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Depression Specialist

Mindful Behavioral Health PLLC

Board Certified Psychiatrists & TMS Specialists located in Boca Raton, FL

Depression affects 7% of adults, causing symptoms that interfere with daily responsibilities and make it hard to enjoy time with family and friends. The team at Mindful Behavioral Health PLLC in Boca Raton, Florida, has years of experience helping patients overcome depression. As specialists in treating depression, they offer an array of services, including effective therapies for treatment-resistant depression, such as transcranial magnetic stimulation (TMS) and Spravato™. If you need help with depression, call the office or schedule an appointment online today.

Depression Q & A

What symptoms develop due to depression?

Everyone experiences mood changes as they go through life, but depression has a deep-rooted impact on your energy and many facets of your life. If you’re depressed, you’ll experience several of these symptoms:

  • Feelings of sadness, worthlessness, or hopelessness
  • Fatigue or loss of energy nearly every day
  • Loss of interest in activities
  • Significant weight loss or gain
  • Insomnia or oversleeping
  • Difficulty concentrating
  • Loss of appetite
  • Restlessness
  • Recurring thoughts of suicide or death

Depression arises from many factors, including an imbalance in brain chemicals. Chronic stress and trauma can also cause changes in brain chemistry that lead to depression.

What is treatment-resistant depression?

Up to 35% of patients taking antidepressants don’t respond to their medication. This condition, called treatment-resistant depression, occurs when your symptoms fail to improve after treatment with two or more antidepressants. The team at Mindful Behavioral Health specializes in helping adults with treatment-resistant depression, offering several options proven to lift depression when medical treatment fails.

How do you treat depression?

As experts in depression, the team at Mindful Behavioral Health offers science-based therapies such as:

Medication management

Since there are many types of antidepressant medications that each work differently, having a provider that is experienced and well versed in depression treatment is a must. Your provider at Mindful Behavioral Health may recommend genetic testing using the GeneSight® Psychotropic test. GeneSight analyzes how your DNA affects your response to depression medications, allowing your doctor to prescribe the antidepressant that works best with your metabolism.


Treatment for depression often begins with psychotherapy (talk therapy), either alone or combined with medication. Your therapy is customized, using one of the many types of psychotherapy offered by the team at Mindful Behavioral Health. The most common form of therapy that we used for depression is a cognitive-based type of therapy.

Transcranial magnetic stimulation (TMS)

TMS is a noninvasive therapy that produces significant symptom improvement in patients with treatment-resistant depression. TMS stimulates underactive areas of your brain using a magnetic field. Under the expert treatment of the team at Mindful Behavioral Health, magnetic pulses from TMS are safely administered. This leads to an increase in nerve activity and neurogenesis and is then followed by a boost in neurotransmitters, which in turn improves depression symptoms.


Dr. Cichowicz also offers Spravato™ (esketamine), one of today’s newest therapies for treatment-resistant depression. Spravato™ (esketamine), which is used together with oral antidepressants, is a nasal spray that produces quick ad significant symptom relief in many patients. Spravato™ (esketamine) is only available through certified medical centers such as Mindful Behavioral Health.

The team at Mindful Behavioral Health is also active in clinical research studies, allowing you to participate in studies offering experimental depression treatments.

If you need help with depression, call the office or contact us online today.