• Mood, focus and habits / Psychiatry

Depression

Depression can show up as sadness, but also as exhaustion, poor sleep, losing interest in things you used to care about, or finding it hard to concentrate. It is a medical condition, and it is common.

Care is provided by Dr. Daud Panah, who practices psychiatry and addiction medicine. Visits are in person in Atlantic City or by telehealth across New Jersey.

If you are in immediate danger or thinking about harming yourself, call or text 988 to reach the Suicide and Crisis Lifeline.

What this can be

What can contribute.

Depression often has more than one contributor. Some are medical, which is why an evaluation looks beyond mood alone.

Life stress and loss

Grief, conflict, work or financial strain.

Thyroid disease

An underactive thyroid can cause low mood and fatigue.

Anemia

Low red blood cells can cause exhaustion that overlaps with depression.

Vitamin D or B12 deficiency

Both are linked with low mood and low energy.

Sleep apnea and poor sleep

Chronic poor sleep can mimic or worsen depression.

Substance use

Alcohol and other substances can deepen low mood.

Medication effects

Some medications list mood changes as a side effect.

Family history

Depression can run in families.

What we measure

What an evaluation involves.

Each of these can mimic or worsen depression, so we check for them.

  • Full psychiatric evaluation

    Your symptoms, history, sleep, relationships, safety and goals, discussed with Dr. Daud Panah.

  • Medication history

    Every medication you've tried, with the dose and how long you took it.

  • Thyroid screening

    TSH, with free T4 if needed.

  • Anemia screening

    A complete blood count.

  • Vitamin D and B12

    Two common deficiencies linked with low mood.

  • Sleep apnea screening

    With a referral for a sleep study when indicated.

  • Substance use screening

    Asked plainly and without judgment, because it affects which treatments are safe and effective.

Treatment-resistant depression

When an antidepressant hasn't helped.

Treatment-resistant depression means you've taken an antidepressant at an adequate dose, for an adequate length of time, and haven't improved.

This is common. It is not a personal failure, and it doesn't mean nothing will help. It is a reason for a full psychiatric evaluation rather than another refill of the same prescription.

What happens next

Options, depending on what we find.

Next steps depend on the evaluation. They may include starting, adjusting or changing medication, combining medications, treating a medical condition found in your labs, therapy referrals, or treatment for substance use when it's part of the picture.

We talk through the options with you and decide together.

What it costs

Published pricing.

Initial evaluation

$250

Self-pay

Follow-up visit

$150

Self-pay

We accept PPO plans from Aetna, AmeriHealth, Horizon and UnitedHealthcare, plus Medicare. HMO plans are not accepted. Lab and treatment costs depend on what is ordered.

See full pricing →
Frequently asked

Common questions.

Who will I see?

Dr. Daud Panah, who provides our psychiatry and addiction medicine care. Visits are available in person in Atlantic City or by telehealth anywhere in New Jersey.

What happens at the first visit?

A full psychiatric evaluation. We talk about your symptoms, history, sleep, substance use and every medication you've tried, including dose and how long you took it. We may order bloodwork to check for physical causes.

I've tried an antidepressant and it didn't help. What now?

That is common, and it is not a personal failure. If you took a medication at an adequate dose for an adequate length of time without improvement, a psychiatric evaluation is a better next step than another refill. It can lead to a different medication, a change in dose, a combination, or a look at other conditions that may be involved.

Why do you check bloodwork for depression?

Thyroid disease, anemia, and low vitamin D or B12 can each cause or worsen depressive symptoms. Checking them is a routine part of a thorough evaluation.

Can I be seen by telehealth?

Yes. Telehealth visits are available to patients anywhere in New Jersey.

Is this an emergency service?

No. If you are in immediate danger or thinking about harming yourself, call or text 988 to reach the Suicide and Crisis Lifeline, or call 911.

• 6 N Mississippi Ave, Atlantic City

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