Seniors (60 +)

Data Provided by:
Ms. Karenna Armington
Armington Psychotherapy Practice
(202) 510-1141
1555 Connecticut Ave NW, Suite 301
Washington, DC
Credentials
Credentials: MSW, LICSW
8 Years of Experience
Problems Served
Anxiety/Panic Disorders, Attention Deficit (Hyperactivity) Disorder, Behavioral Problems, Couple or Marital Issues, Depression, Grief/Loss, Interpersonal Relationships, Sexual Orientation, Stress, Gender Identity, Anger Management, Women's Issues
Populations Served
AIDS/HIV+, Children of Divorce, Gay/Lesbian/Bisexual, Transgendered, 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:
Katherine Whipple
(202) 667-1770
1555 Connecticut Ave, NW
Washington, DC
Services
Individual Psychotherapy, Stress Management or Pain Management, Substance-Related Disorder (e.g., abuse or dependency involving drug/alcohol), Couples Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder)
Ages Served
Adults (18-64 yrs.)
Education Info
Doctoral Program: University of Southern California
Credentialed Since: 1981-03-13

Data Provided by:
Dr. Mindy Jacobs
Mindy Jacobs, Ph.D, PC, ABPP
(202) 265-1103
1808 T NW
Washington, DC
Credentials
Credentials: PhD, LICSW
Licensed in DC
25 Years of Experience
Problems Served
Anxiety/Panic Disorders, Couple or Marital Issues, Depression, Grief/Loss, Interpersonal Relationships, Sexual Orientation, Stress, Life Transitions, Sexuality Issues, Women's Issues
Populations Served
Gay/Lesbian/Bisexual
Membership Organizations
HelpPro.com
Age Groups Served
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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