Depression

Overview

Depression is a treatable medical condition — not a personal failing. Symptoms include persistent low mood, loss of interest, sleep changes, appetite shifts, fatigue, trouble concentrating, and thoughts of worthlessness or self-harm. Clindle evaluates adults using validated tools (PHQ-9), rules out medical causes like thyroid disease or low B12, and starts first-line treatment the same visit when appropriate. We prescribe SSRIs, SNRIs, bupropion, and mirtazapine, monitor response every few weeks, and refer to a local therapist. If you're in crisis, call or text 988 — the Suicide and Crisis Lifeline.