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Depression affects millions of people worldwide, and its impact can be profound. From feelings of hopelessness to physical symptoms like fatigue and sleep disturbances, depression is a condition that goes beyond just having a bad day.
Signs and Symptoms of Depression
While symptoms can vary, common signs of depression include:
Persistent sadness or low mood.
Loss of interest or pleasure in activities.
Changes in appetite and sleep patterns.
Difficulty concentrating or making decisions.
Feelings of worthlessness or guilt.
Physical symptoms like headaches or digestive issues.
If you notice these symptoms in yourself or someone you care about, it’s important to take action. Early intervention can make a significant difference in managing depression and improving quality of life.
Reaching Out for Help
Seeking help for depression can feel overwhelming, but you don’t have to face it alone. Professional counseling offers a safe space to explore your feelings, understand underlying causes, and develop strategies to manage depression.
At On Demand Counseling, our licensed therapists specialize in treating depression. We provide personalized care tailored to your needs, including cognitive-behavioral therapy (CBT), mindfulness techniques, and strengths-based therapy.
Why Choose On Demand Counseling?
When searching for “mental health counseling near me,” it’s essential to find a provider who understands your unique situation. At On Demand Counseling, we offer:
Compassionate, judgment-free care.
Telehealth options for convenience.
Experienced mental health professionals dedicated to your well-being.
If you’re ready to take the first step toward managing depression, contact On Demand Counseling today. Our team is here to support you through every stage of your recovery.
Introducing Walk-In Medication Assisted Treatment Services at On Demand Counseling
At On Demand Counseling, we are dedicated to providing accessible and comprehensive care to those in need of support on their recovery journey. In line with this commitment, we are excited to announce the launch of our walk-in services for Medication Assisted Treatment (MAT). This new offering is designed to make it easier for individuals to receive the care they need, when they need it.
What is Medication Assisted Treatment?
Medication Assisted Treatment (MAT) is an evidence-based approach to treating substance use disorders, particularly opioid and alcohol dependence. MAT combines FDA-approved medications with counseling and behavioral therapies to provide a “whole-patient” approach to treatment. This method has been proven to increase the chances of long-term recovery and improve overall quality of life.
Walk-In MAT Services Now Available
Starting now, you can walk into any of our locations for MAT services without an appointment. This means you can begin your recovery journey immediately, without the need to schedule in advance.
Walk-In Hours:
Monday – Thursday: 8:00 AM – 4:00 PM
Telehealth Services: Available on Fridays
Convenient Locations
We offer walk-in MAT services at the following On Demand Counseling locations:
Austintown
Address: 5760 Patriot Blvd. Austintown, OH 44515
Phone: 330-270-8610
Newton Falls
Address: 100 Superior St. Newton Falls, OH 44444
Phone: 330-578-4300
East Liverpool
Address: 658 Walnut St. Suite 3, East Liverpool, OH 43920
Phone: 330-932-0157
Each location is staffed with dedicated professionals who are committed to supporting you through every step of your recovery journey.
Why Choose On Demand Counseling for MAT?
Accessibility: No need to wait for an appointment. Simply walk in during our dedicated hours and receive immediate care.
Comprehensive Care: Our MAT program combines medication with counseling and supportive services to address both the physical and psychological aspects of addiction.
Experienced Team: Our team of counselors, doctors, and support staff are experts in addiction treatment and passionate about helping you achieve your recovery goals.
Flexible Options: In addition to walk-in services, we offer telehealth services, ensuring you can access care even if you can’t make it to one of our locations.
Start Your Recovery Journey Today
At On Demand Counseling, we believe that every moment counts in the journey to recovery. With our new walk-in MAT services, we aim to remove barriers to treatment and provide immediate support to those ready to make a change.
Don’t wait to get the help you need. Visit one of our locations during our walk-in hours, or contact us for more information:
Austintown: 330-270-8610
Newton Falls: 330-578-4300
East Liverpool: 330-932-0157
We are here to support you every step of the way. Your path to a healthier, happier life starts today.
On Demand Counseling – because we’re here when you need us.
Once the federal government declares an end to the COVID-19 public health emergency (PHE), Medicaid will resume its normal eligibility review process. This means that all eligible Medicaid members will have to renew their Medicaid coverage or risk losing it.
While some renewals can be completed without a need to contact the member, some renewals will require members to respond to mail from their county Department of Job and Family Services (CDJFS) regarding their Medicaid eligibility.
To prepare for this process, Medicaid members are encouraged to:
Update their contact information with their CDJFS. When it’s time to renew, or if Medicaid needs more information to continue a member’s coverage, the CDJFS sends a letter. Make address changes by logging on to Benefits.Ohio.gov or by calling 1-800-324-8680. Help is available Monday through Friday, 8a.m. – 8p.m. and Saturday 8a.m. – 5p.m. ET.
Check their mail and respond to requests for information from their CDJFS. Any member who gets a letter stating that it is time to renew, or that their CDJFS needs more information, should respond right away. The CDJFS needs to hear from members to review their Medicaid eligibility. Members who do not respond to renewal letters or requests for information risk losing their coverage, even if they are eligible.
Members can manage their Medicaid account, complete renewals, upload documents, and find out the status of their coverage by logging into their Ohio Benefits Self-Service Portal account at ssp.benefits.ohio.gov.
On Demand Counseling has expanded our services to include care for pregnant women. Our Medication-Assisted Treatment (MAT) program for pregnancy is aimed at providing medical support to prevent withdrawal during pregnancy, minimize fetal exposure to illicit substances, and engage the mother as a leader in her recovery.
Our professional staff refers to and collaborates with OBGYNs throughout treatment. Our goal is to surround mothers with the supportive services they need to stay healthy and be prepared for the eventual arrival of their baby.
Post-birth, On Demand Healthcare can provide follow-up primary care and well child visits to newborns.
For questions about treatment during pregnancy, please contact our offices at 330-270-8610.
On Demand Counseling is hosting Peer Recovery Supporter Training through OhioMHAS. Peer Recovery Supporter Training teaches individuals in recovery from a mental health and/or substance use issue to use their experience to help their peers who are also in recovery.
To be eligible to attend the training, individuals must have a personal lived experience of mental health and/or substance use issues. This means that they are personally in recovery from a mental health and/or substance use issue. Upon successful completion of this 40-hour training, participants with a lived experience will be eligible to apply for certification as a Peer Recovery Supporter in the state of Ohio.
The training will take place at On Demand Counseling in Austintown on Monday, May 9 – Friday, May 13 from 8:30am – 5:00pm.
Register Today
To register, contact Brianna Byers at [email protected]or call 330-540-7556.
For more information, please visit OnDemandCounseling.com.
On Demand Counseling is excited to welcome Jenn Fusco as a Psychiatric Nurse Practitioner at the East Liverpool location!
Get to know Jenn Fusco
Jenn fell in love with mental health while getting her bachelor’s degree in nursing. She knew that psych was where she was supposed to be and it gave her the motivation to return to school to become a Psychiatric Nurse Practitioner. Jenn has three years of experience working as an RN on an inpatient geriatric pyschiatric unit. She has been practicing as a Psychiatric Nurse Practitioner since 2017, seeing children 6 years and older, adolescents and adults. Her hometown is East Liverpool and loves being able to work in the community where she grew up.
Jenn’s goal is to help people have a productive and meaningful life. Mental health can make normal things like eating, sleeping or socializing difficult. She believes that everyone has a purpose and she hopes she can help make it easier for patients to get to where they would like to be in their lives. She loves that her job gives her the opportunity to help people reach their goals.
Open enrollment for Ohio Medicaid patients to pick their new Managed Care Plan began on March 1, 2022, and will go into effect July 1, 2022.
AmeriHealth
Anthem Blue Cross and Blue Shield
Buckeye Community Health Plan
CareSource Ohio
Humana Healthy Horizons in Ohio
Molina Healthcare of Ohio
United Healthcare Community Plan
If you are on Medicaid, please log in at Members.ohiomh.com or call the consumer hotline at 1-800-324-8680 to update your information and to pick your new Managed Care Plan.
The following information will need updated:
Name
Address
Phone Number
Email Address
Failure to pick your plan by June 30, 2022, Ohio Medicaid will pick your plan for you.
EMDR stands for eye movement desensitization and reprocessing and is a form of psychotherapy commonly used on patients with previous trauma. Only certified therapists may practice EMDR therapy on patients. During an EMDR therapy session, patients are stimulated bilaterally. Bilateral stimulation is typically conducted with eye movements, tapping or vibrations. For example, a therapist may ask a patient to follow an object with their eyes from left to right, or hold hand vibrators in each hand with alternating pulses.
Can EMDR therapy be done in one session?
Although patients can experience significant changes after one session, EMDR usually takes a few sessions to for patients to reap the most benefits. EMDR therapy is actually conducted in eight phases from assessment to stimulation to closure. In phase one, therapists usually assess the patient to ensure EMDR is right for them and then works with the patient to develop a treatment plan. In phase two, certified EMDR therapists make sure the patient has multiple, effective techniques to conduct on their own when feeling triggered outside of counseling sessions. Because EMDR can be intense and cause rapid change in a person’s brain, it’s important patients to identify these feelings and know how to handle them as they occur. In stages three to six, the traumatizing memories are recalled and identified.
Once a patient has identified the visual memory and the thoughts and feelings surrounding that memory, the EMDR therapist can begin stimulation and direct the client to identify a positive emotion in place of the negative ones. For instance, a rape victim may originally associate their trauma with disgust, humiliation or weakness. Once the negative feelings have surfaced, the patient will bring forth a positive feeling like “I am strong” or “I am a survivor.” Phases three through six focus on associating these new, positive thoughts with the old trauma thus reworking the memory and encouraging healing.
Phases seven and eight are “closure” stages for the patient. Typically, patients are re-examined to determine their current mental health state or to see if the EMDR therapy was successful. The eight total phases can sometimes be done in one long session for those with a single traumatic event, but usually take several sessions over a span of time.
Would EMDR work for me?
Not everyone benefits from traditional therapy, and EMDR therapy can be most beneficial to those struggling with PTSD or trauma. EMDR does not require patients to recall the distressing event in detail, but rather just the visual memory and associated feelings. EMDR also tends to be quicker than traditional therapy because of its intensity. Those looking for a treatment plan with rapid outcomes and a high level of effectiveness may be a good fit for EMDR therapy.
Ultimately, you and your counselor will determine if this type of psychotherapy is right for you.
Does EMDR therapy actually work?
EMDR therapy has a high success rate. According to the Permanente Journal, “seven of 10 studies reported EMDR therapy to be more rapid and/or more effective than trauma-focused cognitive behavioral therapy.” Additionally, 12 more studies showed that patients were experiencing a rapid decrease in negative thoughts and emotions associated with distressing events.
Nearly 90% of patients with a single trauma can be processed within 3 sessions while patients with prolonged trauma may take several more sessions. PTSD is common in military veterans and EMDR is frequently used on these patients. In fact, a study reported that after 12 sessions 77% no longer had post-traumatic stress disorder.
It’s important to note that there can be some unpleasant side effects when going through EMDR therapy. The most common side effect is resurfaced, painful memories during, between or after treatments. The human brain sometimes suppresses painful memories (which is why EMDR works best to surface and re-process them) and these memories are likely to come to mind and cause distress. Certified therapists will work with patients experiencing these type of painful memories and provide techniques to manage them.
How do I schedule an EMDR appointment?
On Demand Counseling has several EMDR certified therapists across Mahoning, Columbiana and Trumbull counties. If you are looking to begin EMDR therapy, or if you simply want to learn more, you can ask your counselor or call your nearest On Demand Counseling location.
There are many resources for people looking for more about EMDR:
As we work to break the stigma surrounding mental health, it is important to recognize a mental illness that is rarely talked about: chronic treatment resistance. Chronic treatment resistance in mental health is essentially when a patient does not respond to proper dosage and duration of prescribed medication at least two times. For example, if a client with depression is prescribed a common medication such as sertraline and sees no difference in symptoms for an extended amount of time, then tries another medication such as citalopram for another extended amount of time and still fails to see improvement, that patient may have chronic treatment resistance.
1. Treatment Resistant Depression Is Common
The National Center for Biotechnology Information (NCBI) reported that one third of depression patients experience treatment resistance. Millions of people suffer from depression every year and billions of dollars are spent by the United States on depression treatment and research. Those who do have treatment resistant depression are more likely to succumb to the mental illness as they are not able to respond to treatment. Therefore, that one third of patients have increased disability, cost, suffering and suicide rates.
2. You May Not Actually Have Chronic Treatment Resistance
Clinicians may not be able to diagnose a patient 100% accurately given every person’s unique genetic make-up and response to medication. According to NCBI, “Patients with TRD are not so much treatment-‘resistant,’ but rather, the heterogeneity of the condition ‘depression’ implies that patients are not receiving treatments that are matched to their individual diathesis.” In simpler terms, because depression is so unique to every person that struggles with it, it can be hard to pinpoint the exact medication, dosage and duration that will cure the patient’s symptoms. However, this does not mean that those with treatment resistant depression are falsely diagnosed, the above information is just a theory in scientific research studies.
3. There is a Scale Clinicians Use to Determine Treatment Resistance
The “scale” is essentially a threshold or percentage of severity or improvement in which a clinician determines if a patient has chronic treatment resistant mental illness. Since research of treatment resistance began, several models have emerged as a way to determine a patient’s treatment resistance. More recently, the trial and failure of two adequate medication routes is what determines a patient is treatment resistant.
How to Determine Treatment Resistance in Mental Illness
If a person is experiencing the same or higher percentage of depression symptoms after the trials, it is likely they have treatment-resistant depression. If a person experiences lower rates of symptoms with higher improvement levels, that person likely has found the right treatment plan for them and would not be categorized as treatment resistant, even after the second medication trial. NCBI states “In major depression and in generalized anxiety disorder, response is usually defined as a 50% decrease in symptom severity (but it has also been defined as a 25% decrease in patient selection for trials focusing on treatment resistant depression).” Other mental illnesses such as schizophrenia and OCD have lower symptom severity percentages.
4. There’s Plenty of Ways to Help Someone With Treatment Resistant Mental Illness
The most common and also simplest way to help manage symptoms in those with treatment resistant mental illness is therapy with a certified mental health professional. Counselors are trained to get to the root of the problem and make patients feel safe, heard and valued. For those that feel isolated or alone in their depression can find great benefit in having a constant (like a counselor) in their corner. Additional medications can also help those who have treatment resistant mental illness by addressing other, maybe milder symptoms; this is called augmentation. Augmentation usually does not include adding another antidepressant to a patient’s routine. Instead, it can be specific medications for bodily issues such as thyroid hormone levels which can affect a person’s mood. Other methods can be a bit more intense.
Electroconvulsive therapy, or shock therapy, can sound scary to some people based on previously established stigmas from pop culture. However, over half of electroconvulsive therapy patients benefited or saw immediate improvement using this method, according to the Consortium for Research in ECT.
What’s Next?
If you or someone you know is not responding to proper medication trials, or have been diagnosed already with treatment resistant mental illness, On Demand Counseling can help. Our licensed mental health professionals will work with you to feel happy and healthy again. With locations across Northeast Ohio, ODC is easily accessible and provides a multitude of programs and services for every individual’s needs.
On Demand Counseling is excited to announce the addition of Rob Parsons, PMHNP, ANP to the Austintown, Ohio location. Rob is an experienced medical professional with history in mental health practices both inpatient and outpatient.
Rob will be seeing patients beginning Monday, Sept. 13, 2021 at ODC Austintown. He is accepting previous clients as well as new clients looking to get established with a mental health provider. With over 20 years of professional experience providing mental health services, Rob is an asset to the ODC clinical team.
Rob has an impressive education history; a BSN and MSN from Case Western Reserve University and BA in Biology from Denison University. But his credentials don’t end there. Later, Rob went on to earn a dual certification in mental health and adult medicine, establishing him as both an Adult Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner.
Rob specializes in chronic treatment resistant mental illness, or in other words, patients who fail to respond to two or more trials of proper medication and dosage. He also can help treat those with bipolar disorder, early onset schizophrenia, post-partum depression, those who are pregnant with a mental illness and co-occurring mental health and substance abuse treatment.
On Demand Counseling operates in three counties: Mahoning, Trumbull and Columbiana. If you or someone you know is struggling with mental health, ODC has programs to incorporate all individuals. Intensive outpatient programs (IOP) with licensed counselors create an inclusive atmosphere and allow individuals to receive the care they need and deserve. Call now to schedule an appointment or visit our locations page.
