Depression Treatment
Depression rarely announces itself. It usually arrives as a slow flattening, where things that used to matter stop registering and getting through the day takes more effort than it should. By the time most people book an appointment, they have been managing it quietly for months. Dr. Sinha is a psychiatrist for anxiety and depression, treating patients by telehealth in New York, New Jersey, and Pennsylvania.
Recognizing the Signs of Depression
Depression looks different from person to person, but a few patterns come up repeatedly:
Low mood that sits there most of the day, most days
Loss of interest in things you used to enjoy
Sleeping far more or far less than usual
Appetite changes and weight loss or gain
Fatigue that rest does not touch
Trouble concentrating or making ordinary decisions
Feeling worthless, or guilt that is out of proportion to anything you did
Irritability, which is often how depression presents in men and teenagers
Thoughts of death or of not wanting to be here
Two weeks is the usual threshold, though the more practical measure is cost. When work, relationships, or basic self-care start slipping, treatment is worth pursuing.
If you are having thoughts of harming yourself, call or text 988 to reach the Suicide and Crisis Lifeline, or call 911. Do not wait for a scheduled appointment.
Types of Depression We Treat
Major depressive disorder, which comes in episodes that can recur across a lifetime
Persistent depressive disorder, a lower-grade depression that runs for years and often gets mistaken for personality
Treatment-resistant depression, where two or more medications have already been tried without much result
Seasonal depression, tied to shorter days and less light
Perinatal & postpartum depression, covered in more detail on the women's mental health page
Depression alongside another condition, including anxiety, ADHD, and hormone-related mood changes
Bipolar disorder is assessed as part of every depression evaluation. Some people who present with depression are actually dealing with bipolar depression, and that distinction changes which medications are appropriate.
Our Approach: Evaluation, Medication, & Supportive CBT
Treatment starts with a 60 to 90 minute psychiatric evaluation. Dr. Sinha reviews your symptoms, your history, your sleep, your medical background, and every medication you have tried before, then explains what she is seeing and why.
Medication is one part of the plan. Antidepressants work differently from person to person, and the first one prescribed is not always the one you stay on. Dr. Sinha walks through the options and side effects before anything is written, then tracks your response during medication management and adjusts as needed. Most antidepressants take several weeks to show a real effect, which is why early follow-ups are scheduled closely together.
Supportive and cognitive behavioral techniques are built into follow-up sessions. That work focuses on the thinking patterns depression reinforces, on getting small pieces of routine back in place, and on rebuilding activity even before motivation returns. Sleep, movement, alcohol, and daily structure all get attention, since each one pulls on mood.
Dr. Sinha will recommend a dedicated therapist alongside medication when that combination is likely to help, and coordinates with your therapist so both sides line up.
Depression Treatment for Teens & Adults
In teenagers, depression often reads as irritability, withdrawal from friends, falling grades, or long stretches in a bedroom rather than visible sadness. Parents frequently describe it as their child becoming a different person. Adults are more likely to report exhaustion, numbness, and a sense of going through the motions.
Dr. Sinha treats patients ages 3 and older. For adolescents, parents stay involved in the plan, and she works with school teams and therapists where that helps. The child and adolescent psychiatry page covers that side of care in more detail.
What to Expect From Your First Visit
You start with a complimentary 15 minute consultation, then schedule the evaluation. The appointment runs 60 to 90 minutes over secure video, and you need to be physically located in New York, New Jersey, or Pennsylvania during the visit.
By the end you should know what Dr. Sinha thinks is going on, what your options are, and what the next several weeks involve. Follow-ups run 30 to 45 minutes.
Frequently Asked Questions
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Most take four to six weeks to show a full effect, though some people notice changes in sleep or energy sooner. Early appointments are spaced closely so that a medication that is not working gets caught quickly.
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That is a common reason people book a second opinion. Dr. Sinha reviews what was tried, at what dose, and for how long, since a medication written off as ineffective was sometimes never given a fair trial.
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For many people the two together work better than either alone. Dr. Sinha will tell you directly if she thinks a therapist would help and can coordinate with one you already see.
Get Started With Depression Treatment
Book your complimentary 15 minute consultation and we will reach out within one business day. Call (646) 389-0538 or email drpri@resiliencepsychmed.com.