Depression Counseling Winnemucca NV
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
Credentials: LCSW
Licensed in Nevada
25 Years of Experience
Problems Served
Anxiety/Panic Disorders, Depression, Sexual Abuse/Rape, Stress, Trauma/PTSD, Life Transitions, Personality Disorders, Attachment Disorders
Populations Served
AIDS/HIV+, Military/Veterans, Caregivers, Chronic Illness, Cancer Patients
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59), Seniors (60 +)
Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Mood Disorder (e.g., depression, manic-depressive disorder), PostTraumatic Stress Disorder or Acute Trauma Reaction, Stress Management or Pain Management, Psychological Assessment
Ages Served
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Adolescents (13-17 yrs.)
Education Info
Doctoral Program: Loma Linda University
Credentialed Since: 2005-10-31
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 +)
Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Eating Disorder (e.g., compulsive eating, anorexia, bulimia), Mood Disorder (e.g., depression, manic-depressive disorder), PostTraumatic Stress Disorder or Acute Trauma Reaction, Behavioral Health Intervention involving Medical Conditions/Disorder
Ages Served
Adults (18-64 yrs.)
Adolescents (13-17 yrs.)
Older adults (65 yrs. or older)
Children (3-12 yrs.)
Education Info
Doctoral Program: University of Hawaii - Manoa
Credentialed Since: 1984-09-11
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
Anxiety Disorder (e.g., generalized anxiety, phobia, panic or obsessive-compulsive disorder), Adjustment Disorder (e.g., bereavement, acad, job, mar, or fam prob), Mood Disorder (e.g., depression, manic-depressive disorder), Problem Related to Abuse or Neglect (e.g., domestic violence, child abuse), Psychoeducational Evaluation
Ages Served
Children (3-12 yrs.)
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Education Info
Doctoral Program: Bryn Mawr Col
Credentialed Since: 2009-07-28
NorthWest Counseling Associates
Las Vegas, NV
Credentials: MSW, LCSW
Licensed in Nevada
15 Years of Experience
Problems Served
Addictions/Other (gambling, sex, etc.), Anxiety/Panic Disorders, Couple or Marital Issues, Depression, Family Dysfunction, Interpersonal Relationships, Parenting Issues, Sexual Abuse/Rape, Spiritual/Religious Concerns, Stress, Trauma/PTSD, Men's Issues
Populations Served
Disabled
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59), Seniors (60 +)
Terri Merz, M.F.T.
Las Vegas, NV
Credentials: M.F.T.
Licensed in Nevada
23 Years of Experience
Problems Served
Anxiety/Panic Disorders, Couple or Marital Issues, Depression, Trauma/PTSD
Membership Organizations
HelpPro.com
Age Groups Served
Adults (26-59)
Center for Applied Behavioral Sciences
Reno, NV
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 +)
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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