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Major depressive disorder, persistent depression, and treatment-resistant depression — evidence-based care via telehealth.
Depression is more than feeling sad. It's a persistent low mood, a loss of interest in things you used to enjoy, exhaustion that doesn't lift with sleep, and often a deep sense of worthlessness or hopelessness. Many people with depression describe it as a fog — going through the motions of daily life without actually feeling present in it.
Depression is one of the most common — and most treatable — mental health conditions. It affects roughly 1 in 5 adults at some point in their lives, and in Maine, rates of depression are consistently above the national average.
At Northwest Psychiatry, depression treatment starts with a thorough psychiatric evaluation — not a 15-minute prescription visit. Nicholas takes time to understand your history, your symptoms, what's already been tried, and what your goals are.
Your first appointment is a 60–75 minute psychiatric evaluation. You'll leave with a clear diagnosis, a treatment rationale, and a starting plan.
If medication is part of your plan, most antidepressants begin showing effects within 2–4 weeks. Nicholas will check in to monitor your response.
Follow-up appointments every 2–4 weeks to assess response, adjust doses, and address side effects. Most patients see meaningful improvement within 6–8 weeks.
Once stable, many patients transition to quarterly check-ins. If and when it's appropriate to taper off medication, Nicholas will guide you through that process carefully.
New patients are welcomed through Headway — scheduling takes minutes, and most major insurance plans are accepted.
No. You can schedule directly through Headway. No referral is needed.
Yes — research consistently shows telehealth psychiatric care is as effective as in-person care for depression. It also removes the barriers that often prevent people from getting help.
Treatment-resistant depression is a recognized clinical challenge. Nicholas has experience with augmentation strategies and novel treatments, including neurofeedback. You won't be given up on.
Both are available. Nicholas offers combined care or medication-only management depending on your needs and preferences.
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