Conditions we treat
Depression treatment
Evaluation and medication management for depression. Treatment starts with understanding what you're experiencing, how it's affecting daily life, and what else may be contributing before deciding what treatment makes sense.
First visit: 60 minutes, $400. Telehealth from anywhere in Oregon. No referral needed.
Book a first visitMeredith personally reviews every appointment request and confirms within one business day.
If this sounds familiar
Low mood, loss of interest, low energy, or changes in sleep and appetite may be affecting school, work, relationships, routines, or daily life. Maybe depression has already been diagnosed, maybe it has only been suspected, or maybe it developed gradually without an obvious cause or starting point.
Meredith starts with a careful look at the symptoms, their history, and how they show up across daily life.
Common ways depression shows up
A few of the patterns we see most, not a complete list and not a checklist you need to match.
Major depression
Persistent low mood, loss of interest, changes in sleep or appetite, difficulty concentrating, and withdrawal from people or activities. Symptoms may affect work, relationships, routines, and your ability to enjoy daily life.
Depression that has not improved with medication
Sometimes a medication helps only partially, stops helping, or causes side effects that make it difficult to continue.
Depression after loss or life transition
Loss and major life changes can bring sadness, disrupted sleep, low energy, withdrawal, and difficulty functioning.
Depression and caregiver strain
Long periods of caring for children, aging parents, a partner, or others can affect sleep, energy, mood, concentration, and your ability to care for yourself.
Depression alongside anxiety or insomnia
Depression can occur alongside anxiety, insomnia, irritability, difficulty concentrating, or physical symptoms.
How we approach depression treatment
Your first visit is 60 minutes. Meredith will ask about the depression (when it started, what's changed, what you've already tried) and about everything around it: sleep, energy, relationships, work, medical history, life circumstances. All of it shapes the plan.
If medication makes sense, you'll understand the reasoning: why this medication, what to expect in the first few weeks, what side effects to watch for, and what the plan looks like. Medication does not automatically mean a lifelong commitment. How long treatment continues depends on your symptoms, response, history, preferences, and clinical needs. Meredith will discuss those decisions with you over time, including whether and when a gradual taper may be appropriate.
Follow-up visits are 30 minutes, typically every 4 to 6 weeks at first, with time to review how things are going and make changes when needed.
Pricing and logistics
First visit: 60 minutes, $400
Follow-up: 30 minutes, $250
Extended follow-up: 60 minutes, $375 (when you want more time)
Insurance: We are out-of-network with all insurance plans. Superbills are provided (upon request) for possible out-of-network reimbursement on commercial plans. We are not able to see Medicare or Medicaid (Oregon Health Plan, or OHP) members, and we screen for this at intake so eligibility is clear before care begins.
Format: Visits are by video, from anywhere in Oregon. In certain circumstances a face-to-face visit may be necessary.
No referral needed. Book directly.
Questions about depression treatment
How do I know if this is depression or just grief?
I don't want to be on medication forever. Is that an option?
My antidepressant stopped working. Can you help?
What if medication makes me feel foggy or numb?
Do you work with therapists?
Your provider
Meredith Galvin is a board-certified psychiatric nurse practitioner (PMHNP-BC). She came to prescribing after thirteen years in social work and ten years in psychiatric nursing, including work as a charge nurse, conducting emergency psychiatric assessments at Duke Regional Hospital, and providing home health care. That background is why she takes time to understand the person, not just the symptoms, and how depression is affecting sleep, energy, relationships, and daily life.
A first visit can help you understand what is happening and what treatment options may fit.
If you want a thorough evaluation and the same provider each visit, we'd like to meet you.
Meredith personally reviews every appointment request and confirms within one business day.