Therapy for depression cost


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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    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.

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    For additional resources, please visit the SAMHSA Store.

Last Updated: 08/30/2022

SAMHSA Behavioral Health Treatment Services Locator

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Welcome to the Behavioral Health Treatment Services Locator, a confidential and anonymous source of information for persons seeking treatment facilities in the United States or U.S. Territories for substance use/addiction and/or mental health problems.

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The Locator is authorized by the 21st Century Cures Act (Public Law 114-255, Section 9006; 42 U.S.C. 290bb-36d). SAMHSA endeavors to keep the Locator current. All information in the Locator is updated annually from facility responses to SAMHSA’s National Substance Use and Mental Health Services Survey (N-SUMHSS). New facilities that have completed an abbreviated survey and met all the qualifications are added monthly. Updates to facility names, addresses, telephone numbers, and services are made weekly for facilities informing SAMHSA of changes. Facilities may request additions or changes to their information by sending an e-mail to [email protected], by calling the BHSIS Project Office at 1-833-888-1553 (Mon-Fri 8-6 ET), or by electronic form submission using the Locator online application form (intended for additions of new facilities).

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, it is not uncommon to hear: “I am depressed.” 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:

  • decrease 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 the 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:
  • Stabilizing therapy - allows you to remove the residual manifestations of depression and is aimed at combating relapses.
  • Prevention of future recurrent episodes of depression.
  • 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. The second and third are carried out within the framework of a day hospital or on an outpatient basis. The most justified and clinically effective in the treatment of depression is a program of psychotherapy (mainly cognitive-behavioral therapy) with a course of psychopharmacotherapy.

    Benefits of treatment at EMC

    • For the treatment of psycho-emotional disorders, an integrated approach is used: a combination of pharmacotherapy, cognitive-behavioral psychotherapy and non-drug methods of treatment (TMS, biofeedback therapy).
    • We not only treat depression, but also teach patients to suppress negative thoughts, emotions, return them to an active and happy life.
    • Clinic of Psychiatry and Psychotherapy has a comfortable hospital, which allows to treat even severe forms of depression.

    Depression treatment in St. Petersburg and Vsevolozhsk

    Depression is a widespread and severe illness that has a negative impact on the life of the affected person. Depression is manifested by a feeling of sadness and / or loss of stimulus and joy from life. This leads to the formation of problems in the emotional and physical sphere and greatly affects the ability of a person to carry out work activities and even serve himself.

    TREATMENT OF DEPRESSION AVAILABLE IN BRANCHES:

    Treatment of depression in the Primorsky district

    Address: St. Petersburg , Primorsky district, st. Repishcheva, 13

    Treatment of depression in the Petrogradsky district

    Address: St. Petersburg , Petrogradsky district, st. Lenina, 5

    Treatment of depression in the Krasnogvardeisky district

    Address: St. Petersburg , Krasnogvardeisky district, Novocherkassky pr., 33 building 3

    Treatment of depression in Vsevolozhsk

    Address: Vsevolozhsk , Oktyabrsky avenue, 96

    Symptoms of depression

    • Sad mood;
    • Loss of interest in life or the ability to enjoy;
    • Appetite changes - weight loss or drastic weight loss not related to diet;
    • Drowsiness;
    • Loss of energy or excessive fatigue;
    • Aimless activity (eg, arm movements, repetitive movements) or decreased speed of movement and speech;
    • Feelings of worthlessness or self-guilt;
    • Ideas about dying or committing suicide.

    Types of depressions

    • Endogenous;
    • Exogenous;
    • Psychogenic;
    • Hidden.

    Select branch"Dynasty" on Novocherkassky prospect, Krasnogvardeisky district"Dynasty" on Lenina, Petrogradsky district"Dynasty" on Repishcheva, Primorsky district"Dynasty" in VsevolozhskVisiting service

    Child specialists

    Online counseling

    Reception is conducted by doctors:

    Abdullaev Teymur Rovshanovich

    Psychotherapist, sexologist

    Bragar Maria Alexandrovna

    Psychotherapist

    Bragin Dmitry Alekseevich

    Clinical psychologist

    Volkova Irina Anatolyevna

    Psychotherapist

    Galitsyna Elena Yurievna

    Clinical psychologist, candidate of psychological sciences, leading specialist

    Golubeva Elena Viktorovna

    Psychiatrist, psychiatrist-gerontologist

    Oksana Gracheva

    Clinical psychologist, higher category

    Grineva Tatyana Vladislavovna

    Psychotherapist

    Davtyan Stepan Eduardovich

    Psychiatrist, candidate of medical sciences, highest category

    Dessler Olga Vladimirovna

    Psychotherapist, psychiatrist

    Dobek Viktor Arkadyevich

    Psychiatrist, psychotherapist, highest category

    Dolgopolov Artem Igorevich

    Psychiatrist, psychotherapist

    Erysheva Evgenia Dmitrievna

    Psychiatrist

    Kaputina Anna Sergeevna

    Psychotherapist

    Kondakov Stanislav Vadimovich

    Psychiatrist, psychotherapist

    Korsakova Natalia Viktorovna

    Psychiatrist, narcologist

    Kravtsov Anton Alexandrovich

    Psychiatrist, highest category

    Kurnosova Irina Vadimovna

    Psychotherapist, higher category

    Mitrofanov Alexey Yurievich

    Psychiatrist, psychotherapist

    Moskalev Alexander Romanovich

    Psychiatrist

    Polyakov Yuri Izrailevich

    Psychiatrist, psychotherapist, narcologist, doctor of medical sciences, scientific director of the network of clinics "Dynasty"

    Prokhorova Irina Yurievna

    Clinical psychologist, leading specialist

    Romanchuk Elena Nikolaevna

    Psychiatrist, first category

    Skoblya Natalia Vladislavovna

    Clinical psychologist, leading specialist

    Soina Olga Vladislavovna

    Clinical psychologist, higher category

    Maxim Solyanik

    Psychiatrist, psychotherapist, candidate of medical sciences, chief physician of the psychiatric hospital

    Sotsko Ivan Sergeevich

    Psychiatrist

    Taktaykin Andrey Igorevich

    Psychotherapist, psychiatrist

    Troyanovsky Roman Romanovich

    Psychotherapist, higher category

    Khutoryanskaya Yulia Valerievna

    Child psychiatrist

    Methods for the diagnosis and treatment of depression

    Evaluation of a patient with suspected depression includes:

    • Physical examination. In depression, the doctor should ask the patient the necessary questions about the manifestations of the disease, comorbidities, and conduct a physical examination.
    • Laboratory tests. To exclude concomitant pathology and a general assessment of the patient's body condition, the doctor may need to conduct a number of laboratory tests - a complete blood count, hormonal studies (often these are thyroid gland studies) and other tests.
    • Psychiatric evaluation. A psychiatrist during communication can ask about the manifestations, thoughts, feelings of the patient, reactions to ongoing events.

    The further method of treating the patient will differ from the type of depression.

    Endogenous depressions are diseases that are triggered by internal factors, most often genetic.

    Exogenous depressions are ailments that develop on the background of somatic diseases, brain injuries or on the background of taking psychotropic drugs.

    Psychogenic depressions are formed in response to some traumatic event.

    Latent depression is a form of the disease in which depression is disguised as some kind of general somatic disease, which most often cannot be treated by classical methods.

    Treatment of depression


    Treatment of depression with medication.

    Antidepressants are the main means for correcting depression. These medicines are not sedatives, stimulants, or tranquilizers. They are not addictive. And as a rule, antidepressants do not have a stimulating effect on people who do not suffer from depression.

    The use of antidepressants gives the first slight improvement within the first 2 or 3 weeks of use. But the full effect can be obtained only after two to three months of regular therapy. In certain situations, other psychotropic drugs may be added. It is important that the doctor knows the dynamics of the patient's condition and, in case of ineffectiveness of the therapy, can make changes to the treatment.

    It is worth noting that doctors usually recommend that patients continue taking the medicine for up to six months or more after symptoms improve. Long-term maintenance treatment may also be offered to reduce the risk of future episodes in cases of high risk of recurrence.

    Psychotherapy

    For mild depression, psychotherapy can be used as an independent treatment, i.e. in this form it is possible to treat depression without antidepressants. For moderate and severe forms - psychotherapy is not recommended as the only approach, but greatly increases the effectiveness of drug therapy. Psychotherapy can be carried out for the patient himself, as well as for his environment. For example, family or couples therapy can help resolve problems in close relationships.

    Cost of treatment for depression:

    Name of service Price in rubles
    St. Petersburg Vsevolozhsk
    Psychological consultation from 3000 from 2500
    Psychiatric consultation from 3500 from 3000
    Psychotherapist's consultation from 3500 from 4000
    Sexologist consultation 4500 4500
    Narcologist consultation from 3000 from 4000
    Family therapy session from 3500 from 3500
    Group psychotherapy session 1800 -
    Psychiatric report for reference 1000 1000
    Psychodiagnostic examination (2 hours) 6000-7000 6000-7000
    Wechsler test 5000 -
    Psychotherapeutic consultation 11000 11000
    Psychiatric examination before the transaction 9000 9000
    Psychiatric hospital
    Standard (4-seat) - 6000
    Standard+ (2-seat) - 7500
    Junior suite (2 persons) - 8300
    Suite (2 persons) - 9000
    Premium (single) - 10500

    The statistics of depression is impressive. Depressive disorder affects about one in 15 adults (6.7%) each year. At the same time, every sixth person (16.6%) was in a depressed state at least once in his life.

    Despite this, clinical depression is one of the most effectively treatable psychotic disorders. 80-90% of people with depression end up responding well to treatment; almost all patients after treatment receive relief and normalization of the quality of life.

    Treatment of depression in the Dynasty clinic is an opportunity to use any modern treatment methods under the supervision of highly qualified specialists. We offer you help with depression, as well as the possibility of examining comorbidities. Our depression treatment center offers you a modern approach to treatment and diagnosis. In severe cases, depression can be treated in a hospital.

    Risk factors for depression

    Depression can affect anyone - even a person who seems to live in relatively ideal conditions.

    Several factors may play a role in depression:

    • Features of the structure of the brain, biochemistry of the brain;
    • Genetic features;
    • Personal characteristics;
    • Environmental factors.

    Brain biochemistry: Differences in brain structure and chemical organization may contribute to symptoms of depression.

    Genetics: Depression may have hereditary causes.

    Personality: people with severely low self-esteem, stressed, pessimistic, more likely to get depressed.

    Environmental factors. Constant exposure to violence, neglect, abuse, or poverty can make some people more vulnerable to developing depression.

    In true depression, symptoms must appear within 14 days or longer. In addition, the symptoms of depression can be part of other diseases:

    • Bipolar affective disorder;
    • Schizophrenia;
    • Persistent depressive disorder;
    • Premenstrual dysphoric disorder.

    Depression and lifestyle

    As a rule, it is not possible to get rid of depression on your own. But in addition to well-conducted professional treatment, there are actions that help normalize the patient's life and largely determine the subsequent course of the disease and the risk of relapse:

    1. Follow the recommended treatment plan. Do not skip psychotherapy or visits to the doctor. Even if you feel well, do not stop taking your medication. If you suddenly stop taking your medication, it can lead to withdrawal symptoms and worsen your depressive symptoms. After that, the treatment will need to be restarted, and your efforts and the cost of treating depression will increase.
    2. Learn about depression. Information about your disease, modern approaches to treatment, developments in this area will allow you to better understand what is happening to you and motivate you not to violate the treatment plan.
    3. Pay attention to changes in your condition. Talk to your doctor to find out what events can worsen your symptoms of depression and make your condition worse. Form an action plan to be clear about what to do if symptoms get worse.
    4. Avoid alcohol and stimulants. Don't be afraid to talk to your healthcare provider if you have a problem with excessive alcohol or drug use.
    5. Take care of yourself.

      Learn more