Depression lies to you. It tells you nothing will help, nothing will change. That part isn't true.
Depression is not a character flaw, a lack of willpower, or something you can simply snap out of. It is a medical condition that affects how you think, feel, sleep, eat, and experience the world. It can look like persistent sadness - but it can also look like numbness, irritability, exhaustion, or just feeling like a dimmer version of yourself.
Major Depressive Disorder (MDD) involves episodes of deep, impairing low mood. Persistent Depressive Disorder (dysthymia) is a milder but longer-lasting form. Seasonal Affective Disorder follows a seasonal pattern. All are real, all deserve care.
Depression often comes hand-in-hand with anxiety, sleep disruption, and physical symptoms. The right treatment addresses the full picture - not just one part of it.
Depression responds well to a combination of medication and therapy - and I offer both. Our first appointment is a full hour, because depression is shaped by your whole life: your history, your relationships, your sleep, your sense of meaning. I want to understand all of it before we build a plan together.
For many people, the right medication can make everything else easier - including the work of therapy and daily life. I also incorporate supportive therapy, psychotherapy, and psychoeducation throughout our work together. Appointments are available in person at my Fairfax office or via telehealth across Virginia, in English and Tiếng Việt.
Wondering if this fits you? You can take the free 2-minute depression screener right now; it scores instantly and nothing is saved.
Depression looks different for everyone. Your first appointment is a full hour to make sure we understand yours. Here is what to expect:
Antidepressants are effective for most people with clinical depression, and there are many options. We start low, go slow, and adjust based on how you respond. Supportive therapy is woven into every appointment. Read more: Depression vs. Bipolar Disorder: How to Tell the Difference.
Sadness is a normal response to difficult circumstances and usually lifts on its own. Depression is persistent -- it lasts weeks or months, affects your ability to function, and does not go away just because your circumstances improve. Other hallmarks include loss of interest in things you used to enjoy, changes in sleep and appetite, low energy, and difficulty concentrating.
Most antidepressants take 2 to 4 weeks before you notice a meaningful difference, and 6 to 8 weeks to reach their full effect. If the first medication does not work well or causes side effects, that is expected -- there are many options, and we adjust based on how you respond.
That is a reasonable starting point for mild depression. Therapy, lifestyle factors, and supportive care can all make a real difference. We can discuss a non-medication approach and track your progress together, adjusting if symptoms are not improving.
Not necessarily. Many people have one or two episodes in their lifetime and recover fully. Others experience recurrent depression that benefits from longer-term medication. We review your history and tailor the plan accordingly.
Yes. Depression is closely linked to fatigue, headaches, body aches, digestive problems, and sleep disruption. If you have had a medical workup for physical symptoms without a clear answer, depression or anxiety may be contributing.
No. You can book directly online. A note from your primary care doctor or therapist is welcome but not required.
More questions? Visit the full FAQ →
You May Also Relate To
From the Blog
If you are in crisis right now, please do not wait for an appointment.
Call or text 988, the Suicide & Crisis Lifeline. Free, confidential, available 24/7.
For emergencies, call 911 or go to your nearest emergency room.
Alice Tran Psychiatric Care does not operate 24/7 and does not provide crisis services. Emails, voicemails, text or portal messages are typically responded to within 24 to 72 business hours.
You don't have to do it alone.
Reviews help other patients find the care they need. If you have had a positive experience, we would be grateful if you took a moment to share it.
We read every review and appreciate every kind word.