Winter Park Office
Lakewood Office

Winter Park
970-760-7884

Lakewood
303-747-5051

Depression Treatment in Lakewood, CO

We help children, teens, adults, and older adults understand what may be behind low mood, sleep changes, irritability, fatigue, hopelessness, or trouble functioning. Care is available in person at our Lakewood, CO office, serving the west Denver metro area, and we also have telehealth options when appropriate. Depression treatment at Wellness Psychiatry includes psychiatric evaluation, medication management, therapy coordination, integrative support, and ketamine treatment when clinically appropriate.

How Depression Treatment Works at Wellness Psychiatry

Depression care starts with a careful psychiatric evaluation, not guesswork. Your provider looks at what has changed, what has already been tried, and what may be driving the symptoms.
That may include mood changes, sleep, stress, medical history, supplements, past medication trials, family history, safety concerns, and what you want daily life to feel like again.

Your care may include:

  • A comprehensive psychiatric evaluation
  • Medication management for depressive symptoms or major depressive disorder
  • Lifestyle, sleep, supplement, or lab recommendations when appropriate
  • Coordination with outside therapists or medical providers
  • Ketamine consultation for treatment-resistant depression when appropriate
  • In-person or telehealth follow-up based on clinical need

How Do I Know if I Need Depression Treatment?

Depression does not necessarily manifest itself in the form of constant crying. Some people feel flat. Some people are angry. Some continue to work, parent, or attend school, but each duty feels heavier than it should.

Depression treatment may be beneficial when symptoms impair sleep, safety, school, work, relationships, motivation, or daily routines
A professional evaluation may be helpful if symptoms persist, reappear, worsen, or begin to interfere with safety, sleep, relationships, or daily living..

Common reasons people reach out include:

  • Low mood or emotional numbness
  • Loss of interest in normal activities
  • Withdrawal from people or routines
  • Missed work, school, or responsibilities
  • Sleep disruption
  • Appetite or weight changes
  • Trouble making decisions
  • Guilt, shame, or worthlessness
  • Irritability, anger, or restlessness
  • Physical heaviness or slowed movement
  • Thoughts of death, self-harm, or suicide
  • Burnout
  • Postpartum or perinatal mood symptoms
  • Depression with anxiety, ADHD, trauma, or medical concerns
  • Symptoms that have not improved enough with past treatment

Depression takes many forms. Sadness can be a sign of depression. Additionally, it may manifest as loneliness, disorganized habits, sleeplessness, slowed thinking, rage, substance abuse, or a sense of being mired in monotonous chores.

For many people, the first step is not “fix everything.” It is getting a clear read on what is happening.

If you are in immediate danger or thinking about suicide, call 911 or call or text 988 for crisis support. Wellness Psychiatry is not a crisis clinic.

Why Diagnosis Matters Before Treatment

Low energy is not always “just depression.” Poor focus may come from depression, ADHD, anxiety, trauma, sleep loss, or a medical issue. Irritability can have several roots, too.

That is why the evaluation matters. The right plan depends on what is causing the symptoms, not only how they appear on the surface.

A psychiatric evaluation may look at overlap with:

  • Anxiety disorders
  • ADHD
  • Bipolar disorder
  • Trauma-related conditions
  • Grief or major life stress
  • Substance use
  • Thyroid or hormonal concerns
  • Sleep disorders
  • Other medical conditions

This matters for safety. For example, some antidepressants may not be the right fit when bipolar symptoms are present. A careful review gives treatment a safer starting point.

What to Expect From Your First Appointment

The first appointment gives your provider time to understand your symptoms, history, current stressors, and goals. It may feel detailed, but those details help shape better recommendations.

By the end, you should have a clearer sense of what may be happening, which treatment options fit, and what the next step could look like.

1

A Comprehensive Psychiatric Evaluation

A psychiatric evaluation gives your provider a clearer view of your symptoms, health history, treatment needs, and safety concerns.

During the first appointment, your provider may review:

  • Current depression symptoms
  • Mental health and medical history
  • Prior diagnoses
  • Past therapy or medication trials
  • Current medications, vitamins, and supplements
  • Sleep, appetite, energy, and stress
  • Family mental health history
  • Substance or alcohol use
  • Safety concerns
  • Treatment goals

This is not a template visit. Postpartum depression, ADHD symptoms, grief, poor sleep, medical concerns, and several past medication trials can all point care in different directions.

2

Diagnosis and Treatment Planning

After the evaluation, your provider can talk through diagnostic impressions and treatment options. For some patients, that means medication management. For others, it may include therapy referrals, lab review, lifestyle support, or a closer look at treatment-resistant symptoms.

Your care plan may consider:

  • Depression severity
  • How symptoms affect work, school, sleep, and relationships
  • Anxiety, ADHD, trauma, PTSD, or bipolar symptoms
  • Previous medication response
  • Side-effect concerns
  • Therapy needs and outside provider coordination
  • Patient goals
  • Safety concerns

The goal is not just to prescribe medication. The goal is to build a plan that supports symptom improvement, daily functioning, and longer-term stability.

3

Follow-Up and Treatment Adjustment

Follow-up care is where treatment becomes more precise. Symptoms can shift. Side effects can show up. Life can throw a wrench in the plan.

During follow-up visits, your provider may review:

  • Mood, motivation, sleep, and anxiety
  • Medication benefits or side effects
  • Dose adjustments or medication changes
  • Sleep, appetite, concentration, and energy
  • Therapy progress or outside coordination
  • Worsening symptoms or relapse signs
  • Safety concerns

Follow-up appointments may take place in person or through telehealth depending on clinical need and patient preference.

Depression Treatment Options at Wellness Psychiatry

Depression treatment can involve more than one type of support. Some people need medication guidance. Some need therapy coordination. Others need a closer look at sleep, medical contributors, supplements, or past treatment response.

Wellness Psychiatry focuses on psychiatric evaluation, medication management, integrative mental health support, ketamine treatment when appropriate, and care coordination with outside providers.

Medication Management for Depression

Medication management for depression means choosing, monitoring, and adjusting medication based on symptoms, health history, side effects, and treatment goals.

There is no single antidepressant that fits everyone. Your provider looks at the person in front of them, not just the diagnosis on paper.

Common depression medications may include:

  • SSRIs
  • SNRIs
  • NDRIs
  • Atypical antidepressants
  • Mood stabilizers when clinically appropriate
  • Augmentation medications when appropriate

Medication follow-up matters because the first plan is not always the final plan. A dose may need adjustment. Side effects may need attention. Sometimes, another option makes more sense.

Do not stop antidepressant medication suddenly without medical guidance. Abrupt changes can cause withdrawal symptoms, sleep disruption, dizziness, anxiety, or worsening mood symptoms.

Therapy Coordination, Medication Management, and Referrals

Psychotherapy can be a valuable part of depression treatment. At Wellness Psychiatry, the main role is psychiatric care, medication management, integrative support, ketamine treatment, and care coordination.

Wellness Psychiatry does not provide ongoing psychotherapy as the main service. When talk therapy is recommended, your provider may refer to or coordinate with an outside therapist while continuing psychiatric medication management and related follow-up.

Outside therapy approaches may include:

  • Cognitive Behavioral Therapy, CBT
  • Interpersonal Therapy, IPT
  • Problem-Solving Therapy
  • DBT skills
  • Psychodynamic Therapy
  • EMDR when trauma is part of the concern

Some patients benefit from medication management alone. Others do better with psychiatric care and therapy working together.

Combined Medication and Therapy Support

Medication and therapy can support different parts of depression care. Medication may help with mood, sleep, anxiety, irritability, concentration, or emotional overwhelm. Therapy may help with coping skills, grief, trauma, relationships, avoidance, and thought patterns.

A combined plan may be helpful when symptoms affect:

  • Work or school performance
  • Sleep and daily routines
  • Parenting or caregiving
  • Relationships
  • Motivation and follow-through
  • Emotional regulation
  • Safety or relapse risk

At Wellness Psychiatry, your provider can track progress and coordinate with outside therapists or medical providers when that support is part of the plan.

Treatment-Resistant Depression and Advanced Care Options

Treatment-resistant depression can feel frustrating, especially after therapy, medication, lifestyle changes, or several care plans have not brought enough relief.

At Wellness Psychiatry, the next step is not always “more medication.” Sometimes, the better move is checking diagnosis, dose, duration, side effects, sleep, ADHD symptoms, bipolar symptoms, trauma, medical contributors, or treatment fit.

What Treatment-Resistant Depression Means

Treatment-resistant depression means symptoms have not improved enough after adequate treatment attempts. It does not mean nothing can help.

Your provider may review:

  • Prior medication trials
  • Dose and duration of past medications
  • Side effects or tolerability concerns
  • Treatment adherence
  • Diagnosis and overlapping conditions
  • Trauma, ADHD, bipolar symptoms, or substance use
  • Thyroid, hormonal, sleep, or medical contributors
  • Next-step options

A fresh review can sometimes show what past treatment missed. From there, your provider may adjust the plan or discuss referral options, including TMS, Ketamine Treatment, ECT, intensive outpatient care, or inpatient care when symptoms call for more support.

Ketamine Treatment for Depression

Intramuscular ketamine therapy may be taken into consideration as a component of a more comprehensive psychiatric approach for certain adults with treatment-resistant depression.
Ketamine treatment is provided by Wellness Psychiatry after a mental and medical evaluation. Not everyone is a good candidate for ketamine; eligibility is based on symptoms, medical history, safety concerns, and therapeutic objectives.

During ketamine treatment, patients are monitored because temporary effects can include:

  • Dissociation
  • Dizziness
  • Sedation
  • Blood pressure changes
  • Changes in perception or emotional processing

PMHNPs remain present with patients during treatment to provide support, monitoring, and clinical care.

When a Higher Level of Care May Be Needed

Outpatient psychiatric care is not the right fit for every situation. Some symptoms require urgent or more intensive support.

A higher level of care may be needed when depression involves:

  • Suicidal intent
  • Acute safety concerns
  • Psychotic depression
  • Catatonia
  • Inability to care for oneself safely
  • Severe functional decline
  • Severe mood instability
  • Mania

In these cases, intensive outpatient care, partial hospitalization, residential treatment, inpatient psychiatric hospitalization, or emergency services may be appropriate.

In-Person and Online Depression Treatment in Lakewood

Treatment for depression in Lakewood can be provided in-person, via telehealth, or a combination of the two. Symptoms, safety, medication requirements, type of treatment, privacy, and patient preference all influence the ideal setting.

Many Colorado patients who require mental examinations, prescription follow-ups, symptom monitoring, therapy coordination, or continuous outpatient care can benefit from telehealth.

Virtual visits may be helpful for:

  • Busy schedules
  • Transportation barriers
  • Chronic illness
  • Anxiety about leaving home
  • Limited access to nearby psychiatric care
  • Follow-up medication management

When symptoms are more severe, there are safety issues, complicated drug changes, closer monitoring is required, or ketamine treatment is part of the plan, in-person care may be preferable. At least one annual in-person visit is necessary for the majority of patients receiving continuous drug management.

Depression Treatment for Different Patients

Depression can look different in a teen, a new parent, a working adult, or an older adult. Same condition, different shape.

Wellness Psychiatry works with children, adolescents, adults, and older adults, with care plans shaped around age, symptoms, safety needs, medical history, and support systems.

Adults With Depression

Adult depression can affect work, relationships, parenting, caregiving, sleep, and health routines. Some people feel sad. Others feel burned out, detached, impatient, or unable to focus.

Common adult concerns include:

  • Work stress
  • Caregiving responsibilities
  • Sleep disruption
  • Relationship strain
  • Burnout
  • Medical conditions
  • Loss of motivation
  • Functional decline

A psychiatric evaluation can help identify what is contributing to symptoms and what support may help.

Teens and Young Adults With Depression

Teens and young adults who are depressed may exhibit withdrawal, irritability, low motivation, difficulties in school, sleep disturbances, or a loss of interest in friends and activities.

Youth statistics from Jefferson County indicates progress, but there is still a need. While 7.4% of high school students reported having attempted suicide in the previous year, the percentage of students who reported feeling depressed or hopeless decreased from 41.8% in 2021 to 25.5% in 2023.

Care may include attention to:

  • School performance
  • Social withdrawal
  • Irritability or mood shifts
  • Sleep changes
  • Family involvement
  • Safety planning
  • Anxiety, ADHD, trauma, or substance concerns

For younger patients, the plan may include family communication and coordination with other providers when appropriate.

Postpartum and Perinatal Depression

Depression can happen during pregnancy or after birth. It may involve sadness, anxiety, intrusive thoughts, emotional overwhelm, trouble bonding, sleep deprivation, or feeling unlike yourself.

Support may include:

  • Psychiatric medication management
  • Therapy referrals
  • Sleep and nervous system support
  • Coordination with OB/GYN or primary care
  • Review of medication risks and benefits
  • Additional postpartum resources when appropriate

Medication decisions during pregnancy or postpartum deserve careful discussion. Your provider can help weigh symptoms, history, medication considerations, breastfeeding concerns, and maternal wellbeing.

Older Adults With Depression

Depression in older adults can be missed because symptoms may get blamed on aging, grief, illness, or low energy. A closer look can separate treatable depression from medical, medication-related, or cognitive concerns.

Evaluation may include review of:

  • Medical conditions
  • Medication side effects or interactions
  • Grief and social isolation
  • Sleep and appetite changes
  • Cognitive or memory concerns
  • Chronic pain or physical limitations
  • Coordination with primary care or specialists

A safe plan for older adults should consider mental health and physical health together.

Depression With Anxiety, ADHD, Trauma, or Bipolar Symptoms

Depression rarely travels alone. Anxiety, ADHD, trauma, PTSD, and bipolar symptoms can change how depression looks and which treatments make sense.

For example, poor concentration may come from depression, ADHD, anxiety, trauma, or sleep loss. Emotional numbness may overlap with trauma. Low mood may need a different medication approach if bipolar symptoms are present.

A full evaluation may review:

  • Mood patterns
  • Anxiety symptoms
  • Executive functioning and attention
  • Trauma history
  • Sleep
  • Family history
  • Prior medication response
  • Safety concerns

This helps reduce treatment mismatches and gives the care plan a stronger foundation.

What to Bring to Your First Appointment

A little preparation can make the first visit more useful. No need to show up with a perfect folder, but a few details can help.

Here is what to bring if you have it:

  • Current medications
  • Vitamins and supplements
  • Prior mental health diagnoses
  • Therapy history
  • Medication history
  • Allergies
  • Hospitalization history
  • Recent lab work, if relevant
  • Insurance information
  • Main concerns and treatment goals

Not sure what to say first? Start with what changed: sleep, energy, motivation, mood, focus, appetite, or daily routines.

Cost, Insurance, and Payments

Depression treatment costs in Lakewood depend on insurance coverage, appointment type, provider, visit length, and service type. Wellness Psychiatry offers insurance-based and self-pay psychiatric services.

Wellness Psychiatry accepts several insurance plans, including:

  • Aetna
  • Cigna
  • BCBS/Anthem
  • Select Health
  • United Healthcare
  • Oscar
  • Oxford

Before booking, patients should verify behavioral health benefits with their insurance provider. Self-pay options may be available. Superbills may help with out-of-network reimbursement, and HSA or FSA reimbursement may apply depending on the plan.

Medication management costs are listed on the Wellness Psychiatry insurance page. Therapy costs vary because psychotherapy may be referred to an outside therapist.

For scheduling policies, regular appointments require at least 24 business hours notice for cancellation or rescheduling. Monday appointments must be canceled or rescheduled before 12:00 PM on Friday. Ketamine appointments require at least 48 business hours notice.

Questions to Ask Before Booking Depression Treatment

A few practical questions can make booking easier. They can also help you understand insurance, follow-up care, therapy referrals, telehealth, and advanced treatment costs.

Here are useful questions to ask:

  • Is the provider in-network with my insurance?
  • What does the first psychiatric evaluation cost?
  • What does a follow-up visit cost?
  • Are labs, assessments, or advanced treatments separate?
  • Are telehealth visits covered by my plan?
  • Do I need an in-person visit?
  • What should I bring to my first appointment?
  • How soon are appointments available?

A clear answer upfront can help you avoid billing surprises and understand what kind of care you are scheduling.

Schedule Depression Treatment in Lakewood, CO

You do not need perfect words to ask for help. Start with what changed: sleep, mood, energy, motivation, focus, appetite, school, work, relationships, or the feeling that daily life has become heavier than it should be.

Wellness Psychiatry offers depression treatment in Lakewood, CO, with psychiatric evaluation, medication management, therapy coordination, integrative support, ketamine consultation when appropriate, and in-person or telehealth follow-up based on clinical needs.

Schedule a confidential appointment to ask about depression treatment, insurance, medication management, therapy referrals, telehealth availability, and next appointment openings.

FAQs

What is the most effective treatment for depression in Lakewood, CO?

The most effective treatment depends on what is causing the symptoms, how severe they are, and what has or has not helped before. At Wellness Psychiatry, care starts with a psychiatric evaluation, then may include medication management, therapy coordination, lifestyle or sleep support, lab review, or ketamine consultation when appropriate.

Do I need medication for depression?

Medication may help when depression affects sleep, appetite, focus, work, school, relationships, or daily routines. Some people need medication management alone, while others benefit from medication plus therapy with an outside therapist.

Does Wellness Psychiatry provide therapy for depression?

Wellness Psychiatry does not provide ongoing psychotherapy as the main service. The practice focuses on psychiatric evaluation, medication management, integrative support, ketamine treatment when appropriate, and coordination with outside therapists when therapy is recommended.

What happens at a first depression treatment appointment?

Your first appointment includes a detailed psychiatric evaluation covering symptoms, history, sleep, stress, medications, past treatment, substance use, and safety concerns. You should leave with a clearer idea of what may be contributing to symptoms and which next steps fit.

Is depression treatment available online in Lakewood?

Telehealth may be available for Colorado patients when virtual care is clinically appropriate. In-person care may be better for severe symptoms, safety concerns, complex medication needs, or ketamine treatment.

What is treatment-resistant depression?

Treatment-resistant depression means symptoms have not improved enough after reasonable treatment attempts. Your provider may review diagnosis, past medications, dose, side effects, sleep, medical concerns, trauma, ADHD, bipolar symptoms, and next-step options such as ketamine consultation or referral for higher-level care.

Contact the Experts Today

At Wellness Psychiatry, we begin with a comprehensive consultation led by one of our experienced specialists. This includes blood tests and hormone panels to better understand your unique health needs. Based on your results, we’ll create a personalized treatment plan aimed at optimizing your overall well-being and providing effective symptom relief.

Call us today to schedule your consultation and take the first step toward a healthier, more balanced you.

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what our clients say

I was extremely apprehensive on my first visit because I was in a very bad mental state. Amanda was very thorough, very friendly, and made me feel very comfortable from the very beginning. As I recovered I looked forward to our visits but in the end we mutually decided that it was time for me to leave the nest and fly away. If I ever need her I can always call on her. There was something about the layout of the office, the furnishings, and the calming energy that always put me at ease. My first encounter with psychiatric counseling was definitely a positive experience and something that I'll cherish.
Charles
This practice has not only helped my mental health, but I have been treated in a way that is caring and thoughtful. I feel like I'm more than just the 10:30 client - there's a vested interest in my well being. Amanda Farrell is who I've been working with for a few years now and I highly recommend her! I also feel confident that anyone in the practice is trustworthy and reliable. Again, highly recommended!
Melissa
Amanda is an absolute RARE find. My husband even agreed that she does….actually….. care about me and my health. I’m 50 and this might be the first time in my life that I’ve felt that my doctor/therapist really wants me to be happy and successful in life. Starting therapy when I was in my 20’s so there is a long list of docs/therapist that I’ve seen over the years. Highly recommend — especially if you’ve started feeling like you’re just another patient in the queue.
Susannah
This is the best psychiatry practice I have been to. Everyone I have worked with has been empathetic and understanding. The office feels very warm and I feel very taken care of. I always know when I call or email, Riley will be super responsive to my needs. Highly recommend!
Ellen
Amanda has been incredibly helpful. I'm much happier and more productive.
Bob
Wellness Psychiatry goes above and beyond. Everyone from admin to clinical staff. The team fosters warmth and are very attentive to your needs. Addressing mental health has felt overwhelming but this team makes it me feel comfortable and supported. Thanks!
Jodi
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