Depression Treatment That Addresses the Real Problem
No energy. No motivation. Can't tell if you're lazy or depressed. If you're just going through the motions with no joy, we can help by finding out what's actually causing it.
Does This Sound Like You?
You're not lazy. And you're not broken. Depression is a real medical condition and it often has underlying causes that nobody's checking for.
Constant Exhaustion
You have zero energy, and even simple tasks feel overwhelming.
Lost Motivation
Things you once enjoyed no longer interest you, and starting anything feels impossible.
Stuck in Freeze Mode
You look at what needs to be done but can’t make yourself begin.
Emotional Numbness
No real joy, no pleasure — just moving through the day on autopilot.
Social Withdrawal
You make plans, then cancel because leaving the house feels like too much.
Irritability or Emptiness
You feel heavy, defeated, short-tempered, or emotionally flat.
What's Really Causing Your Depression?
Most providers prescribe antidepressants and send you on your way. But depression is often a symptom of something else. When we treat depression at Maison Cura, we investigate the root causes—because if we don't fix what's underlying it, you'll keep struggling.
Hormone Imbalances
Low testosterone, thyroid issues, perimenopause, and menopause can cause depression and are often mistaken for “just aging.” We run comprehensive hormone panels and when symptoms align, treating the imbalance often improves mood.
Vitamin Deficiencies
Low B12, Vitamin D, iron, or folate deficiencies can mimic depression — fatigue, brain fog, low mood. We test for these, and sometimes symptoms improve with simple supplementation.
Thyroid Dysfunction
Hypothyroidism can mimic depression — causing fatigue, weight gain, and brain fog — but antidepressants won’t fix it. We test thyroid function (TSH, T3, T4, antibodies), and when it’s the root cause, proper treatment often resolves the symptoms.
Gut Health Issues
Most of your serotonin is produced in the gut, so digestive issues can affect how well treatment works. We include gut health in our evaluation — sometimes it’s the missing piece.
Medication Side Effects
Some medications including beta blockers, statins, birth control, and corticosteroids can cause or worsen depression. We review everything you’re taking, and sometimes adjusting one medication makes a significant difference.
Chronic Inflammation
Inflammation from autoimmune conditions, chronic pain, or obesity can contribute to depression. We evaluate inflammatory markers and treat underlying causes when needed.
Unresolved Trauma
Trauma can change brain chemistry and lead to depression that doesn’t improve with standard treatment alone.We provide trauma-informed care that addresses both the root cause and the symptoms.
Depression & Mood We Specialize In
Major Depressive Disorder (MDD)
Persistent low mood, loss of interest in activities, fatigue, difficulty concentrating. The classic depression most people think of.
Persistent Depressive Disorder (Dysthymia)
Chronic, low-grade depression that lasts for years. You function, but you're never really okay. Just existing, not living.
Seasonal Affective Disorder (SAD)
Depression that comes and goes with the seasons usually worse in fall/winter. Not just "winter blues" it's real depression triggered by light changes.
Treatment-Resistant Depression
You've tried multiple antidepressants, therapy, lifestyle changes—nothing works or only works temporarily. We specialize in these complex cases.
Postpartum Depression
Depression after childbirth. Hormone crashes, sleep deprivation, overwhelm. It's not "just baby blues" it's a serious condition that needs treatment.
Depression Related to Medical Conditions
Depression caused by chronic illness, autoimmune disease, hormonal conditions, or other medical issues. Treating the underlying condition is key.
Bipolar Depression
Depressive episodes as part of bipolar disorder. Requires different medications than standard depression—SSRIs alone can make it worse.
How We Treat Depression
Comprehensive Evaluation
Your first visit is 60+ minutes, where we review your full history, including symptoms, past treatments, medical conditions, medications, sleep, stress, and trauma.
We also order comprehensive labs to check thyroid, hormones, vitamins, inflammation, and metabolic health.
Identify Root Causes
We look for the root cause — hormones, thyroid, deficiencies, gut health, medications, trauma, or inflammation — and treat accordingly.
Unlike most providers, we don’t skip this step.
Personalized Treatment Plan
Based on your results, we create a plan tailored to you — which may include medication, hormone or thyroid treatment, vitamin support, lifestyle adjustments, and therapy referrals.
For treatment-resistant depression, we also offer advanced options like Spravato and TMS when appropriate.
Ongoing Support
We meet regularly at the beginning to monitor progress and adjust treatment as needed. Depression care takes time, and we stay with you until we find what works.
What Treatment Looks Like
First Appointment
- Full psychiatric and medical history
- Depression symptom assessment
- Review of all medications and supplements
- Physical health assessment
- Comprehensive lab work ordered
- Initial treatment plan created
Follow-Up Visit
- Review lab results
- Assess medication effectiveness
- Address any side effects
- Adjust treatment based on results
- Monitor mood, energy, motivation levels
Ongoing Care
- Regular check-ins (frequency based on your needs)
- Medication adjustments to optimize results
- Root cause management (hormones, thyroid, vitamins, etc.)
- Coordination with other specialists if needed
- Long-term support until you're stable
Common Questions About Depression Treatment
Do I have to take antidepressants?
Not always. If your depression is caused by something like low thyroid or vitamin deficiency, treating that might be enough. But for moderate to severe depression, medication is often the most effective treatment—especially when combined with therapy and lifestyle changes.
How long does it take for antidepressants to work?
Most antidepressants take 2-6 weeks to show full effect. Some people feel better within 1-2 weeks, others take longer. We monitor you closely during this time and adjust as needed.
What if I've tried antidepressants before and they didn't work?
That's common—and it usually means one of three things: (1) the medication wasn't right for your type of depression, (2) the dose wasn't optimized, or (3) there's an underlying cause that wasn't addressed. We specialize in treatment-resistant depression. We dig deeper.
Will I gain weight on antidepressants?
Some antidepressants can cause weight gain, others don't. We choose medications based on your concerns and history. If weight is a concern, we can select options less likely to cause it (like bupropion).
Can depression be cured, or will I be on medication forever?
It depends. Some people have a single depressive episode and recover fully. Others have recurrent depression that requires long-term management. We work toward getting you stable, then determine the best maintenance plan for you.
What's the difference between depression and just being sad or tired?
Everyone feels sad or tired sometimes. Depression is persistent (lasting weeks or months), affects your ability to function, and doesn't improve with rest or positive events. It's a medical condition, not a mood.
Do you provide therapy or just medication?
We provide medication management. However, we strongly believe therapy is crucial for depression and refer patients to excellent therapists. The best outcomes come from combining both.
What if I'm suicidal?
If you're having thoughts of harming yourself, call 988 (Suicide & Crisis Lifeline) or go to your nearest ER immediately. Once you're safe, we can work together on long-term treatment. We take suicidal thoughts very seriously and will create a safety plan with you.
Do you accept insurance for depression treatment?
Yes, we accept most major insurance plans. We verify your coverage before your first appointment.
How quickly can I get an appointment?
Most appointments are available within days. We don't make you wait months when you're struggling now.
Ready to Feel Like Yourself Again?
Depression doesn't have to be permanent. Let's find out what's causing it—and fix it.