By: Lauren Hernandez

            If you or someone you know has been seeing a psychiatrist or psychiatric nurse practitioner for treatment of depression, there are various types of antidepressants a mental health provider can prescribe. It is important to be familiar with different types of antidepressants in order for you, as the patient, to understand what the medication actually does on a neurological level.

The most common type of antidepressant prescribed is a Selective Serotonin Reuptake Inhibitor, known as an SSRI. SSRIs mainly treat depression but they are also effective in the treatment of anxiety disorders, Obsessive-Compulsive Disorders, and Post Traumatic Stress Disorder. Serotonin is a neurotransmitter in the brain which impacts your mood, sexual desire, appetite, sleep, memory and learning as well as other similar functions. On a neurological level, SSRIs prevent serotonin reabsorption which builds up serotonin in the synapse. This allows receptors to receive the signal and react with the optimal amount of serotonin. People suffering from major depressive disorder and anxiety disorders typically have lower serotonin levels. By preventing reabsorption in the synapse via medications, symptoms of these disorders may decrease. In 1987 Prozac was the first approved for treatment of those with depression and became one of the most prescribed antidepressants. Other common SSRIs include Lexapro, Paxil, Zoloft, and Celexa.

Serotonin and norepinephrine reuptake inhibitors, SNRIs differ from SSRIs in that they block the reabsorption of serotonin and norepinephrine. Norepinephrine is a neurotransmitter that influences hormones and the “fight or flight” response in the brain. Approved SNRIs include Cymbalta, Pristiq and Effexor XR.

Some of the other common types of antidepressants prescribed include norepinephrine and dopamine reuptake inhibitors (NDRIs) which block the reabsorption of norepinephrine and dopamine. This is only seen to be effective in the medication bupropion, which is also known as Wellbutrin. Other types of antidepressants that are less common include Tetracyclics (TCA’s), Monoamine Oxidase Inhibitors (MAOI’s), and Serotonin Antagonist and Reuptake Inhibitors. These older medications are not prescribed as frequently because of the development of newer medications that effectively decrease symptoms and have fewer side effects.

Medication is helpful; however, it is most effective when used in combination with different types of psychotherapy or support groups. If you or someone you know is struggling with depression or any type of anxiety or mood disorder, it is important to seek professional help from a psychiatrist or psychiatric nurse practitioner who can provide antidepressants as well as support through talk therapy. If you or someone you know is currently taking antidepressants, it is extremely important to continue taking the medication and avoid discontinuations.

If you or a loved one is suffering from depression, anxiety, or a mood disorder, please contact Arista Counseling & Psychotherapy, located in New York and New Jersey to speak to licensed professional psychologists, psychiatrists, psychiatric nurse practitioners or psychotherapists. To contact the office in Paramus NJ, call (201) 368-3700. To contact the office in Manhattan, call (212) 722-1920. For more information, please visit .




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Depression in Children: What are the Signs?

By: Sally Santos

In children the most common mental health disorder is depression. When a child is going through depression it may affect their mental and physical health. As mentioned in a Psychology Today article the symptoms “must also interfere with the child’s functioning in normal daily activities.” Since children are still young they are not able to communicate their feelings well to others. Children with depression can be helped that’s why it is important for parents, caregivers and teachers to recognize the signs of depression. Some of the symptoms are:

  • Angry outburst
  • Anxiety
  • Decreased in energy
  • Feelings of hopelessness
  • Lack of concentration
  • Weight loss
  • Insomnia
  • Refusal to go to school

According to the National Alliance of Mental Health “Once a young person has experienced a major depression, he or she is at risk of developing another depression within the next five years.”



If you are a parent and are concerned about your child having depression call the licensed psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists at Arista Counseling & Psychotherapy can assist you. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, visit

Depression in Children

By Samantha Glosser

Depressive symptoms in children are often not apparent to parents and teachers. In fact, a new study at the University of Missouri demonstrated that although 30% of 643 children reported feelings of mild to severe depression, parents and teachers often failed to notice symptoms in these children. This could be detrimental to children, because not noticing depressive symptoms can lead to long-term problems caused by depression. In addition, children with depressive symptoms, and depression, can be up to six times more likely to have deficits in social and academic areas.

If parents and teachers identify depressive symptoms as early as possible, it allows the child to work through their academic and social difficulties and prevent further development of depression. To better help our children, it’s important to first understand why symptoms often go unnoticed. This could be because depression in children can appear as irritability, rather than the typical sad mood most people associate with depression. Another reason is that parents and teachers see children in different settings, thus they often come to different conclusions about the presence of depressive symptoms (could be present in school, but not at home). Next, it’s important to become familiar with symptoms of depression. Parents and teachers should be looking for the following signs: feelings of sadness or loneliness, feelings of hopelessness, lack of energy, loss of pleasure and interest in activities, difficulties eating or sleeping, difficulties concentrating, feelings of guilt/worthlessness, and even thoughts of death or suicide.

If you or someone you know appears to be suffering from depression, the licensed psychologists, psychiatrists, psychiatric nurse practitioners, and psychotherapists at Arista Counseling & Psychotherapy can assist you. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, visit

Source: Pedersen, Traci. “Depressed Kids Far More Likely to Have Social, Academic Deficits.” Psych Central, 30 Aug. 2018,