Depression & Mood • Southlake
Adult depression and mood disorder care in Southlake — careful diagnostic clarification, medication management when appropriate, and a follow-up cadence that reflects the clinical situation, not a backlog.
Depression in adult Southlake patients rarely arrives as a single neat episode. More often it has been building for months — a slow erosion of energy, sleep, motivation, and pleasure that a high-functioning person attributes to being tired, being busy, or just being older. The patient has often been pushing through a stretch of unusually demanding work along the 114 corridor, in healthcare at one of the local hospitals, or through a heavy season of family and Carroll ISD logistics. By the time someone calls us, they are usually past the point where they can keep explaining it away.
According to the National Institute of Mental Health, an estimated 8.3% of U.S. adults — about 21 million people — experienced a major depressive episode in 2021. Southlake is no exception. The job is to figure out what kind of depression we are actually treating, because the answer changes the treatment plan.
A careful initial evaluation runs 60 to 75 minutes. Inside that visit the provider works through current symptoms, severity, duration, prior episodes, family history, sleep, substance use, recent labs, and safety. The differential matters: major depressive disorder, persistent depressive disorder, bipolar spectrum disorders, mood symptoms tied to sleep apnea or thyroid disease, and alcohol or stimulant-related mood symptoms can all look superficially similar and require different treatment.
Bipolar spectrum disorders in particular often surface during a depressive episode in someone who has had subtle hypomanic patterns for years that nobody flagged. Missing that distinction matters, because the wrong medication can make a bipolar patient worse. A thoughtful evaluation takes the time to ask the questions that get at it.
If unipolar major depressive disorder is the working diagnosis and medication is part of the plan, options are discussed openly — first-line SSRIs, SNRIs, atypical antidepressants, augmentation strategies, and reasonable alternatives, including the option of doing nothing pharmacologically while addressing sleep, alcohol use, exercise, or therapy first. Treatment recommendations are made only after clinical evaluation, and no specific medication is guaranteed.
Lab monitoring is ordered through standard local labs such as Quest or LabCorp and reviewed at follow-ups. Once stable, follow-ups are typically every 1 to 3 months; during an active medication change the interval is shorter. We do not provide standalone ongoing therapy and will be straightforward about referring you to a Southlake-area therapist when that is what would actually help.
Our office is at 305 Miron Drive, Southlake, TX 76092 — just off State Highway 114, a short drive from Town Square. Parking is free and the building is wheelchair-accessible. Office hours are Monday through Friday, 8 AM to 7 PM, by appointment only. Visits can be in person or by secure video; telehealth requires that you be physically located in Texas at the time of each visit.
If you are experiencing thoughts of harming yourself or are unable to keep yourself safe, call 911 or go to the nearest emergency room. The 988 Suicide & Crisis Lifeline is available 24/7 by call or text. Telehealth is the right tool for scheduled outpatient psychiatric care, not for emergencies.