Treatment For Depression in Washington
Compassionate, Evidence-Based Care for Your Mental Health
How Depression is Treated at Constellations Mental Health Services
Step 1: Comprehensive Evaluation
Your treatment begins with a one-on-one consultation with Alexandra Pales, ARNP, PMHNP-BC. This includes:
- A clinical interview to understand your history and symptoms
- Screening tools to assess the severity of depression
- A discussion of treatment goals and preferences
Step 2: Personalized Treatment Plan
We believe in collaborative care—you will be actively involved in your treatment decisions. Your plan may include:
- Therapeutic Interventions – Supportive discussions and guidance based on family systems, attachment, trauma processing, and tool development.
- Lifestyle & Nutritional Support – Recommendations for exercise, sleep regulation, and dietary changes proven to support mental health.
- Medication (if needed) – If symptoms are severe or persistent, medication may be considered. We carefully tailor prescriptions to avoid unwanted side effects and improve overall well-being.
- Supplementary Support – For those who prefer holistic approaches, we may recommend omega-3s, probiotics, or other supplements that have shown benefits for mood stabilization.
Step 3: Ongoing Support & Adjustments
- Follow-ups are scheduled every 2-4 weeks to monitor progress.
- Once stability is achieved, appointments are spaced every 8-12 weeks for continued support.
- Medication adjustments or therapy recommendations can be made as needed.
How long does treatment take?
Depression treatment is highly individualized. Some people begin to feel better within weeks, while others may need longer-term support. Research suggests that many patients see significant improvements within 6-12 weeks of starting treatment with therapy and/or medication.
Working With Us
- Personalized & Patient-Centered Care – Your treatment is designed with you, for you—we don’t believe in one-size-fits-all approaches.
- Convenient & Private Telehealth Appointments – Receive care from the comfort of your home using a secure online platform. Accessible via computer, tablet, or phone.
- Expert-Led Care by Alexandra Pales, ARNP, PMHNP-BC – Board-certified psychiatric nurse practitioner with experience in emergency medicine, ICU, and psychiatric care.
- Medication & Holistic Options Available – We provide both medication-based and holistic treatment strategies, tailoring care to your unique needs.
Insurance & Pricing
We accept Premera, Regence, Aetna, HMA, Asuris, and Tricare.
- Initial consultation (60 min): $300
- Follow-up visits (30 min): $200
Insurance may cover medications. We can assist in navigating this process.
Request a Consultation
We will get back to you within 24 business hours
Understanding Depression
Depression is more than just feeling sad—it’s a serious mental health condition that can affect every aspect of life. It can impact relationships, work, and daily activities, making even simple tasks feel overwhelming.
At Constellations Mental Health Services, we offer personalized, evidence-based treatment for all types of depression through secure telehealth services. We work collaboratively to find the best treatment plan for you, whether that involves therapy, lifestyle changes, supplements, or medication.
If you’re struggling, help is available. Request a consultation today and take the first step toward feeling better.
Symptoms of Depression
Depression can look different for everyone. Common symptoms include:
- Persistent feelings of sadness or hopelessness
- Loss of interest in activities you once enjoyed
- Changes in appetite (weight loss or gain)
- Fatigue and low energy
- Difficulty concentrating or making decisions
- Sleep disturbances (insomnia or oversleeping)
- Irritability and frustration
- Social withdrawal or exhaustion from socializing
- Low self-esteem or feelings of worthlessness
If you recognize these symptoms in yourself, you are not alone—and treatment can help.
Types of Depression We Treat
We provide care for all types of depression, including:
- Major Depressive Disorder (MDD) – Persistent low mood, loss of interest, and physical symptoms lasting at least two weeks.
- Persistent Depressive Disorder (Dysthymia) – Chronic, lower-grade depression that lasts for years.
- Bipolar Depression – Depressive episodes within Bipolar Disorder, alternating with manic or hypomanic periods.
- Seasonal Affective Disorder (SAD) – Depression that occurs seasonally, often during winter months.
- Postpartum Depression – Depression that develops during or after pregnancy.
- Situational Depression – Depression triggered by a specific life event or stressor.
Frequently Asked Questions
What if I’m unsure about medication?
We explore all treatment options together. Medication is never required, and we provide education on alternatives for those who prefer non-medication interventions.
What if I’m already on medication but it’s not working?
We assess the effectiveness of your current treatment and discuss:
- Adjusting the dosage
- Switching medications
- Genetic testing to determine which medications may work best
- Non-medication options
Are there side effects with medication?
Each person responds differently, but we work together to minimize unwanted effects. If weight gain, emotional blunting, or other side effects are a concern, we offer alternative options.
Is it hard to stop taking antidepressants?
Some medications can be more challenging to discontinue, but we provide expert guidance in tapering to make the process safe and manageable.
What if I’m in crisis or having suicidal thoughts?
We do not provide emergency crisis care. If you are in crisis, please call 988 (Suicide & Crisis Lifeline) or visit your nearest emergency room.
Where do appointments take place?
All appointments are virtual via a secure online platform. You will need a private space, a computer, tablet, or phone, and working audio/video for the session.
Do you offer therapy?
While we do not offer traditional weekly therapy, follow-ups include brief therapy, discussing work/life stressors, relationships, and goals. If long-term therapy is recommended, we can help you find a qualified therapist.
