Depression Counseling Winnemucca NV

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.

Mrs. Marilyn Palasky
Marilyn H. Palasky, LCSW, PhD
(702) 324-8416
9402 West Lake Mead Blvd --Suite# 115
Las Vegas, NV
Credentials
Credentials: LCSW, PhD. ACSW, LMSW
Licensed in Nevada
28 Years of Experience
Problems Served
Addictions/Other (gambling, sex, etc.), Aging, Bipolar Disorders, Couple or Marital Issues, Depression, Interpersonal Relationships, Parenting Issues, Psychoses/Major Mental Illness, Trauma/PTSD, Education/Personal Development, Life Transitions, Personalit
Populations Served
Chronic Illness
Membership Organizations
HelpPro.com
Age Groups Served
Adolescents (13-17), Young Adults (18-25), Adults (26-59), Seniors (60 +)

Data Provided by:
Mark C. Anderson
(702) 363-6429
2620 Regatta Drive
Las Vegas, NV
Services
Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Eating Disorder (e.g., compulsive eating, anorexia, bulimia), Mood Disorder (e.g., depression, manic-depressive disorder), PostTraumatic Stress Disorder or Acute Trauma Reaction
Ages Served
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Hofstra University
Credentialed Since: 2004-09-25

Data Provided by:
Mr. Edward Silverhardt
Center for Applied Behavioral Sciences
(775) 250-4359
2470 Wrondel Way, Suite 111
Reno, NV
Credentials
Credentials: LCSW, LSCSW, BCD
Licensed in Nevada
33 Years of Experience
Problems Served
Addictions/Other (gambling, sex, etc.), Addictions/Substance, Aging, Anxiety/Panic Disorders, Behavioral Problems, Bipolar Disorders, Career/Employment Concerns, Couple or Marital Issues, Depression, Domestic Violence, Family Dysfunction, Forensic, Grief/L
Populations Served
ACOA (Adult Children of Alcoholics), Gay/Lesbian/Bisexual, Military/Veterans, Offenders/Perpetrators, Alzheimer's, Caregivers, Step Families, Chronic Illness, Interracial Families/Couples
Membership Organizations
HelpPro.com
Age Groups Served
Adolescents (13-17), Young Adults (18-25), Adults (26-59), Seniors (60 +)

Data Provided by:
Dr. Victoria Coleman
The Anger Doctor
(702) 220-5300
9811 West Charleston Boulevard Suite 2-376
Las Vegas, NV
Credentials
Credentials: EdD, LCSW
15 Years of Experience
Problems Served
Addictions/Other (gambling, sex, etc.), Addictions/Substance, Aging, Anxiety/Panic Disorders, Bipolar Disorders, Career/Employment Concerns, Child Abuse and Neglect, Couple or Marital Issues, Depression, Domestic Violence, Eating Disorders, Family Dysfunct
Populations Served
Children of Divorce, Gay/Lesbian/Bisexual, Military/Veterans, Offenders/Perpetrators, Step Families, Gifted, Interracial Families/Couples, Biracial
Membership Organizations
HelpPro.com
Age Groups Served
Preschool (Under 6), Children (6-12), Adolescents (13-17), Young Adults (18-25), Adults (26-59), Seniors (60 +)

Data Provided by:
Cynthia Schmidt
(702) 530-1141
8275 S. Eastern Ave
Las Vegas, NV
Services
Mood Disorder (e.g., depression, manic-depressive disorder), Behavioral Health Intervention involving Medical Conditions/Disorder, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Behavioral Health Intervention involving Life Threatening/Terminal Disease, Gay, Lesbian, Bisexual, or Transgender Issues
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 Connecticut
Credentialed Since: 2009-11-16

Data Provided by:
Brie Moore
(775) 826-6218
6490 South McCarran Blvd
Reno, NV
Services
Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Mood Disorder (e.g., depression, manic-depressive disorder), Disorder Diagnosed in Infancy-Adolescence (e.g., ADHD, LD, MR, or Pervasive Devel Disorder), Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Family Psychotherapy
Ages Served
Adolescents (13-17 yrs.)
Children (3-12 yrs.)
Infants (0-2 yrs.)
Education Info
Doctoral Program: University of Nevada - Reno
Credentialed Since: 2008-11-03

Data Provided by:
David O. Antonuccio
(775) 682-8439
U. of Nevada School of Med
Reno, NV
Services
Mood Disorder (e.g., depression, manic-depressive disorder), Behavioral Health Intervention involving Medical Conditions/Disorder, Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), PostTraumatic Stress Disorder or Acute Trauma Reaction, Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob)
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Adolescents (13-17 yrs.)
Children (3-12 yrs.)
Languages Spoken
Spanish
Education Info
Doctoral Program: University of Oregon
Credentialed Since: 1984-02-16

Data Provided by:
Ms. Barbara Dubin
Neubauer Mental Health Services
(702) 882-1296
2920 S. Jones Blvd. Suite 230
Las Vegas, NV
Credentials
Credentials: LCSW
Licensed in Nevada
25 Years of Experience
Problems Served
Adoption/Foster Care, Attention Deficit (Hyperactivity) Disorder, Behavioral Problems, Bipolar Disorders, Child Abuse and Neglect, Depression, Domestic Violence, Family Dysfunction, Grief/Loss, Interpersonal Relationships, Parenting Issues, Runaways, Sexua
Populations Served
Children of Divorce, Gay/Lesbian/Bisexual, Caregivers, Step Families, Grandparents
Membership Organizations
HelpPro.com
Age Groups Served
Preschool (Under 6), Children (6-12), Adolescents (13-17), Young Adults (18-25), Adults (26-59)

Data Provided by:
Ms. Joan Israel
Joan Israel,LCSW
(702) 804-6686
7200 Cathedral Rock Drive Suite 120
Las Vegas, NV
Credentials
Credentials: LCSW
Licensed in Nevada
31 Years of Experience
Problems Served
Aging, Anxiety/Panic Disorders, Bipolar Disorders, Couple or Marital Issues, Depression, Grief/Loss, Interpersonal Relationships, Phobias, Psychoses/Major Mental Illness, Stress, Trauma/PTSD, Dual Diagnosis, Sexuality Issues, Women's Issues
Populations Served
ACOA (Adult Children of Alcoholics), Gay/Lesbian/Bisexual, Military/Veterans, Step Families
Membership Organizations
HelpPro.com
Age Groups Served
Adults (26-59), Seniors (60 +)

Data Provided by:
Mr. Gerald Earl
Veterans Affairs
(702) 636-6323
3131 East LaCanada
Las Vegas, NV
Credentials
Credentials: MSSW, LCSW, ACSW, BCD
Licensed in Nevada
32 Years of Experience
Problems Served
Aging, Depression, Grief/Loss, Psychoses/Major Mental Illness, Stress, Trauma/PTSD, Life Transitions, Anger Management, Men's Issues
Populations Served
Military/Veterans, Alzheimer's, Caregivers
Membership Organizations
HelpPro.com
Age Groups Served
Adults (26-59), Seniors (60 +)

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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