Depression can have a variety of negative effects on one's experience. These can include: low mood, feelings of helplessness and/or hopelessness, changes in appetite and sleep, loss of motivation or pleasure from activities and generally poor views of oneself, the world and one's future. By learning to actively challenge the negative beliefs that are associated with depression, combined with some behavioral changes, depression can often be treated successfully. I work collaboratively with patients to determine the treatment approach most likely to result in improved mood and functioning. This can sometimes include collaborating with a psychiatrist who can prescribe medications that work in conjunction with psychotherapy to speed a successful recovery.