Depression Counseling Yankton SD
Knapp Counseling and Associates
Sioux Falls, SD
Credentials: MSW, ACSW, CSW-PIP
Licensed in South Dakota
30 Years of Experience
Problems Served
Aging, Depression
Populations Served
Disabled, Sensory Impaired (hearing, vision, etc), Alzheimer's, Caregivers, Chronic Illness, Cancer Patients
Membership Organizations
HelpPro.com
Age Groups Served
Young Adults (18-25), Adults (26-59), Seniors (60 +)
Sanford Vermillion
Vermillion, SD
Credentials: MSW, CSW-PIP
Licensed in South Dakota
7 Years of Experience
Problems Served
Anxiety/Panic Disorders, Depression, Interpersonal Relationships
Membership Organizations
HelpPro.com
Age Groups Served
Adolescents (13-17), Young Adults (18-25), Adults (26-59)
Individual Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), Psychological Assessment, PostTraumatic Stress Disorder or Acute Trauma Reaction, 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: Alliant International University - Fresno
Credentialed Since: 2000-01-10
Sioux Falls, SD
Depression, Anxiety or Fears, Trauma and PTSD, Impulse Control Disorders
Qualification
School: St. John Fisher College
Year of Graduation: 2006
Years In Practice: 8 Years
Patient Info
Ethnicity: Any
Gender: All
Age: Adults
Payment Methods
Sliding Scale: Yes
Accepts Credit Cards: Yes
Accepted Insurance Plans: Aetna
Marriage Therapy, Depression, Anxiety or Fears, Bipolar Disorder
Qualification
School: Rosemead School of Psychology
Year of Graduation: 1976
Years In Practice: 30+ Years
Patient Info
Ethnicity: Any
Gender: All
Age: Adults,Elders (65+)
Average Cost
$110 - $110
Payment Methods
Sliding Scale: No
Accepts Credit Cards: Yes
Accepted Insurance Plans: Aetna
Four C's Counseling, LLC
Rapid City, SD
Credentials: MS,LSW, LPC
Licensed in South Dakota
Problems Served
Anxiety/Panic Disorders, Attention Deficit (Hyperactivity) Disorder, Behavioral Problems, Bipolar Disorders, Couple or Marital Issues, Depression, Family Dysfunction, Grief/Loss, Interpersonal Relationships, Parenting Issues, Runaways, Sexual Abuse/Rape, S
Populations Served
Children of Divorce, Interracial Families/Couples
Membership Organizations
HelpPro.com
Age Groups Served
Adolescents (13-17), Young Adults (18-25), Adults (26-59)
Clinical Neuropsychological Assessment, Individual Psychotherapy, Mood Disorder (e.g., depression, manic-depressive disorder), PostTraumatic Stress Disorder or Acute Trauma Reaction, Couples Psychotherapy
Ages Served
Adolescents (13-17 yrs.)
Adults (18-64 yrs.)
Older adults (65 yrs. or older)
Education Info
Doctoral Program: Central Michigan University
Credentialed Since: 1995-06-02
Substance-Related Disorder (e.g., abuse or dependency involving drug/alcohol), Mood Disorder (e.g., depression, manic-depressive disorder), Individual Psychotherapy
Education Info
Doctoral Program: Utah State University
Credentialed Since: 1976-11-22
Relationship Issues, Depression, Anxiety or Fears, Dissociative Disorders
Qualification
School: University of Iowa
Year of Graduation: 1975
Years In Practice: 30+ Years
Patient Info
Ethnicity: Any
Gender: All
Age: Children (6 to 10),Adolescents / Teenagers (14 to 19),Adults,Elders (65+)
Average Cost
$100 - $150
Payment Methods
Sliding Scale: No
Accepts Credit Cards: No
Accepted Insurance Plans: APS Healthcare
Sioux Falls, SD
Depression, Anxiety or Fears, Peer Relationships, Bipolar Disorder
Qualification
School: University of South Dakota
Year of Graduation: 1990
Years In Practice: 20+ Years
Patient Info
Ethnicity: Any
Gender: All
Average Cost
$130 - $150
Payment Methods
Sliding Scale: Yes
Accepts Credit Cards: No
Accepted Insurance Plans: BlueCross and/or BlueShield
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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