Do I Need Help With Depression?

Clinic Locations in Boise & Meridian

What is Depression?

Sadness and feelings of depression are common for most people. Feeling depressed can be a normal reaction to loss, situations in life, or even an injured self-esteem.

There are occasions when feelings of sadness intrudes into our lives and begin to disrupt our daily routines. These feelings of intense sadness -- including helpless, hopeless, and worthless can keep you from functioning normally. Depression may be something more than sadness and shouldn’t be disregarded or ignored. Intense sadness may be clinical depression which is a treatable medical condition.

The National Institute of Mental Health describes depressive illnesses on a sliding scale of severity. People are all unique, therefore symptoms of depression can be as different as personalities of those experiencing the symptoms. The severity of the depression, the frequency of depression, and how long the feeling last will vary depending on the individual and the particular illness. The following are the most common symptoms people with depression experience:

  • Difficulty concentrating, remembering details, and making decisions
  • Fatigue and decreased energy
  • Feelings of guilt and/or worthlessness
  • Feelings of hopelessness and/or pessimism
  • Insomnia, early morning wakefulness, or excessive sleeping
  • Irritability, restlessness
  • Loss of interest in activities or hobbies once pleasurable
  • Loss of pleasure in life
  • Overeating or appetite loss
  • Persistent aches or pains, headaches, cramps, or digestive problems that do not ease even with treatment
  • Persistent sadness, anxious, or "empty" feelings
  • Thoughts of suicide or suicide attempts

Depression is an extremely complex disease. No one knows exactly what causes it, but it can occur for a variety of reasons. Some people feel depressed during a serious medical illness. Others may experience depression during life changes. One common trigger is the death of a loved one. Family history of depression is a key warning sign and shouldn’t be ignored. If you have a genetic disposition for depression treatment can dramatically improve your chances for avoiding and dealing with depression. There are a number of factors that may increase the chance of depression, including the following:

  • Abuse: Any previous physical, sexual, or emotional abuse can prove to increase chances of clinical depression later in life.
  • Certain Medications: Some medications can alter your mood or feelings often have the possibility of increasing your risk of depression.
  • Conflict: Depression in someone who has the biological vulnerability to develop depression may result from personal conflicts or disputes with family members or friends.
  • Death or a loss: Sadness or grief from the death or loss of a loved one, though natural, may increase the risk of depression.
  • Genetics: A family history of depression may increase the risk. It's thought that depression is a complex trait, meaning that there are probably many different genes that each exert small effects, rather than a single gene that contributes to disease risk. The genetics of depression, like most psychiatric disorders, are not as simple or straightforward as in purely genetic diseases such as Huntington's chorea or cystic fibrosis.
  • Major events: Even good events such as starting a new job, graduating, or getting married can lead to depression. So can moving, losing a job or income, getting divorced, or retiring. However, the syndrome of clinical depression is never just a "normal" response to stressful life events
  • Other personal problems: Problems such as social isolation due to other mental illnesses or being cast out of a family or social group can contribute to the risk of developing clinical depression.
  • Serious illnesses: Sometimes depression co-exists with a major illness or may be triggered by another medical condition.

Treatment and Therapies

Even the most severe cases of depression can be treated at MidValley Healthcare in the Boise area. Beginning treatment earlier leads to better outcomes for depressed patients. Depression is usually treated with medication, group therapy, counseling, or a combination of the treatments. If these treatments do not reduce symptoms, TMS can be a very effective alternative to traditional depression treatments.

Every patient is different and no two people are affected the same way by depression. There is no "one-size-fits-all" for treatment, that’s why we work with our patients to find the treatment that works best for them.


Depression can be debilitating. Medication therapy with antidepressants is a popular treatment choice for those with depression. Antidepressants may not cure depression, but they can reduce your symptoms. When paired with other types of therapy such as counseling, group therapy, or TMS therapy recovery from depression is possible.

Antidepressants relieve depression by affecting certain chemicals in the brain called neurotransmitters. Serotonin, norepinephrine, and dopamine are all neurotransmitters associated with depression. The effects of each type (class) of antidepressants varies slightly. Therefore, it may take trying a few different ones before the correct one for you is determined.


Psychotherapy, also referred to as “talk therapy” or “counseling”, is the treatment of a mental disorder by psychological rather than medical means. At MidValley Healthcare we pair counseling with other types of therapy such as individual counseling, group therapy, or/and TMS therapy when treating depression. Adding psychotherapy to a patient’s treatment plan not only adds to their support network but it also gives patients the ability to problem solve in a safe, neutral, non-judgmental environment. In our counseling sessions patients develop skills such as Mindfulness and Interpersonal Therapy (IPT).

Psychoeducational therapies refer to the process of teaching people the skills needed to break the cycles of mental health . Our Licensed Clinical Social Workers (LCSW) offer several different types of psychoeducational therapies such as Coping, Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT). You never have too much support in your journey to recovery.

Transcranial Magnetic Stimulation Therapy (TMS)

(TMS) is a noninvasive procedure that uses magnetic fields to stimulate nerve cells in the brain. This non-drug treatment is FDA approved for the treatment of Major depression. TMS is typically used when other depression treatments haven't been effective.

  • TMS has no side effects.
  • Uses precisely targeted magnetic pulses similar to those used in and MRI.
  • Stimulates key areas of the brain that are underactive in patients with depression.
  • TMS is not ECT (Electroconvulsive Therapy).
  • Over 1 million patients have been treated with TMS therapy.
  • 1 out of 2 showed significant improvement.
  • 1 out of 3 patients were symptom free.
  • TMS is covered by most insurance.
  • Is conducted locally in the doctor's office.

Want To Find Out If You Have Depression?

Your Depression Test Will be Reviewed By Our Depression Experts At Mid Valley Healthcare