While depression is common, if you think you have it, you may be unsure about where to begin. Here are the steps to getting your mental health treated, so you can feel well.
See Your Primary Care Doctor
If you suspect you may have depression, your first visit should be to your family doctor or primary care physician for a thorough checkup. While most doctors do screen for depression, it’s best to tell your doctor your concerns about your mood. Your doctor is there to help you, so don’t hold back. Your answers to these questions (and others) will help your doctor pinpoint whether or not you have major depressive disorder, often referred to simply as depression. Before confirming a diagnosis, however, your doctor will need to rule out other health problems. Symptoms of several medical conditions can mimic those of depression. This is especially true in older adults with new-onset depression. These conditions include:
AnemiaCalcium or other electrolyte abnormalitiesLow blood sugarHypothyroidismKidney or liver problemsVitamin deficiencies (for example, vitamin B12 deficiency)
While blood tests cannot be used to diagnose depression, they can rule out some of these above conditions. Less commonly, your doctor may order an imaging test, like a brain MRI. This can rule out structural brain diseases, like stroke, especially if the doctor notices evidence of cognitive problems or neurological signs upon physical examination. Lastly, note that sometimes other mental health conditions can be difficult to differentiate from depression. For instance, bipolar disorder may be misdiagnosed initially as depression. Often this misdiagnosis occurs because symptoms of mania may be overlooked, as depressive symptoms are the ones that feel so bad and first prompt the doctor visit. Substance use, either intoxication or withdrawal, can also cause symptoms that overlap with depression. Try to remain patient as your doctor sorts through your symptoms.
See a Mental Health Professional
If your doctor diagnoses you with depression, you may then be referred to a mental health professional, such as a psychiatrist. The psychiatrist will further evaluate your mood and determine whether or not medication is needed. Research suggests that the combination of medication and therapy is most effective for treating depression. If you would benefit from psychotherapy, your psychiatrist may handle this as well, although some elect to refer patients to another mental health professional, like a psychologist.
Treatment
It’s important to note the treatment of depression is not as simple as receiving a prescription for an antidepressant. The individual causes of depression are diverse and poorly understood. The medications used to treat it are just as diverse, so matching a drug with an individual is not a clear-cut process. When your doctor chooses your antidepressant, they will consider many factors to try to make this match. These include your specific symptoms, any co-existing illnesses you have, your tolerance of side effects, and any medications you have previously tried. Treatment can take some time. It typically takes a few weeks to feel the full effect of your medication. Antidepressants typically take at least four weeks to begin working and psychotherapy typically does not produce significant results for at least four to six weeks, depending on the type of therapy. Be sure to communicate regularly with your doctor, especially if you are experiencing bothersome side effects. If you are noticing very little or no improvement in your symptoms after two to four weeks, your doctor may increase your dose, add another medication to increase its effect, or switch your medication.
A Word From Verywell
The most important thing to remember about seeking treatment for your depression symptoms is simply to speak up and ask. Depression is not a sign of weakness or laziness. It’s a sign that something is out of balance. With proper treatment, which usually entails the two-pronged approach of medication and psychotherapy, you can feel well again. There was an error. Please try again. For more mental health resources, see our National Helpline Database.
