Depression Counseling Wilmington DE

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.

Dr. Frederick Kurz
(302) 661-2328
1601 Delaware Ave Suite 32 B
Wilmington, DE
Credentials
Credentials: PhD
Licensed in Delaware
30 Years of Experience
Problems Served
Attention Deficit (Hyperactivity) Disorder, Bipolar Disorders, Career/Employment Concerns, Couple or Marital Issues, Depression, Developmental Disability, Forensic, Interpersonal Relationships, Learning Disabilities, Stress, Education/Personal Development,
Populations Served
Disabled, Chronic Illness, Brain/Head Injured
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59)

Data Provided by:
Wesley R. Bowman
(302) 995-9600
Delaware Family Ctr
Wilmington, DE
Services
Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Mood Disorder (e.g., depression, manic-depressive disorder), Substance-Related Disorder (e.g., abuse or dependency involving drug/alcohol), Individual Psychotherapy, Couples Psychotherapy
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: University of Mississippi
Credentialed Since: 1985-06-04

Data Provided by:
Jay A. Jemail
(302) 655-7461
5829 Kennet Pike
Centreville, DE
Services
Couples Psychotherapy, Individual Psychotherapy, Family Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Psychological Assessment
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Children (3-12 yrs.)
Older adults (65 yrs. or older)
Languages Spoken
Spanish
Education Info
Doctoral Program: Stony Brook University/SUNY
Credentialed Since: 1986-05-12

Data Provided by:
Ms. Ann Marie Brown
Ann Marie Brown, LCSW, BCD
(610) 459-9841
Brandywine Two Bldg., Suite 102 5 Christy Drive
Chadds Ford, PA
Credentials
Credentials: LCSW, BCD
Licensed in Pennsylvania
25 Years of Experience
Problems Served
Anxiety/Panic Disorders, Bipolar Disorders, Depression, Interpersonal Relationships, Obsessive/Compulsive Disorder, Phobias, Stress, Trauma/PTSD
Populations Served
ACOA (Adult Children of Alcoholics), Caregivers, Chronic Illness
Membership Organizations
HelpPro.com
Age Groups Served
Adolescents (13-17), Young Adults (18-25), Adults (26-59), Seniors (60 +)

Data Provided by:
Julie Leusner
(610) 388-8555
14 Carriage Path
Chadds Ford, PA
Services
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)
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Children (3-12 yrs.)
Education Info
Doctoral Program: University of St. Thomas
Credentialed Since: 2004-11-15

Data Provided by:
Mr. Kent Johnson
Wilmington VAMC
(302) 275-5676
Behavioral Health Services 1601 Kirkwood Hwy
Wilmington, DE
Credentials
Credentials: LCSW - CADC - BCD
Licensed in Delaware
30 Years of Experience
Problems Served
Addictions/Other (gambling, sex, etc.), Addictions/Substance, Bipolar Disorders, Depression, Forensic, Dual Diagnosis, Personality Disorders, Anger Management
Populations Served
ACOA (Adult Children of Alcoholics), Children of Divorce, Military/Veterans, Offenders/Perpetrators
Membership Organizations
HelpPro.com
Age Groups Served
Adults (26-59)

Data Provided by:
Susan Epps
(302) 428-0205
Associates in Health Psychology
Wilmington, DE
Services
Disorder Diagnosed in Infancy-Adolescence (e.g., ADHD, LD, MR, or Pervasive Devel Disorder), Family 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
Infants (0-2 yrs.)
Children (3-12 yrs.)
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Education Info
Doctoral Program: University of Minnesota
Credentialed Since: 1990-09-27

Data Provided by:
Dr. Bill Metzdorf
(302) 220-8175
2500 Naamans Road
Wilmington, DE
Credentials
Credentials: DMin
Licensed in Delaware
20 Years of Experience
Problems Served
Anxiety/Panic Disorders, Behavioral Problems, Couple or Marital Issues, Depression, Family Dysfunction, Grief/Loss, Interpersonal Relationships, Parenting Issues, Sexual Orientation, Spiritual/Religious Concerns, Stress, Trauma/PTSD, Education/Personal Dev
Populations Served
AIDS/HIV+, Gay/Lesbian/Bisexual, Military/Veterans, Caregivers, Step Families
Membership Organizations
HelpPro.com
Age Groups Served
Adults (26-59), Seniors (60 +)

Data Provided by:
Ruth Morelli
(610) 358-9315
104 Commons Ct
Chadds Ford, PA
Services
Couples Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Gay, Lesbian, Bisexual, or Transgender Issues, Behavioral Health Intervention involving Medical Conditions/Disorder
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Languages Spoken
French
Education Info
Doctoral Program: Temple University
Credentialed Since: 1987-07-30

Data Provided by:
Barbara Belford
(302) 738-9466
314 E. Main St
Newark, DE
Services
Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Mood Disorder (e.g., depression, manic-depressive disorder), Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder)
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Nova Southeastern University
Credentialed Since: 1977-05-13

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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