Depression affects more than mood. It can drain energy, reduce motivation, and disrupt daily routines in ways that feel exhausting and isolating. Many people search for effective depression treatment in Portland after finding that therapy or medication alone does not provide enough relief.
At Shanti Recovery and Wellness, we provide advanced care that combines compassion with proven medical solutions. Our team offers psychiatry, TMS, and medication-assisted care, including Suboxone treatment, designed to help when standard options are not enough. Whether you are managing Major Depressive Disorder (MDD) or facing the challenges of Treatment-Resistant Depression (TRD), we create individualized plans that support healing without judgment.
Depression often shows up gradually, making it difficult to recognize at first. What begins as low energy or lack of motivation can develop into ongoing challenges with focus, sleep, and daily responsibilities. Over time, these changes may interfere with relationships, careers, and personal goals, leaving individuals feeling disconnected from the life they want to live.
Living with depression can also feel isolating. Because symptoms are not always visible to others, many people keep their struggles to themselves or assume they should “push through.” This sense of isolation often adds to the burden, reinforcing feelings of hopelessness or guilt.
At Shanti, we see depression as a medical condition, not a personal failing. Our clinicians approach care by listening carefully and identifying factors that may contribute to the illness. By looking at each individual’s history, environment, and health needs, we are able to recommend treatment strategies that promote recovery and help restore a sense of balance and control.
Major Depressive Disorder (MDD) is a medical condition defined by a cluster of symptoms that persist most days for at least two weeks and interfere with daily functioning. The pattern and intensity vary by person, so a careful evaluation is essential to distinguish MDD from temporary low mood or grief.
Common signs and symptoms include:
For some people, these symptoms are mild but long-lasting. For others, they become severe and disabling. Timely, compassionate care can change the trajectory. At Shanti, psychiatrists and therapists address current symptoms and contributing factors such as anxiety or substance use. Care is available through adult psychiatry and adolescent psychiatry programs, with individualized depression treatment in Portland that fits each stage of life.
Anxiety often occurs alongside other conditions, including depression and substance use disorders. When both problems are present, recovery becomes more complex and requires a treatment plan that addresses them together. Shanti provides dual diagnosis care that treats anxiety while also managing related conditions, ensuring that patients do not have to navigate fragmented treatment.
Our clinicians combine psychiatric expertise with medication-assisted treatment when appropriate, including Suboxone, Sublocade, or Vivitrol. This approach ensures that anxiety symptoms are consistently addressed while other health concerns receive equal attention. By managing both conditions within one coordinated program, patients benefit from care that is structured, consistent, and comprehensive.
This model gives patients a stronger foundation for lasting recovery. By addressing co-occurring conditions at the same time, Shanti reduces the risk of relapse and supports long-term improvements in mental health, stability, and overall quality of life.
Transcranial Magnetic Stimulation (TMS) is a non-invasive, FDA-approved therapy that uses gentle magnetic pulses to stimulate specific areas of the brain linked to mood regulation. Unlike medication, which circulates through the entire body, TMS targets the brain directly.
According to the Mayo Clinic, TMS is often used when other treatments have not been effective. It has become an important option for individuals seeking advanced depression treatment in Portland and beyond.
At Shanti, TMS is administered in a supportive outpatient setting. Patients remain awake and comfortable throughout the sessions, which typically last between 20 and 40 minutes. A series of treatments over several weeks often produces noticeable improvements in mood, energy, and daily functioning.
TMS is particularly effective for individuals with both MDD and TRD. Clinical studies show significant benefits for patients who previously felt their depression was untreatable. For Portland residents seeking advanced care, TMS represents a promising path forward.
While TMS offers powerful results, it is most effective when paired with a comprehensive treatment plan. Our center provides both adult psychiatry and adolescent psychiatry services to support individuals at different stages of life. Our psychiatrists assess medical history, co-occurring conditions, and lifestyle factors before tailoring medication management and therapeutic recommendations.
For patients with co-occurring disorders, integrated care ensures that depression is addressed alongside substance use challenges. This dual-diagnosis approach allows individuals to receive consistent, holistic treatment that promotes lasting recovery. Shanti’s focus on non-punitive, team-based care further strengthens the connection between clinician and patient, helping each individual feel supported throughout the process.
Depression and substance use often occur together, creating challenges that are difficult to manage without specialized care. Some people turn to opioids to cope with emotional pain, while others develop depression after struggling with addiction. At our facility, we understand this connection and address both conditions at the same time.
Medication-assisted treatment (MAT) helps stabilize patients by easing withdrawal symptoms and reducing cravings. Options such as Suboxone, Sublocade, and Vivitrol create the space for individuals to focus on mental health treatment without the constant weight of substance use. With this stability, patients are better able to engage in therapy, TMS, or psychiatric care for depression.
Our integrated approach combines MAT with adult and adolescent psychiatry as well as therapeutic support. Treating both depression and addiction together lowers the risk of relapse and leads to more sustainable recovery. For individuals whose depression is tied to substance use, this comprehensive model provides a clear, supportive path forward.
Effective treatment for depression makes it possible to regain stability and restore daily functioning. Patients often notice improved mood, energy, and focus, which allows them to manage responsibilities, maintain routines, and re-engage with meaningful activities.
As symptoms lift, many individuals reconnect with family and friends, rebuild relationships, and rediscover interests that had been set aside. These changes reduce feelings of isolation and bring back a sense of belonging and purpose.
For those managing co-occurring challenges such as anxiety or substance use, integrated care provides additional support. By treating depression alongside related conditions, Shanti helps patients build resilience and create a stronger foundation for long-term wellness.
You Deserve to Feel Like Yourself Again
At Shanti, depression treatment in Portland begins with listening. Every patient’s experience is different, and we believe treatment should reflect that. Our providers take the time to understand your history, your goals, and the challenges you face before recommending a path forward. Care is always delivered with compassion and respect, ensuring you feel supported rather than judged.
You do not have to navigate depression on your own. Shanti serves both adults and adolescents with in-person appointments at our Portland clinic and telemedicine options across Oregon. Reach out today to start a confidential conversation and take the first step toward lasting relief.
