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    Your Trusted Online Psychiatrist for Depression Treatment

    Depression treatment, counseling, or therapy - whatever you call these methods, their goal is the same: to help improve your mental health and quality of life. Dr. Ivanov, a double board-certified psychiatrist, is a top depression treatment consultant in NYC who uses time-tested, effective techniques. His online sessions produce faster results than many in-person counseling sessions. If you are suffering from a depressive disorder and are seeking treatment, contact Online Psychiatrists for a consultation.

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    According to the World Health Organization (WHO), an estimated 4 % of the global population suffers from depression - 4.6% of men, 6.9% of women, and 5.9% of adults aged 70 and older. Nearly 332 million people worldwide have depression.

    What is Depression?

    Depression Treatment Doctor in NYC, NJ, FL

    Depression is a mental health disorder affecting nearly 8% of the U.S. population, with a higher prevalence among women. When left unaddressed, its symptoms can intensify over time. Seeking help from a depression treatment center is crucial to prevent this escalation. Without the appropriate support, untreated depression may result in the development of other mental health conditions, such as anxiety. Unfortunately, individuals who do not seek help from a depression treatment center sometimes resort to self-medication through substance abuse.

    In recent years, nearly 727 000 people have died by suicide due to depression. Suicide is the third leading cause of death in 15-29-year olds.

    Depression

    What Should I Do if I Feel Depressed?

    Rest assured, you’re not alone if you suffer from signs of depression. It’s the most common mental disorder in the United States, even though not everyone always has the same symptoms. Consult an experienced medical doctor if you’ve been feeling sad and unable to participate in regular daily activities for two weeks or more.

    At Online Psychiatrists, you’ll find best psychiatrist for depression counseling. With the guidance you receive, you’re on your way to a depression cure. Whether you want to visit the depression doctor in person, need depression medication online or are seeking information about how to fight depression, you’ll find solutions that suit your specific needs.

    "Depression is not just a bad mood. I believe that depressive disorder is a severe illness that can significantly affect a person's life." - Says Dr. Zlatin Ivanov, Harvard Certified Depression Treatment Specialist.

    What Are the Symptoms of Depression?

    Since your symptoms are unique to you, seek depression counseling from an experienced medical doctor who understands major depressive disorder symptoms and effective treatments. For example, signs of depression in children vary widely from signs of depression in adults.

    You may only have a few symptoms, while others seem to display a broader range of depressive signals. You may be suffering from mild depression. If you have one or more symptoms nearly every day for more than two weeks, you likely have some form of depression.

    Common signs include:

    • Increasing irritability
    • Difficulty sitting still, restlessness
    • Sad, empty or anxious moods
    • Pessimistic and hopeless feeling
    • Feeling worthless, guilty or helpless
    • Low energy and fatigue
    • Losing pleasure in activities you previously enjoyed
    • Slow movements and speech
    • Memory loss
    • Appetite changes
    • Weight loss or gain
    • Difficulty making decisions and concentrating
    • Sleeplessness or excessive sleeping
    • Thinking about death or suicide
    • Headaches, stomach problems or other pains that don’t respond to treatment
    Symptoms of Depression

    Who Is at Risk for Depression?

    Just as the reasons for calling the depression doctor vary. You may have shown signs of depression in early childhood. Now, as a young or middle-aged adult, you’ve come to realize that your low moods and anxiety are drastically affecting your life.

    On the other hand, like most other people, you may develop your first signs of depression as an adult. Risk factors range from environmental and physical concerns to psychological and genetic origins.

    Examples include:

    • Heredity. If someone in your family has had clinical depression, your odds increase.
    • Trauma. Depression can be triggered following a major traumatic event.
    • Physical illness. The onset of severe and chronic diseases can set off depression symptoms. Conditions such as cancer, Parkinson’s disease and diabetes commonly generate depression.
    • Medications. Depression is a common side effect of certain medications.
    • Stress. Persistent stress may create a need for depression symptoms treatment.
    ★★★★★

    Being Dr. Ivanov’s patient has been great so far. He helped me get through my depression treatment, and I am finally learning to enjoy life again. Couldn’t have made it without him! Thank you!

    Google Reviews

    When Should I Seek to Treat Depression?

    Treatment resistant depression may require long-term therapeutic intervention and medication management, so you must seek the doctor with medical training. A depression cure is available no matter what type of the psychological disorder you have. These concerns often develop as you undergo the many challenges of adulthood.

    Various types of these mental health issues include:

    Effective Treatments for Depression

    Patient Experience

    ★★★★★

    Finding out I got depression was even more depressing, but relieving at the same time. Dr. Ivanov I met on the Online Psychiatrists platform was very caring and supportive and both online appointments and medication allow me to feel much better. It is very hard work, but feeling the difference motivates me not to give up. I haven’t seen anyone offering the same level of service online in New York, so I can definitely recommend his services.

    Google Reviews
    ★★★★★

    I thought depression treatment would be overwhelming at the very beginning but with telepsychiatry, I felt safe from day one. Medication management is consistent, and appointments actually work around my schedule. I feel seen and supported. THX!

    Google Reviews
    ★★★★★

    The attention to detail during my depression treatment was outstanding. Every session felt personalized, with careful consideration of my needs and clear explanations of the next steps.

    Google Reviews
    ★★★★★

    I went through a rough patch and didn’t want to talk to anyone at first, but this Manhattan psychiatrist team made it feel okay to show up messy. We talked through what I was dealing with and found a depression treatment plan that felt doable. The medication management has been on point, and I don’t feel like I’m doing it alone anymore.

    Google Reviews
    ★★★★★

    Wonderful specialist for depression treatment. My life has changed to before and after since I've started seeing him! I feel a lot happier, healthier, and finally found a new purpose in life. Thank you!

    Google Reviews
    ★★★★★

    I didn’t think virtual visits would work for depression and PTSD, but Dr. Ivanov made them feel personal. I feel less alone now. He reallly sees people

    Google Reviews
    ★★★★★

    Being Dr. Ivanov’s patient has been great so far. He helped me get through my depression treatment and I am finally learning to enjoy life again. Couldn’t have made it without him! Thank you!

    Google Reviews
    ★★★★★

    My life has improved so much since I started seeing Dr. Ivanov. I was diagnosed with depression and he really helped me overcome my condition. I appreciate his care and support endlessly!

    Google Reviews
    ★★★★★

    Dr. Ivanov is the right balance between caring and straightforward. He handled my depression treatment and was very honest with me from the start, which I truly appreciate. He made this experience smooth for me and I am beyond thankful for his care!

    Google Reviews
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    What Are the Major Depressive Disorder Treatments in NYC?

    From our experience, psychotherapy, commonly referred to as "talk therapy," is the most popular and often the most effective depression treatment. Combined with necessary depression medication, talk therapy can work wonders. Various modalities target specific needs.

    Types of depression treatment counseling — online or in person — that are available to you include:

    Online Medication Management for Depression

    While therapy and counseling are vital tools for recovery, moderate to severe depression often has a biological component that requires medical intervention.

    As a board-certified psychiatrist, Dr. Ivanov is a medical doctor uniquely qualified to evaluate these biological factors and prescribe appropriate medication. Our approach to online medication management is built on precision, safety, and collaboration:

    Evidence-Based Treatment Options

    We do not believe in a "one-size-fits-all" pill. Depending on your specific symptoms and medical history, we may recommend:

    • SSRIs (Selective Serotonin Reuptake Inhibitors): Common first-line treatments like Sertraline (Zoloft) or Escitalopram (Lexapro) that help balance serotonin levels.
    • SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors): Options like Venlafaxine (Effexor) that target both serotonin and norepinephrine for energy and mood focus.
    • Atypical Antidepressants: Targeted solutions for patients who haven't found relief with standard medications.

    The "Start Low and Go Slow" Philosophy

    We understand the fear of "feeling like a zombie" or experiencing harsh side effects. Dr. Ivanov emphasizes a conservative approach, starting with the lowest effective dose to minimize side effects while maximizing relief. We want you to feel like yourself again, not sedated.

    Seamless E-Prescribing

    Once a treatment plan is agreed upon, prescriptions are sent electronically to your preferred pharmacy in New York, New Jersey, or Florida instantly. You can pick up your medication the same day as your video visit.

    Continuous Monitoring

    Medication management is not a one-time transaction. We schedule virtual follow-ups to ensure the medication is working, discuss any side effects, and adjust dosages as your brain chemistry balances out.

    How to Get Started: The 4-Step Process

    Step 1: Book Online (Same-Day Availability)

    Don’t wait weeks for help. Use our real-time booking calendar to choose a time that works for you. We often have same-day or next-day appointments available for urgent needs.

    Step 2: Secure Video Assessment

    Log in via our HIPAA-compliant portal from the privacy of your home. No travel, no waiting rooms—just a direct, face-to-face conversation with Dr. Ivanov to discuss your symptoms and history.

    Step 3: Personalized Treatment Plan

    We treat the whole person, not just the diagnosis. Your custom plan combines medication management with supportive psychotherapy to address both the biological and emotional roots of depression.

    Step 4: Instant E-Prescribing

    If medication is prescribed, we send it electronically to your preferred local pharmacy immediately during your session. You can pick up your prescription within hours of your call.

    Meet Dr. Zlatin Ivanov: A Leader in Telepsychiatry

    Dr. Ivanov is a double board-certified psychiatrist who specializes in high-quality telepsychiatry services for adults struggling with depression. While many providers have only recently adopted video visits, Dr. Ivanov has extensive experience in delivering compassionate, effective mental health care virtually.

    Why Choose Dr. Ivanov for Online Care?

    • Virtual Bedside Manner: Dr. Ivanov understands that connecting over video requires a unique approach. He is known for creating a warm, non-judgmental digital environment where patients feel safe opening up, just as they would in a physical office.
    • Accessible Expertise: By offering telepsychiatry, Dr. Ivanov brings top-tier New York City psychiatric care to patients across New York, New Jersey, and Florida, removing geographic barriers to expert treatment.
    • Integrated Approach: Unlike generic telehealth apps that rely on 15-minute "med-check" slots, Dr. Ivanov dedicates time to understand the nuances of your life, combining pharmacology (medication) with brief psychotherapy to ensure long-term success.

    FAQ's

    What Is the Difference Between Normal Sadness or Grieving and Depression?

    Everyone experiences a range of emotions over the course of days and weeks, typically varying based on events and circumstances. When disappointed, we usually feel sad. When we suffer a loss, we grieve. Normally these feelings ebb and flow. They respond to input and changes. By contrast, depression tends to feel heavy and constant. People who are depressed are less likely to be cheered, comforted or consoled. People who recover from depression often welcome the ability to feel normal sadness again, to have a “bad day,” as opposed to a leaden weight on their minds and souls every single day.

    Once a Person Has Been Diagnosed and Treated for Depression, Is It Likely to Return?

    Of people diagnosed with major depressive disorder, who are treated and recover, at least half are likely to experience a recurrent episode sometime in their future. It may come soon after or not for many years. It may or may not be triggered by a life event. After several episodes of major depression, a psychiatrist may suggest long-term treatment.

    What Kinds of Treatments Work for Depression?

    A wide variety of treatments have been proven effective in treating depression. Some involve talking and behavioral change. Others involve taking medications, like antidepressants and Spravato. There are also techniques that focus on neuromodulation, which incorporates electrical, magnetic or other forms of energy to stimulate brain pathways. Examples of neuromodulation include electroconvulsive therapy (ECT), vagus-nerve stimulation (VNS), transcranial magnetic stimulation (TMS) and the experimental deep-brain stimulation (DBS).

    The choice of therapy should be guided by the nature and severity of depression, past responses to treatment, and the patient’s and family’s beliefs and preferences. Whatever approach is selected, the patient should be a willing and actively participate, engaging in psychotherapy or regularly taking the medication, for example.

    What Do I Need to Tell My Doctor When Discussing My Feelings of Depression?

    Total openness is important. You should talk to your doctor about all of your symptoms, important milestones in your life and any history of abuse or trauma. Also tell your doctor about past history of depression or other emotional symptoms in yourself or family members, medical history, medications you are taking — prescribed or over-the-counter, how depression has affected your daily life and whether you ever think about suicide.

    How Long Should I Wait Before I Go and See a Medical Professional?

    If your symptoms are mild, do not impair your work or home life, or adversely affect your health, and you do not think about suicide or self-harm, you could wait a week or two before visiting a professional to see if the symptoms may improve on their own. But more serious symptoms need immediate attention.

    Do Antidepressants Have Side Effects?

    Virtually all medicines can cause side effects. Typically, unwanted effects increase when the dose rises. Side effects usually vary from one drug to another and are especially variable between different medication classes. If you have previously taken a medicine and done well or poorly or had bothersome side effects, be sure to tell the doctor what happened. This should affect the choice of your next prescription. If you have never taken an antidepressant, discuss with your doctor which groups have which side effects. Let your doctor know which effects you particularly wish to avoid, such as sedation or sexual disruption.

    How Much Does It Cost to Treat Depression in NYC?

    In the evolving U.S. health care system, the cost of treatment is a consideration for most people. At the same time, untreated depression can be costly itself, often compromising a person’s ability to function at home or at work. Speak to your health insurance company to learn about your benefits and co-pays. Insurers sometimes refer only to specific psychotherapists and limit the number of sessions. Co-pays vary. When cost is an issue, ask for generic medications, rather than brand-name drugs. Most classes of antidepressants are available in generic formulations. Neuromodulation treatment can be expensive, and insurance coverage varies widely.

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    As your depression therapist, Dr. Zlatin Ivanov helps you find the correct combination of depression treatment options for your stage of life or family dynamics. Contact your trusted psychiatrist at (646) 713-0000. Dr. Ivanov has offices in Midtown Manhattan (The Chrysler Building, 405 Lexington Ave, New York, NY) and Miami, FL (701 Brickell Ave).

    Updated on Feb 25, 2026 by Dr. Zlatin Ivanov (Psychiatrist ) of Online Psychiatrists

    The content on this page was co-authored and medically reviewed by Dr. Zlatin Ivanov and the expert team at Online Psychiatrists, a leading telepsychiatry practice serving New York, Florida, and New Jersey. As a recognized leader in his field, Dr. Ivanov is double board-certified by the American Board of Psychiatry and Neurology and holds affiliations with prestigious institutions such as Bellevue Hospital Center, Woodhull Medical Center, and Mental Health Center in New York. By leveraging over 25 years of clinical expertise in addiction psychiatry, ADHD, and mood disorders, our team ensures all content reflects the most accurate, current, and authoritative information in general psychiatry, medication management, and psychotherapy.

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