Conditions

Depression & Mood Disorder Treatment

Yes, we evaluate and treat depression and other mood disorders for patients across New Jersey. Plans are personalized and may combine supportive counseling, lifestyle strategies and, when appropriate, medication with regular follow-ups.

Book a Session (201) 616-1371

What is depression?

Depression is a common but serious mood disorder that affects how you feel, think and handle daily activities. It is more than a bad day or a passing low mood. Symptoms usually last most of the day, nearly every day, for at least two weeks.

Depression can affect anyone, at any age. It is not a personal weakness, and it isn’t something you can simply snap out of. It is also treatable, and many people feel better with the right support.

What are the signs of depression?

Not everyone has every symptom, and depression can look different from person to person. Common signs include:

  • A persistent sad, anxious or empty mood
  • Loss of interest or pleasure in activities you used to enjoy
  • Feeling hopeless, worthless or unusually guilty
  • Low energy, fatigue or feeling slowed down
  • Sleeping much more or much less than usual
  • Changes in appetite or weight
  • Trouble concentrating, remembering or making decisions
  • Irritability or restlessness
  • Aches, pains or digestive problems without a clear physical cause
  • Thoughts of death or suicide

What are mood disorders?

Mood disorders are conditions in which changes in mood are persistent and affect daily functioning. Major depression is the most familiar, but it isn’t the only one. Some people live with a longer-lasting, lower-grade depression that can go on for years. Others experience mood episodes that shift between depression and periods of unusually high energy or elevated mood.

These differences matter, because the pattern can change what treatment is recommended. That is why your first visit includes a careful look at your mood history, not only at how you feel today.

How does depression look in teens?

In teens, depression may look less like sadness and more like irritability, pulling away from friends, falling grades, changes in sleep or constant tiredness. It can be easy to mistake for ordinary teenage moodiness.

If changes last for weeks or seem out of character, it’s worth talking with someone. Our child and adolescent psychiatry care involves parents and guardians throughout.

How is depression treated?

Depression treatment is tailored to each person and often combines approaches. It starts with a comprehensive psychiatric evaluation to understand your symptoms, history and goals.

  • Supportive counseling. Psychotherapy can help you process emotions, notice unhelpful patterns and build coping strategies for stress and relationships.
  • Lifestyle adjustments. Sleep, movement, daily structure and social connection can all support your mood.
  • Medication, when appropriate. Antidepressants and other medications help many people. Through medication management, your provider adjusts doses carefully, watches for side effects and checks in regularly.

Improvement is often gradual. Antidepressant medications can take several weeks to show their full effect, and it may take time to find the approach that fits you best. Regular follow-ups help keep your plan on track.

What can contribute to depression?

Depression usually has more than one cause. Genetics, brain chemistry, medical conditions, certain medications, stressful life events, grief, chronic pain and long-term stress can all play a part.

That is one reason treatment is rarely a single thing. Your evaluation looks at the whole picture, including sleep, alcohol or substance use and physical health, so your plan addresses what is actually contributing rather than the symptom alone.

It also helps explain why depression is not something a person can simply decide to stop feeling. The changes involved are real, and they respond to treatment rather than willpower.

What if you have tried treatment before?

Many people come to us after trying treatments that didn’t fully help. That experience is useful information, not a dead end. We review what you tried, what helped, what didn’t and why, then use that history to shape next steps.

With your written consent, we can also coordinate with your therapist or primary care provider so everyone stays aligned on your care.

How do you get depression care in New Jersey?

Most visits take place through a secure, HIPAA-compliant video platform, so you can meet from home or work anywhere in New Jersey. In-person visits are available at our Hackensack office when clinically appropriate.

To get started, book through Headway or call (201) 616-1371. Availability varies, but we often have new-patient openings within days.

If you are in crisis

We are not an emergency service. If you are thinking about suicide, are in immediate danger, or are experiencing a medical or psychiatric emergency, call 911 or go to the nearest emergency room. For 24/7 support in the U.S., call or text 988 (Suicide & Crisis Lifeline).

Frequently asked questions

How do I know if it’s depression or just a rough patch?

Everyone has low periods. Depression is more likely when symptoms last most of the day, nearly every day, for two weeks or more, and affect your sleep, energy, work, school or relationships. If you’re unsure, an evaluation can help clarify what’s going on and what kind of support may help.

Can depression be treated without medication?

For some people, yes. Supportive counseling, lifestyle changes and steadier daily routines can help, especially with milder symptoms. For others, medication makes a meaningful difference. Your provider will talk through the options, including possible benefits and side effects, so you can decide together.

How long does it take to feel better?

It varies. Some people notice small changes within a few weeks, while others need more time or adjustments to their plan. Antidepressant medications often take several weeks to reach their full effect. Regular follow-up visits help track progress and make changes when they’re needed.

Are depression and anxiety connected?

They often occur together and can share symptoms such as poor sleep, trouble concentrating and irritability. Treating both at the same time is common. Your evaluation looks at the full picture so your plan addresses what you’re actually experiencing rather than one label.

What should I do if a loved one seems depressed?

Let them know you’ve noticed changes and that you care. Listen without judging, and encourage them to talk with a mental health professional. If they mention suicide or you believe they’re in danger, call 911 or call or text 988 for immediate support.

Joseph R. Bolante, APN, PMHNP-BC

Your Next Step Toward Feeling Better Starts Here

You don’t have to figure everything out on your own. Whether you’re struggling with anxiety, depression, ADHD, or simply need support — help is available. Reach out today to schedule a virtual appointment and take the first step toward clarity and calm.

Book a Session (201) 616-1371

Confidential. Compassionate. Convenient. Your care, your pace, your peace of mind.