Psychiatrists provide Kitsap County depression counseling. View All. We provide a full range of mental health treatment services for children, youth, families and adults at every stage of life. ReGain is a virtual couples therapy platform owned by BetterHelp. Find Depression Therapists, Psychologists and Depression Counseling in Poulsbo, Kitsap County, Washington, get help for Depression in Poulsbo. Many minor mental illnesses like anxiety and depression do best with outpatient treatment. SAINT’s rapid success in treating treatment resistant depression has been widely celebrated as a breakthrough in the treatment of depression. We are the go-to treatment option when conventional avenues have failed. Dr. It may make it difficult for you to concentrate or carry out your normal activities. An estimated 21. Even so, for disorders such as depression, research shows the combination of medication and therapy may be more effective than either one alone. Without admitting fault, Western State Hospital settled a lawsuit Monday from a disabled, mentally ill man who sat for weeks in squalid conditions in the. Schedule a Free Consultation* If you are suffering from depression, OCD, anxiety or similar disorders, and have not had satisfactory results from pharmaceutical medications or other treatments, NeuroStim TMS may be able to help through TMS Therapy. Symptoms by Age. The good news is that treatments can be very effective in improving symptoms. 3 Rates of depression and suicide have increased, primarily among those younger than 25 years. Behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of major depression (Dimidjian et al. There are various treatment options for depression. D. During our Saturday Clinics, you can expect Dr. 3% of all U. But in addition to professional treatment, these self-care steps can help: In addition, Dr. DEPRESSION OVERVIEW — Clinical depression is a medical condition that goes beyond everyday sadness. For children with parents who have deployed, the Department of Defense created MilitaryKidsConnect (MKC), an online resource for kids to find information and support. Here we raise several concerns regarding the Review by Steven Marwaha and colleagues. Neuropsychiatric Treatment Center. . Contact us at 206. regular thoughts of death or suicide, with or without a plan for suicide. Ketamine has transformed our expectations for new medications to treat mental health. Verified. Depression may require long-term treatment. losing interest in sex. Feeling irritable or restless. This number represented 8. ; Physical. TO MAKE A DIFFERENCE FOR YOU. having low self-esteem. Reviewed August 2017. Antidepressants work by affecting the brain chemicals. having other mental health disorders, like anxiety or bipolar disorder. Depression, however, is an illness with many symptoms that extend well beyond an unhappy mood. Blue Cross Blue Shield (BCBS) Dangers of Drinking &. Signs of depression include: Changes in appetite, weight, and sleep patterns. Clinical depression (also called major depressive disorder or depression), is one of the most common mental health conditions. Most of us feel sad. Depression is a serious mood disorder. Treatment works. Kitsap Mental Health Services is a medical group practice located in Bremerton, WA that specializes in Psychiatry. . 6300. We are participating in the COMPASS trial for psilocybin. Contact us at 206. , Suite 203 Bremerton, WA 98310 Phone: (360) 792-1015 Fax: (360) 792-0964 kitsappt. Major or clinical depression is a serious but treatable illness. Major depression is one of the most common mental health disorders in the United States. It’s Just Like Electroconvulsive Shock Therapy. WE HAVE THE EXPERTISE, PERSISTENCE AND COMPASSION. Some types include: Clinical depression. There are several medications recommended or approved for the treatment of bipolar depression. The Arc Washington State, resources for people with intellectual and developmental disabilities. Complications. Find Depression Therapists, Psychologists and Depression Counseling in Port Orchard, Kitsap County, Washington, get help for Depression in Port Orchard. It is an FDA-approved, non-invasive treatment that has been recognized. LEARN MORE ADDITIONAL THERAPIES ADDITIONAL THERAPIES. Treatment choice depends on the acuity and severity of the depression. Also, the CRF-antagonist (R121919) reduces symptoms of major depression in clinical trials. Overview. In-Office Appointments. 203 D West Patison St, Port Hadlock-Irondale, WA 98339 3 60-698-4860Annually, depression-associated disability costs the Australian economy AU$14. Eur. LEARN MORE. Poulsbo. It’s important to realize that these negative views are part of the depression and do not reflect reality. General Surgery • 1 Provider. changes in appetite and body. Most. Lakewood Clinic;. Address: 1530 S. A common misconception is that electroconvulsive shock therapy is the same as TMS – they are easily confused since they are both types of brain stimulation. Mental health, as defined by the Public Health Agency of Canada, [7] is an individual's capacity to feel, think, and act in ways to achieve a better quality of life while respecting personal, social, and cultural boundaries. However, veteran status was unknown or not reported for more than 23 percent of all suicides during the project period. Irritability. Candidates should be skilled in evidence-based treatment interventions for adults and/or children, adolescents struggling with trauma, anxiety, mood (depression, bipolar),. com rehab advisors for more information at (877) 683-2684. muscle pain. 6300. Dr. NeuroStim TMS is an Effective New Depression Treatment Without Medication. Individual therapy, family therapy, couples therapy, and psychological assessment. Poulsbo. feeling tearful. My clinical focus will be on medication management. “Talk therapy” is one of the best ways to work through your challenges and find new solutions. 9 million NeuroStar Advanced TMS treatments have been performed in over 162,000 patients. Unlike previous antidepressants, many patients feel better after the first or second treatment. Nathan Pilling is a reporter covering Bainbridge Island, North Kitsap and Washington State Ferries for the Kitsap Sun. 219 NE Moe Street. ”. Find Depression Massage Therapists in Kitsap County, Washington, help from Kitsap County Depression Massage Therapists for Depression Massage in Kitsap County. This industry-funded work was presented for the first time at the 36th ECNP Congress in Barcelona, with publication in the peer-reviewed journal the New England. Seasonal affective disorder (seasonal depression). the Great Depression. Stuart, MSW, LICSW, Clinical Social Work/Therapist, Bainbridge Island, WA, 98110, (206) 429-6843, I work with men and women who are struggling with symptoms of depression and/ or anxiety. Kitsap Mental Health Services. (206) 202-9974. Pharmacotherapy, especially selective serotonin reuptake. To be diagnosed with depression, the symptoms must be present for at least 2. Learn about the differences in causes, symptoms, and treatment. Depression is also linked to insomnia, and they can feed off each other. It can affect all aspects of life, including relationships with family, friends. Our Kitsap clinic offers consultation for severe or treatment-resistant depression, with options including TMS and esketamine (Spravato). For more than 20 million people in the United States who have depression, the feelings do not go away. By Beth JoJack on July 20, 2023 — Fact checked by Jessica Beake, Ph. Find Depression Therapists, Psychologists and Depression Counseling in Bremerton, Kitsap County, Washington, get help for Depression in Bremerton. Book an appointment today with Kitsap Recovery Center located in Bremerton, WA. Depression, even the most severe cases, is a highly treatable disorder. Loss of interest or pleasure in usual activities. Thanks to you all at Kitsap Recovery Center I'm 17 years clean and sober. finding it difficult to make decisions. Connect by phone 800-950-6264 or text "Helpline". Find Bipolar Disorder Therapists, Psychologists and Bipolar Disorder Counseling in Port Orchard, Kitsap County, Washington, get help for Bipolar Disorder in Port Orchard, get help with Manic. This fatigue can be physical, mental, or both. to 62640, or chat. Find treatment for depression in Kitsap and get professional help. Kitsap Mental Health Service’s Madrona Program, a model that combines therapy and an academic setting for students in need of more intensive help, has reached an agreement with the Bremerton. Find Intensive Outpatient Program Treatment Centers in Kitsap County, Washington, get help from Kitsap County Intensive Outpatient Program Rehab for Intensive Outpatient Program Treatment. When you're done, we'll guide you through your care options. 2 months. (360) 337-4625. I work with patients with Depression, Anxiety, ADHD, Bipolar and Mood Spectrum, Schizophrenia, PTSD. Depression. We have particular expertise in child, adolescent, and young adult psychological evaluations and treatment, particularly with ADHD, Autism, Learning Disabilities, Anxiety, Depression, Complex. A new study conducted in Australia and New Zealand found that a low-cost version of ketamine helped 20% of participants with severe depression achieve total remission from their symptoms, while a. It can affect all aspects of life, including relationships with family, friends. Home. In severe cases, it can lead to self-harm or death by suicide. I specialize in Depression, Suicidal Ideation, and Alternative therapy options. With appropriate treatment, 70-80% of individuals with major depressive disorder can achi. There is hope! Why Patients Choose Neurostim TMS for Alternative Depression Treatment in Spokane Andrew Binion. Dr. Contact us at 206. Our behavioral health services include: Care coordination with your primary care provider, to collaborate and develop treatment plans, monitor. Kitsap Connect Kitsap Public Health District 360‐917‐0672 Crisis Triage & Withdrawal Management Center Kitsap Mental Health Services 360‐415‐5803 Outpatient Treatment & Recovery Support Kitsap Adolescent Recovery Services & Therapeutic Courts Kitsap Juvenile Court Services 360‐337‐5465 Adult Drug Court &Washington Port Orchard testOver 5. 1. Depressive disorders are common, costly, have a strong effect on quality of life, and are associated with considerable morbidity and mortality. Anxiety, Bipolar Disorder, Depression, Personality Disorders, PTSD, and Trauma Levels of Care Aftercare, Dual Diagnosis, Inpatient Detox, IOP, Partial Hospitalization, Residential Treatment Call Us: (866) 941. During our Saturday Clinics, you can expect Dr. Address: 11 Bellwether Way, Suite 210, Bellingham, WA 98225. Are you struggling with depression in your daily life? Find treatment for depression in Kitsap and get professional help. Choose from a variety of mental health therapists and psychiatrists with different backgrounds and specialties, available when you are. A lack of restful sleep may lead to anxiety. In the United States alone it affects an estimated 21 million adults ages 18 and older (10. Perinatal depression: This is a form of. com. We have a 4 to 1 ratio of clinical staff to men in treatment. Lifestyle and home remedies. A new study conducted in Australia and New Zealand found that a low-cost version of ketamine helped 20% of participants with severe depression achieve total remission from their symptoms, while a. are ready to assist you. It is located at 509 4th St Ste 28, Bremerton, WA and its contact number is 360-234-6423. adults 20 to 59 years of age. Our Olympia-Lacey neighbors consider us their go-to resource for treatment of major depressive disorder, OCD, PTSD, postpartum depression, anxiety, and other mood disorders. Major depressive disorder (MDD), also known as clinical depression, is a mental disorder characterized by at least two weeks of pervasive low mood, low self-esteem, and loss of interest or pleasure in normally enjoyable activities. loss of interest or pleasure in hobbies and activities. Treatment centers in Kitsap County help clients with substance abuse issues, drug abuse, and pain treatment, as well as eating disorders. There are different types of depression, and your treatment options will depend on the type you have. getting too much or too little sleep. WE CAN HELP. (888) 963-9467. 19500 10th Ave, # 270, Poulsbo, WA 98370 360-779-1006 MAP & DIRECTIONS. Seattle, WA 98112. In addition to TMS, ECT, and ketamine, we offer clinical trial options. The horror of systemic racism against Black, indigenous, people of color – historic in our institutions,. 467. While only a qualified medical or mental. More. • Collaborate with the patient (and, if possible, the family) to min-imize barriers. It commonly includes low mood for the majority of one’s day. D. His specialties include treatment-resistant depression as well as TMS, ECT and esketamine treatment in patients of all ages. Without linking to VA or Department of Defense. At Seattle NTC Kitsap, people with treatment-resistant depression can regain control of their health through the use of ketamine therapy. West Sound Treatment Center 4060 Wheaton Way, Suite F, Bremerton, WA 98310-3500 Office Phone: 360-876-9430 Office Fax: 360-362-1179 DSM V Criteria for Substance Use Disorder FILED I-l:;1:J 2 5 2020 KITSAP DiSTR1cfcOUNry 0URrThe average Clinical Child Psychologist salary in California is $74,211 as of October 25, 2023, but the salary range typically falls between $62,720 and $84,004. We’re here to help! To contact a member of our team fill out the form and we. At NeuroStim TMS Lakewood, we want you to live your best life and take in all that your area has to offer. Guilt and worthlessness: Depression can affect self-image and self-esteem, making a person feel guilty or worthless. Esketamine, also known by the brand name Spravato®, is a promising new antidepressant that has the potential to work very quickly. Schedule a Free Consultation* If you are suffering from depression, OCD, anxiety or similar disorders, and have not had satisfactory results from pharmaceutical medications or other treatments, NeuroStim TMS may. CURRENT STUDIES. Guilt is a normal reaction after a person says or does something that they regret, but people with depression may have ongoing feelings of guilt for no reason. Signs of depression include feeling low, feeling bad about yourself, withdrawing from people and low motivation. Depression, also known as major depressive disorder or clinical depression, is a mood disorder with a group of symptoms including constant sadness or lack of interest in life. A major clinical trial shows that the drug, esketamine, one of the two main forms of ketamine, outperforms one of the standard treatments for treatment-resistant major depression. Diagnosis. By embracing the telehealth platform, we are able to offer virtual outpatient support to adults struggling with primary mental health diagnoses such as anxiety, depression, and mood disorders. It may even influence someone to contemplate or attempt suicide. Choosing your personal treatment plan can be complicated, but together we will find a way through the maze and help you feel more like yourself again. Dr. Exercise as depression treatment. Kitsap Mental Health Services Adult Outpatient/Pathways - QuitAlcohol. Seattle NTC – Kitsap, Washington. Ketamine is an FDA-approved drug as an anesthetic but remains unapproved for psychiatric indications, and this status raises a number of short- and long-term safety and efficacy. Slowed thinking, speaking or body movements. drinking more alcohol. The prevalence of major depressive episode was higher among adult females (10. The 22 licensed clinical psychologists, social workers, marriage and family therapists and mental health counselors at Peninsula Psychological Center, Inc. Depression may also manifest psychosomatically, meaning that instead of presenting first and foremost as a mood disorder, the dominant symptom may be things like vague aches, dizziness, headaches. If you have severe depression, you may need a hospital stay, or you may need to participate in an outpatient treatment program until your symptoms improve. A common misconception is that electroconvulsive shock therapy is the same as TMS – they are easily confused since they are both types of brain stimulation. We plan your treatment together by addressing your needs: anxiety, depression, trauma, eating disorders, among other mental health challenges- along with family and/or relationship complications. OCD Obsessive-compulsive disorder can be treated by SeattleNTC. Nikki Gaines. 3 – 5 pm and 7:30 – 9:30 pm Mondays and Wednesdays. KITSAP GENERAL SURGERY, PLLC. Misconceptions. Transcranial Magnetic Stimulation (TMS) is a medical breakthrough for treating Major Depression, OCD, PTSD, Anxiety, and other disorders. To that end, the city of Poulsbo, where Hendrickson serves as the housing, health, and human services director, is creating a new Health and Resource Center with a $200,000 grant from the Olympic. Medications and psychotherapy are considered the first line of treatment for major depression, yet ECT can be a life-saving intervention for the. Show Phone Number. Situational depression is similar to clinical depression, but it normally lasts for a shorter time. Emily Meyers. 4. Kristine Clay, Mental Health Counselor, Bremerton, WA, 98311, (360) 531-7458, Counseling to help navigate life's storms for families, children and adults. wide variety of concerns including depression, anxiety, trauma, relationship issues, life transitions, chronic pain, maternal mental health. Feeling or appearing depressed, sad, tearful, or irritable. Find Bipolar Disorder Therapists, Psychologists and Bipolar Disorder Counseling in Kitsap County, Washington, get help for Bipolar Disorder in Kitsap County, get help with Manic Depression in. People of all ages, genders, ethnicities, cultures, and religions can suffer from clinical depression. 2 – 34 In children 12 years and younger, depression is. The authorized person for Kitsap Peninsula Ocd & Anxiety Services is. Poulsbo, WA. Bipolar Disorder, Depression, Posttraumatic Stress Disorder (PTSD), Adjustment Disorders, and Psychosis. Find Nearest Clinic; WA State. TO MAKE A DIFFERENCE FOR YOU. LEARN MORE KETAMINE TREATMENTS KETAMINE TREATMENTS. Or, request a free phone consultation by filling out the form below. I specialize in Depression, Suicidal Ideation, and Alternative therapy options. Bainbridge Island Resource Directory (BIRD) NAMI Kitsap County. Depression, also called major depressive disorder or clinical depression, is a common mood disorder that causes persistent sadness, hopelessness and loss of interest. energy loss and fatigue. Neuropsychiatric Treatment Center. 6300. I am licensed in MO and WA with 15 years of professional work experience. CLINICAL TRIALS. Depression is a disorder of the brain. The efficacy of subanesthetic intravenous ketamine for treatment resistant depression (TRD) has spurred a growth of clinics nationwide that provide this service. The psychological symptoms of clinical depression include: continuous low mood or sadness. Treatment centers generally offer 30-day recovery programs. TMS is a highly effective, FDA-approved, proven and non-sedating treatment for patients who haven’t responded to antidepressants or other treatments. Depression affects different people in different ways. Doctors & departments. Bainbridge Island Clinical Psychologist. Psychiatric Nurse Practitioner, MBA, APRN, PMHNP, BC. BoNT/A Therapy for Depression: Clinical Evidence. TMS was approved for the treatment of major depression by the US Food & Drug Administration (FDA) in 2008, and the treatment is effective for other conditions such as obsessive-compulsive disorder (FDA approved in 2018), bipolar depression (FDA provided breakthrough designation in 2020), and addictions (FDA clearance in 2020 with approval. 4. Specializing in John Barnes Myofascial Release, I gently work with the fascia, releasing the binding and holding patterns it can form over. . 5. See a licensed online therapist or. 7 million adults aged 65 years and older are affected by depression. Free Consultation. Substance use disorder treatment. Negative thinking fades as treatment begins to take effect. This mental health disorder affects about 150 million people worldwide at any moment []. They. 0 million adults in the United States had at least one major depressive episode. Past physical, sexual, or emotional abuse has been associated with depression later in life among people who may be biologically predisposed to depression. Ketamine has transformed our expectations for new medications to treat mental health. Here are some helplines and resources for support. Left untreated, it can. Sending an email using this page does not guarantee that the recipient will receive, read or respond to your email. . Whether mental health challenges are new to you or you are still experiencing symptoms of treatment-resistant major depressive disorder, NeuroStim TMS can help. " Couples Counseling (360) 551-2060 My Practice at a Glance. 1 First, the concept of treatment-resistant depression does not have reliable criteria for research and is conceptually empty. Clinical Team; Overview & Mission; For Service Providers; Careers; Locations. Feelings of hopelessness, or pessimism. Providers Location Reviews. 467. The prevalence of at least 1 major depressive episode among US adults aged 18 years or older, was 17. In many cases, ECT may significantly reduce or even reverse symptoms such as severe depression and catatonia. Depression — also known as major depressive disorder or clinical depression — is a common but serious mood disorder that can interfere with how people feel, think, and handle daily activities, such as sleeping, eating, or working. Psychiatrists provide Kitsap County depression counseling, depression support, referrals to depression support groups in Kitsap County and Kitsap County depression groups. There are four main approaches to treatment— psychotherapy, antidepressant medications, neuromodulation, and lifestyle measures —and all address different facets of the disorder. Add Review. During a depressive episode, people feel like they're in a deep, dark pit. Treatment for depression may include one or a combination of the following: Medicine. S. Dr. His clinical interests include ECT and other brain stimulation therapies, thoughtful pharmacotherapy of treatment-resistant mood disorders and the treatment of catatonia. The SAINT protocol uses Accelerated TMS in conjunction with functional brain imaging and specialized treatment targeting. [8] Impairment of any of these are risk factor for mental disorders, or mental illnesses, [9] which are. By Healing Maps Editorial Staff. With 20 years of clinical experience and 19,000+ hours of hands on time with clients, I bring a wealth of healing experience to every session. While both ECT and TMS can be used to treat. Group meets in: Bainbridge Island, Washington 98110. It is a serious mental illness that is more than just a feeling of being "down in the dumps" or "blue" for a few days. Poulsbo, WA 98370. Book a Free Phone Consult* If you are looking for an alternative depression treatment and have not had satisfactory results from pharmaceutical medications or other treatments, NeuroStim TMS may be able to help through TMS Therapy. We are also participating in the RECOVER VNS trial and are recruiting for bipolar disorder. Contact NeuroStim in Kitsap to arrange an appointment for your free consultation. 5. Northwest Ketamine Clinics provide a safe, meditative, and supportive medical environment. Bess is a highly regarded teacher and psychiatrist. being gay, lesbian, bisexual, or transgender. "As a licensed Clinical Mental Health Counselor Associate (MC60857842), I work with adult and adolescent clients 11+ to identify and create positive life changes. Many types of. I work with adolescents (13-18), adults and geriatric on a variety of mental health concerns, however, I specialize in helping individuals with mood disorders and sexual addiction /dysfunction. S. Safe, non-invasive, FDA-approved treatment for depression, OCD, and more. are available to work with people. Phone: 206-467-6300 extension 12. Poulsbo, WA 98370. Download TMS Brochure. KITSAP MENTAL HEALTH SERVICES 5455 Almira Dr. Exercise can also help with depression. While it can suddenly go into remission, depression is not something that. Feeling anxious, hopeless, or helpless. S. College: Texas A&M University. Adams to focus on you and your needs. My Practice at a Glance. Download TMS Brochure. Esketamine works in 50-70% of patients with treatment-resistant depression. The symptoms of depression vary from person to person, but they commonly include: sadness. Kitsap County. It often acts rapidly—typically within a couple of hours—to relieve. Depression may require long-term treatment. Specialties: Stress, Anxiety, Relationship issues, Trauma and abuse, Parenting issues, Depression, Addictions, Family conflicts, Grief, Anger management, Self esteem, Career difficulties, Bipolar disorder, Coping with life changes, Compassion fatigue, ADHD I am a Licensed Independent Clinical Social Worker based in the state of Washington. But don't get discouraged. At Northwest Ketamine Clinics, over 70% of our patients experience at least a 50% reduction in mental health symptoms including depression within days of beginning treatment. Introduced by a group of US clinicians in the mid-1970s, the term was adopted by the American Psychiatric. You can Email Us a photo of the supplements that you would like to order or reorder. Antidepressants are the most commonly prescribed medications for U. I see individuals with anxiety, depression, phobias, dissociative disorders, and with histories of trauma , (including service members returning from Afghanistan and Iraq). The Kitsap Mental Health Services Youth Inpatient Unit is a 10-bed residential treatment facility for youth 8 to 17. Latest diagnostic and treatment options. So, how much exercise is enough? Dr Wendy Suzuki, Professor of Neural Science and Psychology at New York University, gives us. Located on the Kitsap Peninsula, the Adult Inpatient Unit at Kitsap Mental Health Services provides 15 residential treatment beds for adults detained involuntarily for psychiatric evaluation and treatment. For more information on these studies, please reach out to us at research@seattlentc. Depression may be treated with talking treatments and medication. LEARN MORE KETAMINE TREATMENTS KETAMINE TREATMENTS Now providing esketamine, IV ketamine, and ketamine. We have successfully treated debilitating conditions such as postpartum depression, PTSD, OCD, eating disorders, and more. The seaside clinic offers cutting-edge. Studies show many types can help treat depression. 5 percent of our patients achieve either partial or total remission of their symptoms. His clinical interests include ECT and other brain stimulation therapies, thoughtful pharmacotherapy of treatment-resistant mood disorders and the treatment of catatonia. Location. Measurement-based care. Kitsap TMS Treatment Clinic. hopelessness. a mental disorder characterized by sustained depression of mood, anhedonia, sleep and appetite disturbances, and feelings of worthlessness, guilt, and hopelessness. The adult consultations typically take between 60 and 90 minutes and concentrate on determining whether either treatment makes sense for each patient. Approximately 1 in 5 women and 1 in 8 men will suffer from a. You may be a candidate for ECT if medication or. People with depression may also experience these physical symptoms: sleep problems: difficulty sleeping and/or feeling tired during the day. METHODS A multidisciplinary expert panel convened. adults 20 to 59 years of age. S. Depression and the Elderly. Clinical depression, or major depressive disorder, is often just called “depression. A survey of these adult caregivers found that 40% to 70% of. We provide a full range of mental health treatment services for children, youth, families and. g. Significant increase or decrease in appetite. Neuropsychiatric Treatment Center. SSRIs have been found helpful for both severe and non-severe depression. 1 day ago · The treatment led to 56% of patients responding to treatment overall -- a significant improvement compared to previous chemotherapy trials -- and a median duration of response of 22. Depression. In addition to TMS, ECT, and ketamine, we offer clinical trial options. According to Cassiday, these changes in mood, mental energy and physical energy must be out of character for the person as well. Find Long Term (>30 Days) Residential Treatment Centers in Kitsap County, Washington, get help from Kitsap County Long Term (>30 Days) Residential Rehab for Long Term. , 2006); Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the prevention of relapse and recurrence in major depression (Dobson et al. Kitsap TMS Clinic 450 South Kitsap Blvd, Suite 160, Port Orchard, WA 98366 Visit Kitsap Clinic Lakewood TMS Clinic 9116 Gravelly Lake Dr SW, Suite 102, Lakewood, WA 98499 Visit Lakewood Clinic Federal Way TMS Clinic 3450 S 344th Way, Suite 115, Federal. , 2012), which has led some researchers and clinicians to consider them the substrate of a. Meanwhile, consider the. Clinical depression is a serious illness that lasts for weeks, months and sometimes years. Diagnostic criteria for a major depressive episode ( DSM-IV) include a depressed mood, a marked reduction of interest or pleasure in virtually all activities, or both, lasting for. WE HAVE THE EXPERTISE, PERSISTENCE AND COMPASSION.