Inpatient for depression
SAMHSA’s National Helpline | SAMHSA
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SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.
Also visit the online treatment locator.
SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders.
This service provides referrals to local treatment facilities, support groups, and community-based organizations.
Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.
The service is open 24/7, 365 days a year.
English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.
In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.
The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid.
If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.
The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.
No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.
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Suggested Resources
What Is Substance Abuse Treatment? A Booklet for Families
Created for family members of people with alcohol abuse or drug abuse problems. Answers questions about substance abuse, its symptoms, different types of treatment, and recovery.
Addresses concerns of children of parents with substance use/abuse problems.It's Not Your Fault (NACoA) (PDF | 12 KB)
Assures teens with parents who abuse alcohol or drugs that, "It's not your fault!" and that they are not alone. Encourages teens to seek emotional support from other adults, school counselors, and youth support groups such as Alateen, and provides a resource list.After an Attempt: A Guide for Taking Care of Your Family Member After Treatment in the Emergency Department
Aids family members in coping with the aftermath of a relative's suicide attempt. Describes the emergency department treatment process, lists questions to ask about follow-up treatment, and describes how to reduce risk and ensure safety at home.Family Therapy Can Help: For People in Recovery From Mental Illness or Addiction
Explores the role of family therapy in recovery from mental illness or substance abuse. Explains how family therapy sessions are run and who conducts them, describes a typical session, and provides information on its effectiveness in recovery.
For additional resources, please visit the SAMHSA Store.
Last Updated: 08/30/2022
SAMHSA Behavioral Health Treatment Services Locator
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Treatment of severe depression in St. Petersburg
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- Psychiatry
- Treatment of severe depression
We treat severe depression, including complex and drug resistant cases.
To stop the episode and prescribe treatment for severe depression, hospitalization is necessary. In a hospital setting, severe depression is diagnosed and pharmacotherapy is selected.
It is important not to neglect an extensive examination, since the symptoms of severe depression can be signs of various neurological, endocrine, somatic diseases and pathological conditions. If the somatogenic nature of severe depression is detected, treatment of the true cause is prescribed.
It usually takes no more than 2 weeks to resolve an episode and select a pharmacotherapy for the treatment of severe depression in the hospital. However, the drugs can be taken for a long time, from several months to several years, depending on the case. After discharge, in agreement with the attending physician, it is necessary to conduct follow-up examinations to prevent the development of complications and correct pharmacotherapy.
CBT psychotherapy is recommended to intensify treatment of major depression and reduce the risk of recurrent episodes (Gelenberg AJ, Freeman MP, Markowitz JC, "Practice guideline for the treatment of patients with major depressive disorder", American Journal of Psychiatry, 2010, 167 , No.
10). Sessions of individual psychotherapy will help to get rid of the pathological attitudes formed on the background of the disease, learn to recognize relapses and methods for their prevention.
Quiz: Beck Depression Scale
In each group, identify the one statement that best fits how you felt this week and today. Before making your choice, make sure you read all of the statements in each group.
Doctor's consultation on the treatment of severe depression:
+7 (812) 407-18-00
Thank you for your trust!
- Outpatient or inpatient care
- Prevention of re-episodes
- Anonymous, without registration
| Service | Price | |
|---|---|---|
| Outpatient treatment | ||
| Psychiatric consultation | 5 000 ₽ | |
| Psychotherapist appointment | 5 000 ₽ | |
Reception of the chief physician Bocharov A. V. (Associate Professor, Ph.D.) | 6 000 ₽ | |
| Psychiatric consultation at home | 6 000 ₽ | |
| Treatment in a hospital | ||
| Delivery to hospital | Is free | |
| Standard Chamber | 8 900 ₽ | |
| 3-bed superior room | 12 000 ₽ | |
| 2-bed superior room | 15 000 ₽ | |
| 1 local VIP room | 19 500 ₽ | |
| Doctor's appointment 2 weeks after discharge | Is free | |
Symptoms of severe depression
Criteria for diagnosis of severe depression
Treatment of severe depression in our clinic
To start treatment for severe depression you need to make an appointment with a psychiatrist.
The doctor will listen to complaints, conduct an examination and neuropsychological testing (including the Zang scale and the Major Depression Questionnaire). Depending on the severity of the condition, the doctor may prescribe outpatient treatment or recommend inpatient treatment at the clinic.
Differential diagnosis
If a medical condition is suspected, a differential examination is required, if necessary, including:
- EEG;
- MRI;
- CT;
- Ultrasonography of the adrenal glands;
- consultations of an endocrinologist, gynecologist, therapist.
Selection of pharmacotherapy
Relief of a depressive episode is carried out in the hospital of the clinic. As a rule, a few weeks are enough to relieve an exacerbation, select a drug treatment for severe depression, and normalize the patient's psycho-emotional state.
Medical treatment of severe depression after discharge lasts from six months to several years, depending on the case.
At the same time, the patient continues to visit the attending physician, who conducts follow-up examinations every 2-3 months and, if necessary, corrects pharmacotherapy.
Our clinic also treats resistant severe depression and treats patients with drug intolerance (eg pregnant women, the elderly) with modified electroconvulsive therapy.
Psychotherapeutic treatment
Psychotherapeutic treatment of severe depression is a second line treatment. It helps to cope with residual symptoms, addictive attitudes and pathological patterns of behavior formed against the background of the disease. All our patients attend group psychotherapy sessions, however, after discharge, the patient can continue treatment with a psychotherapist individually.
Outpatient and inpatient treatment of severe depression in St. Petersburg is carried out at: st. Marata, 78. You can make an appointment with a psychiatrist around the clock by phone number +7 (812) 407-18-00.
Sources
Depression and resistance.
Practical guide for physicians – https://psychiatr.ru
Group interpersonal therapy (IPT) for depression – https://apps.who.int
Antidepressant treatment with sertraline for adults with depressive symptoms in primary care – https http://pubmed.ncbi.nlm.nih.gov
Update date: 06/15/2021
- Depersonalization and derealization
- Suicidal behavior
- Anxiety disorder
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Treating severe depression
Bocharov Alexey
Viktorovich
Psychiatrist, psychotherapist
Head physician of clinic
Experience 41 years
Psychiatrist, psychotherapist, sexologist, child psychiatrist
Experience 41 years
Sinenchenko Andrey
Georgievich
Psychiatrist, psychotherapist
PhD
Experience 22 years
Psychiatrist, psychotherapist, narcologist
Work experience 22 years
Zun Sergey
Andreevich
Psychiatrist, narcologist
PhD
Experience 33 years
Psychiatrist, narcologist, psychotherapist
Work experience 33 years
Lisitsyna Elena
Alekseevna
Psychiatrist
Top category
Experience 33 years
Psychiatrist
Work experience 33 years
Buchelnikova Victoria
Viktorovna
Psychiatrist
Head of amb.
branch
Work experience 15 years
Psychiatrist
Work experience 15 years
Voronina Elvira
Vladimirovna
Psychiatrist
First category
Experience 27 years
Psychiatrist
Work experience 27 years
Efimova Evgenia
Vladimirovna
Psychiatrist
Second category
Work experience 19years
Psychiatrist
Work experience 19 years
Gorobets Elena
Vasilievna
Psychiatrist
First category
Work experience 16 years
Psychiatrist
Work experience 16 years
Travnikova Oksana
Mikhailovna
Psychiatrist
First category
Experience 21 years
Psychiatrist
Work experience 21 years
Kurochkina Nadezhda
Pavlovna
Psychiatrist
First category
Work experience 19 years
Psychiatrist
Work experience 19 years
Suslennikova Elena
Viktorovna
Psychiatrist, psychotherapist
First category
Experience 25 years
Psychiatrist, psychotherapist
Experience 25 years
Chuban Olga
Ivanovna
Psychiatrist, psychotherapist
First category
Work experience 13 years
Psychiatrist, psychotherapist, psychologist
Work experience 13 years
Popov Andrey
Petrovich
Psychiatrist
Top category
Experience 35 years
Psychiatrist
Experience 35 years
Stetsiv Lyudmila
Gennadievna
Psychiatrist, psychotherapist
PhD
Experience 31 years
Psychiatrist, psychotherapist
Work experience 31 years
Prokhorchev Konstantin
Sergeevich
Psychiatrist, psychotherapist
First category
Work experience 12 years
Psychiatrist, psychotherapist
Work experience 12 years
Gulevsky Roman
Aleksandrovich
Psychiatrist, narcologist
Head of hospital
Work experience 25 years
Psychiatrist, narcologist
Experience 25 years
Konoplin Dmitry Alekseevich
Narcologist, psychiatrist
PhD
Work experience 24 years
Narcologist, psychiatrist
Work experience 24 years
Stavitskaya Svetlana
Yurievna
Psychiatrist
Top category
Work experience 24 years
Psychiatrist
Work experience 24 years
Pylskaya Anna
Nikolaevna
Psychiatrist
Second category
Experience 7 years
Psychiatrist
Work experience 7 years
Trofimova Alexandra
Olegovna
Psychiatrist, child psychiatrist
First category
Experience 28 years
Psychiatrist, child psychiatrist
Work experience 28 years
Zholobetskaya Maria
Sergeevna
Psychiatrist, psychotherapist
Top category
Experience 22 years
Psychiatrist, psychotherapist
Work experience 22 years
Endrzheevskaya Diana
Vadimovna
Psychiatrist, psychotherapist
Second category
Work experience 14 years
Psychiatrist, child psychiatrist, psychotherapist
Work experience 14 years
Ivanov Alexander
Nikolaevich
Psychiatrist, narcologist
Top category
Experience 20 years
Psychiatrist, narcologist
Experience 20 years
Semenov Andrey
Nikolaevich
Psychiatrist, narcologist
Leading specialist of clinic
Work experience 24 years
Psychiatrist, narcologist, transfusiologist
Work experience 24 years
Leave a request for a call:
+7 (812) 407-18-00
Treatment of depression in the Clinic of Psychiatry and Psychotherapy - EMC Clinic in Moscow
Along with anxiety disorders, depression is one of the most common mental disorders.
Depressive episodes can develop as an independent disease, or accompany bipolar affective and recurrent depressive disorders, often occur with organic diseases of the brain (epilepsy, psychoorganic syndrome, mental pathology of late age, consequences of traumatic brain injury).
In everyday life, you can often hear: "I have depression." At the same time, depression means a bad mood that arose for a variety of reasons: an umbrella forgotten at home in rainy weather, the absence of a bonus expected at the end of the year, a conflict with a teenage son, etc. However, a bad mood does not mean the presence of depression. Depression is a complex of symptoms.
Symptoms of depression
One of its signs is a long-term lack of mood (more than 2 weeks). Moreover, no external circumstances (a joke, a pleasant meeting, joyful and long-awaited events) can change it. In some cases, a person may experience unreasonable anxiety, concern for loved ones and their own health. Depression is always accompanied by a decrease in working capacity, fatigue, and difficulty concentrating.
The most familiar, everyday things seem complicated and difficult to accomplish. Irritability appears, often for the most insignificant reasons. Interest in the environment disappears: work, favorite activities, the feeling of pleasure disappears. Food seems tasteless, your favorite show is boring, a party with friends is a waste of time. The future is seen in gloomy colors, unpromising and bleak.
Another manifestation of depressive disorders is sleep disturbance. Night sleep becomes superficial, intermittent, with early (2-3 hours earlier than usual) awakenings. Reduced appetite, which leads to rapid weight loss.
The most dangerous symptom of depression is thoughts of suicide, which in the most severe cases of the disease can lead to concrete actions. It is important for others to understand that the patient cannot control his condition and get rid of the disease by willpower. We can deal with bad moods. Good music, delicious food, a funny anecdote - and life is getting better.
But depression is a disease that requires special, often medicinal, treatment. It is impossible to cure it by mere persuasion or self-hypnosis.
So, the main symptoms of depression:
- loss or disturbance of appetite.
Types of depression:
- depressive reactions
- psychogenic depression
- reactive depression
- seasonal depressive disorder
Long-term depression can exacerbate the course of somatic diseases such as hypertension, angina pectoris, bronchial asthma, complicating their treatment and worsening the prognosis. If symptoms of depression persist for more than 2 weeks , a psychiatrist should be consulted.
EMC Clinic of Psychiatry and Psychotherapy diagnoses and treats all types of depression, including chronic and severe depression, anxious depression, and chronic depression. Hospitalization is possible in a comfortable hospital of the EMC hospital on the street.
Shchepkin.
Diagnosis and treatment of depression
The main method of examination to establish a diagnosis is a consultation with a psychiatrist. Undoubtedly, a therapist, neurologist, psychologist can assume the presence of depression and refer to a psychiatrist, but the final diagnosis and choice of treatment strategy (drugs, psychotherapy, etc.) should be left to a specialist in the treatment of mental disorders.
The patient's complaints of low mood or anxiety alone are not sufficient to indicate a depressive disorder. For a reliable diagnosis, a psychiatrist must identify at least four symptoms of depression, assess the time of their onset, severity, severity, etc. Specially designed questionnaires, for example, the Beck Depression Inventory, MMPI (Minnesota Multidimensional Personality Inventory), etc., can serve as auxiliary methods of examination. may also suggest the need to consult a specialist.
The diagnosis of depression includes testing to rule out other disorders with similar symptoms.
For this purpose, magnetic resonance imaging of the brain (MRI diagnostics), laboratory studies of the level of thyroid hormones are carried out. Psychiatrists diagnose depression during a clinical interview using specially developed questionnaires, tests and scales.
EMC Private Clinic's most effective treatment for depression combines medication and psychotherapy. Comprehensive rehabilitation programs for depressive disorders have now been developed, which include massage, reflexology, special gymnastics, and work with patients' families.
Treatment of a depressive disorder is carried out taking into account the severity of the condition and usually includes three stages:
Quite often, the first stage of treatment for depression takes place in a round-the-clock inpatient department of the European Medical Center in Moscow.
