You deserve to feel like yourself again.
Compassionate, comprehensive depression care with multiple treatment options — including Spravato for treatment-resistant depression, with over 30,000 treatments administered.
If you're in crisis or having thoughts of self-harm, call or text 988 (Suicide & Crisis Lifeline) any time, or go to your nearest emergency room. Our team treats depression, but 988 and the ER are the right first call for an active crisis.
Core treatment options
- Medication management: antidepressants tailored to your symptoms, with ongoing monitoring and adjustment
- Spravato (esketamine) treatment: FDA-approved for treatment-resistant depression, with over 30,000 treatments administered
- Medical acupuncture & Chinese herbal medicine: for the stress and anxiety that so often accompany depression, plus better sleep
- Lifestyle medicine: nutritional counseling, exercise guidance, and sleep optimization
A whole team, more than one option
Your care isn't limited to a single provider. Dr. Boguslavsky is board-certified in Family Medicine and Medical Acupuncture; Zainab Ali, PA-C is our dedicated psychiatric PA; and a team of experienced PAs and nurse practitioners delivers Spravato and ongoing mental health care across our offices — so you get real choice and prompt access, not a long wait for the only doctor in the building. Meet the team.
Forms of depression we treat
Depression isn't one experience — it ranges from a persistent low-grade heaviness to an acute, disabling episode. Naming which form you're living with helps shape a treatment that actually fits.
Major Depression
Persistent low mood, loss of interest, and changes in sleep, appetite, energy, or concentration lasting two weeks or more — the classic form, and highly treatable.
Persistent (Dysthymia)
A lower-grade depression that lingers for years and can feel like "just how I am." It's not a personality trait — it responds to treatment like other forms.
Perinatal & Hormonal
Depression tied to pregnancy, the postpartum period, or perimenopause — real, common, and often missed. We treat it alongside our women's health care, not in isolation.
Treatment-Resistant
Depression that hasn't responded to two or more antidepressants — where Spravato and a broader toolkit open real options beyond another prescription.
There's more than one path back to feeling like you.
Most new patients are seen within a week, in person or via telemedicine.
How we evaluate depression
A thoughtful evaluation does more than confirm a diagnosis — it looks for what's driving your depression and makes sure nothing physical is being missed. A first visit is unhurried and complete:
- A real conversation: your history, what you've tried, and what's changed — in a 30–60 minute visit that leaves room to actually be heard
- Validated screening: tools like the PHQ-9 to gauge severity and track your progress over time with real numbers
- A safety check, handled with care: we ask directly and gently about thoughts of self-harm, so we can make sure you're supported — and 988 and the ER remain the right first call in an active crisis
- Ruling out medical causes: checking for thyroid disorders, vitamin D or B12 deficiency, anemia, and sleep problems that can cause or deepen depression
- Looking for overlap: recognizing coexisting anxiety or chronic pain, which frequently travel with depression and change the plan
Related mental health services
Spravato for Depression
FDA-approved esketamine for treatment-resistant depression, delivered in-office with monitoring — over 30,000 treatments administered.
Learn moreAnxiety Treatment
Depression and anxiety so often occur together that treating them as one connected picture works far better than either alone.
Learn moreWomen's Health
Postpartum and perimenopausal depression are real and treatable — we coordinate mood care with hormonal health.
Learn moreDepression treatment questions
How do I know if I have depression or just feel sad?
Depression typically lasts longer than normal sadness and interferes with daily life. If you've felt persistently down, lost interest in activities you used to enjoy, had changes in sleep or appetite, or struggled with feelings of worthlessness for more than two weeks, it's worth getting evaluated.
Will I have to take medication forever?
Not necessarily. Some people need medication short-term to get through a difficult period, while others benefit from longer treatment. Duration is tailored to your situation, with the goal of helping you feel better and function well.
What if antidepressants haven't worked for me before?
This is called treatment-resistant depression, and it's more common than you'd think. Options beyond traditional antidepressants include Spravato (esketamine), specifically FDA-approved for treatment-resistant depression, along with lifestyle medicine and medical MJ as complementary approaches — plus acupuncture and Chinese herbal medicine for the stress and anxiety that often accompany depression.
How quickly will I start feeling better?
Traditional antidepressants typically take 4–6 weeks for full effect, though some people notice improvement sooner. Spravato can work much faster — some patients experience relief within hours or days. Progress is monitored closely during extended appointments.
Can depression be treated through telemedicine?
Yes, for most people. Evaluation, medication management, and ongoing follow-up work well over a secure video visit, so you can be seen from home without the hurdle of getting to an office on a hard day. Some treatments, like Spravato, are delivered in person with monitoring — and if an in-person visit is ever the safer choice, we'll say so.
Can a physical health problem cause depression?
Yes, and it's frequently overlooked. Thyroid disorders, vitamin D or B12 deficiency, anemia, chronic pain, sleep apnea, and hormonal shifts around perimenopause or after childbirth can all cause or deepen depression. Because we're a full family-medicine practice, we look for and treat these physical contributors rather than assuming every low mood is purely psychiatric.
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