Head Well

Head Well

Integrative Psychiatry & Wellness

 Head Well Integrative Psychiatry


Depression services offered in Eugene and Portland, OR

Depression can be an all-consuming mental health condition that affects nearly every aspect of your life. With a focus on trauma-focused care and integrative treatments, April Dvorak, PMHNP-BC, and her team can help you find relief from depression at Head Well in Eugene and Portland, Oregon. Call today or schedule a telehealth appointment online to learn more. The practice offers in-person visits in Eugene and Portland.

Depression Q&A

What is depression?

Depression is a deep-seated sadness that affects your thoughts, mood, and behavior. Everybody feels sad from time to time, but depression goes beyond life’s usual ups and downs. It causes persistent low moods, hopelessness, and negative thoughts. Depression can affect your self-perception and how you view the world around you.

Are there different types of depression?

Many types of depression can interfere with your personal, professional, and school life, including:

Major depressive disorder

Major depressive disorder causes persistent low moods, loss of interest in activities, changes in appetite and sleep patterns, and a sense of hopelessness.

Postpartum depression (PPD)

PPD can lead to intense sadness, exhaustion, and detachment from the newborn in new mothers. It can interfere with caring for yourself and your baby during a critical adjustment period.

Situational depression

Situational depression typically appears in response to specific events or trauma. Examples are losing a loved one or suffering long-term domestic abuse. It can provoke intense sadness, grief, and hopelessness that interfere with your daily functioning.

Treatment-resistant depression

This type of depression doesn’t respond well to standard treatments like therapy or medication. It can persist over time, making it challenging to achieve relief from symptoms, and often requires specialized treatment approaches to address its complexity.

Which are the most effective treatments for depression?

Head Well offers many effective treatments for depression, like:

  • Psychotherapy
  • Cognitive-behavioral therapy (CBT)
  • Tailored medication management
  • Stress reduction techniques
  • Nutritional and lifestyle counseling
  • Support groups
  • Ketamine therapy

After an initial consultation and comprehensive psychiatric evaluation, April and her Head Well team determine the most effective treatment plan for your needs.

How does ketamine therapy help depression?

Ketamine therapy is a promising treatment for treatment-resistant depression for those who haven’t responded well to other therapies and traditional medication. 

When delivered trans buccally (by mouth), nasally, or intravenously, ketamine can rapidly improve your mood and emotional state by enhancing neurotransmitter regulation (signals that control mood, memory, and other bodily functions) and boosting the brain’s neuroplasticity (the brain’s ability to learn and adapt).

Head Well offers transbuccal ketamine therapy, which can also effectively treat obsessive-compulsive disorder (OCD) and other psychiatric conditions. It’s important to note that ketamine is not the right treatment for everybody, so a thorough evaluation is necessary to determine if it’s right for you.

Call Head Well today or schedule an appointment online to learn more.