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[Sticky] Depression


Michael Gray MD JD
Posts: 108
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Yes — depression is commonly evaluated and treated through telemedicine, especially for mild to moderate symptoms or for ongoing management.

Many primary-care clinicians, psychiatrists, and therapists provide virtual visits that can help with diagnosis, counseling, and medication management.

👍 Telemedicine is usually appropriate for

  • Low mood, loss of motivation, or fatigue

  • Loss of interest in activities

  • Sleep or appetite changes

  • Difficulty concentrating

  • Medication follow-up or adjustments

  • Therapy / counseling sessions

  • Ongoing monitoring of an established diagnosis

During a virtual visit, a clinician can typically:

  • Review symptoms, severity, and duration

  • Screen for anxiety, bipolar disorder, or trauma-related symptoms

  • Discuss lifestyle factors (sleep, stress, substance use)

  • Provide or adjust medications when appropriate (e.g., SSRI/SNRI, bupropion)

  • Refer for or provide therapy (CBT, interpersonal therapy, etc.)

  • Establish a follow-up and safety plan


🟡 Telemedicine may be appropriate but may require closer follow-up if you have

  • Symptoms that are significantly worsening

  • Frequent crying spells or functional decline

  • Co-occurring anxiety or panic symptoms

  • Major life stressors or grief

  • Substance or alcohol use concerns

  • Uncertainty whether symptoms may have a medical cause (thyroid, anemia, etc.)

The clinician may recommend:

  • Lab work or vitals in person

  • More frequent early follow-ups

  • Referral to psychiatry or counseling


🔴 Seek urgent in-person or emergency care (not telemedicine) if you have

  • Thoughts of self-harm or suicide

  • Feeling unsafe or unable to cope

  • New confusion, severe agitation, or inability to function

  • Recent self-injury or overdose

If you’re in the U.S., you can call or text 911 for immediate help, or go to the nearest ER. If you’re elsewhere, use your local emergency or crisis service.

If you develop suicidal thoughts or need help please call or text the National Suicide Prevention Lifeline on 988, chat on 988lifeline.org, or text HOME to 741741 to connect with a crisis counselor.

 


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