Depression Treatment

Depression Counseling and Therapy
in Lexington, Richmond & Frankfort KY

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Are you depressed?

You might be depressed if you suffer from any of the following signs:

Change in appetite
Trouble sleeping
Negative, uncontrollable thoughts
Trouble concentrating
Loss of interest in daily activities
Loss of energy
Engaging in reckless behaviors
Helpless feelings
Overwhelming sadness
Suicidal thoughts
If you are feeling suicidal, please seek immediate assistance. You can call 1-800-273-TALK if you need assistance and are unable to reach a doctor.
People often use the term depression to describe everyday sadness or worry. However, depression is much deeper than sadness, and is an empty, lifeless feeling, in which irrational thoughts and out-of-control feelings are common.

Take this short quiz to see if you might be depressed. Please remember that this quiz should not substitute a medical opinion, and if you think you might be depressed or suicidal, you should seek immediate medical attention.

Are you concerned about a friend or family member?

Stay alert for warning signs, and make sure to encourage and support them if they are suicidal. Do not ignore suicidal symptoms! Get help today.

Watch for:

Talking about suicide or self-harm behaviors
Talking or obsessing about death
Tying up loose ends (selling possessions, making a will)
Preoccupation with dying
Acting recklessly (driving dangerously, unusual sexual behavior)
Making amends with friends or family, saying goodbye
If you think a friend or family member is considering suicide, seek help immediately.

Signs of Depression

Though your depressed friend or family member should definitely seek medical assistance, you can also help them in the meantime. You can do the following to help ease their depression:

Be there for them.
Show them that you care with small gestures, like a card, or dinner.
Don’t judge them or criticize them. Being insensitive will cause them to withdrawal from you.
Do not use tough-love. Providing ultimatums and giving the silent treatment will only push away your loved one.
Do not minimize their pain. If they are hurting, their feelings are valid.
Do not offer advice. Your advice can make them feel inadequate or insulted, and they will withdrawal.
Do not compare their situation to anyone else’s. Each person feels things differently, and you want to avoid minimizing their pain.
Educate yourself about depression. If you learn about what your friend or family member is experiencing, you can help them through the difficult time.
Be patient with your loved one. Being patient will give them hope, which is often something that individuals suffering from depression lack.
How to Support Someone with Depression

Who suffers from depression?

Because of societal expectations, depression symptoms vary in men, women, teens, older adults, and others. Men are more likely to exhibit their depression through fatigue, irritability, sleep problems, and disinterest in normal activities. Men are also more likely to exhibit aggressive, violent, or reckless behavior, and to abuse substances. Men are at a higher risk of suicide.

Women are most likely to exhibit depressive symptoms as feelings of guilt, sleeping too much, overeating, gaining, and women are more likely to suffer from seasonal affective disorder. Women are twice as likely to experience depression, compared to men. This is influenced by women’s hormonal factors, premenstrual symptoms, postpartum depression, and perimenopausal depression.

Teenagers most often exhibit their depression with signs of irritability, though they may also seem sad. Depressed teenagers are sometimes angry, hostile, and grumpy. Teenage depression is highly treatable, but it is always best to seek help early on in order to avoid severe problems, such as drug or alcohol use, self-loathing and self-harm behaviors, and trouble with school or friends.

Older adults also suffer from depression, and usually exhibit physical symptoms that do not have physical explanations, and therefore often goes untreated. Elderly people suffering from depression are at an increased risk of suicide as they are usually facing other issues that contribute to their depression, including complicating health problems, bereavement, and end-of-life crises.

Types of Depression

Major Depression: Impacting 7% of Americans, major depression presents with symptoms of sadness, hopelessness, trouble concentrating, changes in sleep or eating patterns, reduced energy levels, and feelings of guilt. Major depression generally lasts more than two weeks, and must be prolonged at least that long for an official diagnosis. Major depression can be reoccurring, and can often be treated with antidepressant medications or talk therapy.

Dysthymia: Impacting 2% of Americans, dysthymia is a prolonged type of depression in which depressive feelings affect the individual for long period of times, sometimes lasting over a year. Symptoms include low mood, sadness, trouble concentrating, changes in sleep, changes in eating patterns, and fatigue. Those with dysthymia can function, but not well, in their daily activities. Similarly to major depression sufferers, dysthymia can be treated with talk therapy and medication.

Postpartum Depression: Impacting 85% of new mothers, postpartum depression affects women shortly after the birth of a baby. Postpartum is frequent, but 16% of women report symptoms that are uncontrollable. Postpartum is known for symptoms including suicidal thoughts, fears about hurting your newborn, fatigue, sadness, and loneliness. Like major depression and dysthymia, postpartum depression can be treated with talk therapy and medication.

Seasonal Affective Disorder: Impacting 4-6% of Americans, seasonal affective disorder, also known as SAD, produces symptoms of anxiety, irritability, fatigue, and weight gain, primarily during the winter months. This is due to a reduction in sunlight during the winter months, and is often treated with light therapy or artificial light treatment.

Atypical Depression: Atypical depression differs from major depression as symptoms usually include more physical symptoms, such as heaviness in arms and legs, and functions almost like paralysis. Usually, these symptoms also include overeating or sleeping too much, and irritability and weight gain are common. Talk therapy is the most common treatment for atypical depression.

Psychotic Depression: 20% of depression sufferers experience depressive episodes that include psychotic hallucinations or delusions, and can have trouble speaking, leaving their bed, or may experience catatonic behaviors. Treatment usually includes antipsychotic and antidepressant medications.

Bipolar Disorder: About 2-3% of Americans suffer from bipolar disorder, which includes bipolar lows, mimicking major depressive episodes, as well as bipolar highs, demonstrated by racing thoughts, excitement, unexplained energy, poor judgment, and out-of-the-ordinary spending habits, sexual behaviors, or substance use. Bipolar is characterized by the cycle of highs and lows, and has different subtypes, including Bipolar I, Bipolar II, Cyclothymic disorder, and specified bipolar disorders. Usually, bipolar is treated with medication, such as mood stabilizers.

Premenstrual Dysphoric Disorder: Contributing to the increased depression in women, PMDD, or Premenstrual dysphoric disorder affects women monthly, usually during the second half of their menstrual cycles, and women are faced with depression, anxiety, and mood swings. PMDD affects 5% of women, and is more severe than commonly-experienced PMS (premenstrual syndrome). PMDD is treated with nutrition therapy, talk therapy, and depression medication.

Situational Depression: Commonly referred to as adjustment disorder, situational depression is the effect of a life-changing event, such as the death of a friend or family, loss of job, or a traumatic relationship problem. Affecting over 20% of the American population, symptoms of situational depression include nervousness, sadness, and worry, and usually go away on their own, as the stressor resolves itself or time passes.

Get Help

You may be depressed if you suffer from any symptoms above. If you can’t stop crying, feeling sad, angry, or stressed, and have lost interest in your daily activities, you should seek depression treatment from a trained counselor. Depression is common, affecting one in ten people in the United States, and it is okay to get help. You cannot do it alone.

Seeking treatment for depression is easy. Select a professional, we recommend an LPCC or LCSW first, and have an assessment performed. They may refer you to a psychiatric ARNP or a psychiatrist for a medication evaluation and or prescribe a course of treatment. If you need help, call us at 859-338-0466 or contact us today!

Make an appointment with a dedicated staff member in order to start your healing process. Please see the Counseling Process section for more details on scheduling your visit.
New Client Info
Lexington, KY

Darby Creek Location
501 Darby Creek Road
Suite 11
Lexington KY, 40509
Phone: 859-338-0466
Fax: 859-294-0802

Recent Posts
By Paul Dalton 05 Feb, 2016
So you live in Kentucky and only a few more weeks until spring. Everyone should be happy and feel better about that, right? I think most of us get a sense of relief and hope, and that cognitive energy to bust out of the winter season and get moving. For some, the spring can be a rough time. Depression, anxiety, bi-polar disorder, and relationship issues prevent the spring season from being all that it could be. Following are some reasons that these and other conditions may worsen in the spring, a few resources for you, and some concrete strategies you can implement to help yourself. 

So why do people struggle some in the spring when it should be all flowers and sunshine? 

1. Sleep
Many times the spring season causes a change in our circadian rhythm . The sun wakes you up in the am, it is difficult to keep a routine, and restlessness all contribute to the sleep problem. Our eating in the winter and spring can affect how much we sleep. Caffeine, napping, undereating, and how much we are moving, all contribute to how much we sleep. Spring likely has an effect on melatonin in the body, which aids in sleep. 

Strategies that help are EXERCISE and EATING RIGHT! If you keep moving with the help of  a tool like a Fitbit or utilize regular exercise of 45 minutes or more 4-5 times per week, you are far less likely to have sleep problems. Exercise helps you sleep. Exercise helps you eat better. Eating and sleeping adequately can reduce your stress and fight any symptoms you may have. Eating healthy keeps your mind, body, and spirit in a positive place. When your body is well, your mind has a great chance of being well too. Sounds too simple? Give it a try!

The sleep foundation can help here :  Sleep Foundation Healthy Sleep Tips
Eating Right For Spring
Here is a good link to read on symptoms getting worse in the spring: Spring Makes Symptoms Worse

2. Spring Fever is Real
Our office has existed for over 15 years now. I can tell you that March to May is our busiest time of the year, always. Bipolar disorder, marital infidelity, depression, and anxiety are the main reasons people call us in the spring. The real causes of spring fever include longer days that produce more sunshine and increased energy, changes in hormone production, sleep cycles, nutrition and diet changes, body needs, and possibly, a lack of self care. When we bust of out winter here in Kentucky we sometimes forget that it takes a little time to get our minds and bodies in shape for yard work, spring cleaning, and for many, an increased workload all the way around. Here are some links to let you know spring fever is real. 

Spring Fever
WEB MD-You Give Me Spring Fever
Wiki Spring Fever
Spring Time Bad for Depression

3. Expectations Are High

Sometimes in spring we have been thinking about all the things we should of, could of, would of done if we had lived in San Diego or Florida during our winter days. The reality of being human can set in when we find out that spring has sprung, it is time to get moving, and we don't have the energy or drive to complete our list of high expectations. Many people are disappointed in themselves and these outcomes. Don't worry about it. 

Strategies you can use include setting small attainable goals you can feel good about. Work on your list a little at a time. Make goals that regular people can reach with time built in for you to EXERCISE AND SLEEP. Do a mix of things that you enjoy and are healthy for you while completing your responsibilities. If you deny yourself from pleasure too long, that strategy is likely to backfire. Have a good balanced approach. Use a checklist that has 3 sections. One section is for today. One section is for the week. Reserve one part of the list for things your are really wanting to do. Put a vacation or planned fun activities on a calendar. Look up things you might want to do during that time online. Planning, thinking and dreaming are fine. They keep us hopeful. 

Tiny Buddha Expectations and Disappointment
Expectations at The Silent Blog
Three Ways Expectations Can Hurt You

4. Allergies

If you live in Kentucky, you know about allergies. Kentucky is known to be one of the worst states when it comes to spring and fall allergies.  Louisville is ranked as one of the worst cities in the entire country to live in due to allergies.   Many times people are unaware they are being affected. Sometimes the symptoms are less obvious than a runny nose, cough, and cold like symptoms. Many times people are lethargic, grouchy, have headaches, and have cognitive deficits. The allergic affect we have in Kentucky can quickly turn into a sinus infection, bronchitis, ear infections, and other maladies that make us mentally and physically drained. That flower below can cause us some issues! 

Get to a doctor. Take a seasonal allergy medication. Some are mild, like Allegra (please get your physician's approval before taking allergy medications) and can be taken everyday. Prescription nose sprays may help, but may also have some cognitive or mood altering side effects. Be careful, but don't suffer! Get help from an allergist if you need it. 

Allergy Resources
Pollen Map
How to Beat Spring Allergies by WEB MD
By creekmoremarketing 21 Sep, 2015

Welcome to our website!

Therapy is a great choice. It works, and I hope you make a commitment today to start. Most people find the idea of attending therapy with a therapist or counselor far more scary than the actual process itself. Here is a link that describes how the process works at our locations.

Our therapists are located in Lexington, Frankfort and Richmond, KY. See individual profiles of our therapy providers here . I hire our professionals personally and attempt to provide you with someone that will care about your outcome and treat you well. These are experts at counseling and therapy and provide services you will want to tell others about.

Our clinicians care, and you will know they are different in that respect. Providing therapy in Central Kentucky is much more than a job to our therapists. It is a profession, and a way of life.

Please let us help you today!   Contact us here   or at 859.338.0466 now.


Paul D. Dalton, MS, LPCC, CADC

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