Depression is a disorder involving significant feelings of sadness, a loss of pleasure or enjoyment, feelings of emptiness, or prominent irritable mood.  People with depression often also have serious concerns about the functioning of their body, such as sleep or appetite disturbance, tiredness, or problems with attention, concentration, and memory.  In more severe types of depression, the person may struggle with suicidal thoughts or actions. Depression can severely interfere with the individual’s ability to function in family, work, and school settings.  If you or your loved one has depression, a question commonly asked is how to get help for depression.  Depression treatment is available in many different ways at The Arroyos.  All of our doctors are experts in how to treat depression.  Please browse this page to learn the different types of therapy for depression we offer in our depression treatment center.  You may click the links above to explore the different treatments for depression that we offer.

Psychotherapy for Depression

Psychological treatment for depression involves a patient coming to the doctor’s office to talk with a therapist about his or her problems.  Therapists that are trained to treat depression may use many different types of counseling for depression.  A few of the most common types of therapy used by a depression therapist are listed here.
Interpersonal Therapy (IPT) helps the patient identify current problem areas with other people in his or her life.  In IPT the emotions associated with the problems in these relationships are identified and healthy coping strategies are developed to improve the quality of these relationships, thus resolving the patient’s depression.
Cognitive Behavioral Therapy (CBT) helps the patient change negative patterns of thinking and behavior.  The CBT therapist helps the patient identify automatic thoughts and replace them with more effective thinking.  CBT involves action plans and homework for patients to do between sessions.  More effective thinking and behavior may lead to a resolution of depression.
Psychodynamic Therapy explores past events and relationships, including childhood experiences, which may be affecting present behavior and mood.  Understanding conscious and unconscious processes can allow the patient to feel different about themselves, resolve emotional conflicts, and make more effective life choices that may lead to healthier emotional states and lift the depression.
Dialectical Behavior Therapy (DBT) helps the patient to change patterns of self-destructive behavior through developing better self-regulation of emotional states and coping skills when dealing with stress.  DBT involves mindfulness and meditation to help the patient learn to live in the moment with perspective, be nonjudgmental, tolerate distress, and distract oneself from unpleasant emotions.
Family Therapy or Marital Therapy involves having key loved ones in the patient’s life attend therapy with him or her.  The Arroyos family or couple’s therapist identifies sources of tension in these relationships and has family members discuss them together in order to improve communication and interpersonal skills to resolve conflict.  Psychoeducation is provided to family members so that they can better understand the patient’s experiences and symptoms and the causes and treatments for depression.
For milder forms of depression, psychotherapy may be used without medications in depression counseling with excellent results.  With moderate and severe forms of depression, best outcomes usually are a result of combining psychotherapy and medications. The Arroyos psychologists also offer comprehensive psychological and neuropsychological testing and assessment for patients with depression.  Testing can describe the patient’s condition, emotional and cognitive functioning, and determine the presence of other psychological and neurological disorders.  Some Arroyos psychologists are also experts at the intersection between psychology and the law.  These forensic psychologists are able to address many legal problems or issues that our patients may need assistance with while receiving care at The Arroyos. If you would like to speak with us about psychotherapy with an Arroyos psychologist, please contact us by calling (877) 884-8272 for further information.

Medications for Depression

All Arroyos staff psychiatrists are experts in treating depression.  The psychiatrist will begin considering medications for depression by reviewing the patient’s symptoms and medical history.  Depressed mood can occur in many different psychiatric diagnoses such as drug or alcohol abuse, bipolar disorder, anxiety, personality disorders, trauma, obsessive-compulsive disorders, psychotic disorders, and sleep disorders.  Depression can also be a symptom of medical conditions such as diabetes, thyroid disease, MS, Parkinson’s disease, head trauma, hepatitis, and AIDS. When a correct diagnosis of depression has been made, The Arroyos psychiatrist will determine the best type of medication to prescribe.  Medication for depression is most effective with moderate to severe forms of depression.  Many factors are taken into consideration in choosing the right medication, and our psychiatrists discuss the options with the patient before making a final decision.  Sometimes the presence of other conditions, such as depression and anxiety, may influence the choice of medication not only to treat depression, but also to treat anxiety. Occasionally a patient comes to The Arroyos with what is called “treatment resistant depression.”  This type of severe depression has not responded to multiple types of medication and psychotherapy.  We can coordinate to provide severe depression treatment such as Electroconvulsive Therapy or ECT for depression at our hospital on an outpatient basis while under our care.  ECT, sometimes called shock treatment, can be very effective for treatment resistant depression.  We can also arrange for our patients to receive Transcranial Magnetic Stimulation, or TMS, treatment while under our care. If you would like to speak with us about medication management or other medical treatments for depression with an Arroyos psychiatrist, please contact us by calling (877) 884-8272 for further information.

Day Treatment Program

The Arroyos operates a Partial Hospitalization Program from 9:30 a.m. to 3:45 p.m. Monday through Friday.  Meals are provided weekdays between 12:45 p.m. to 1:30 p.m.  We offer a less intense Intensive Outpatient Program (IOP) three hours a day, three to five days a week, with flexibility as to which days the patient attends. The Day Treatment Program has patients who are coping with a variety of psychological disorders including depression, bipolar disorder, severe anxiety disorders, and psychotic disorders, sometimes with co-occurring chemical dependency diagnoses.  The program consists of a wide variety of group therapy experiences which can be viewed by clicking here. The Program is coed and patients with a variety of different conditions attend it.

Our Day Treatment Program patients also have individual psychotherapy sessions three times a week with a licensed clinical psychologist who is an expert in treating depression.  Each patient also see a board certified psychiatrist for medication management once a week.

Those patients who are also suffering from co-occurring chemical dependency problems such as alcohol and drug abuse problems find that in many respects the Day Treatment Program operates like a depression rehab center.  The program includes Chemical dependency relapse prevention groups three times a week. Patients with depression who do not need PHP or IOP may attend a single group or choose a few groups to attend at their convenience. If you would like to speak with us about the Day Treatment Program, The Arroyos PHP, or The Arroyos IOP, please contact us by calling (877) 884-8272 for further information.

Transitional Living Program for Depression

Clients may choose to live in The Arroyos Transitional Living Center, a safe and secure private home in a beautiful residential community in Pasadena.  Residents enjoy a private chef, a fully stocked pantry of food items, 24 hour house staff, transportation to 12 step meetings and to The Arroyos office, and staff observation while the patient self-manages his or her medications. Residents are able to bring laptops and telephones, and there are many amenities such as a swimming pool, basketball court, tennis court, two entertainment areas, secluded outdoor smoking area, and a outdoor barbeque grill.  Resident enjoy opportunities to visit the greater Pasadena area with shopping plazas, movie theaters, the Rose Bowl, mountain hiking trails, and more.  Extended stay residents can sign up for classes, volunteer activities, and part-time employment.

Hospitalization for Depression

The Arroyos doctors provide a full spectrum of hospital services for patients who may need help with acute and severe symptoms of depression.  These symptoms may include:

  • Suicidal thoughts or actions Homicidal thoughts or actions
  • Psychotic experiences such as delusions or hallucinations
  • Involuntary hospitalization for the safety of the patient or others
  • Difficulties with independent living to the point of inability for self-care
  • Need for rapid medication stabilization
  • Evaluation for ECT or other approaches to treatment resistant depression
  • Treatment of depression and co-occurring drug and alcohol problems
  • Treatment of depression and co-occurring medical problems

In such instances, some Arroyos doctors can admit our patients to the hospitals we practice at and provide comprehensive inpatient care.  We are able to provide this vertical care to our patients so that our patients are not transferred to different doctors when they go into the hospital.  We are able to provide continuous continuity of care across treatment settings.  When the patient is discharged from the hospital they can enter our outpatient or Transitional Living facilities as is appropriate. Some Arroyos doctors are able to provide Level of Care assessments in our office to determine whether a patient is able to function on an outpatient basis or whether they require inpatient care in a hospital.  If the patient does require inpatient care, the patient is encouraged to go into the hospital voluntarily.  If the patient is unwilling, our qualified doctors are able to write involuntary (5150) holds to place the patient into the hospital for 72 hours for further evaluation.  By completing such an evaluation in our offices, we minimize the need to involve the police or other law enforcement agencies in these emergency evaluations. We offer highly specialized, carefully integrated services that are not readily available in most areas of the United States.  As such, we do often accept patients who need intensive care for depression from across America and even from some foreign countries.  We require a letter from the patient’s local physician attesting that they are medically stable to travel, and we require that someone will accompany them to ensure safe transit to Los Angeles.  We are able to meet the patient in their home community and provide companion travel services in some instances to assist the patient and family with these accommodations.  Patients undergo a Level of Care evaluation immediately upon arrival at our offices to determine an appropriate treatment plan on an outpatient basis or in hospital. If you would like to speak with us about our hospital or companion travel services, please contact us by calling (877) 884-8272 for further information.