Depression
Depression Treatment When Antidepressants Haven't Worked, Online Across Maryland
Dr. Hardik Yadav, MD
Board-Certified Psychiatrist · Addiction Medicine (ABPM) · Maryland
Low mood that won't lift is exhausting on its own.
When Antidepressants Haven't Worked Before
When the antidepressant you were prescribed did little, or helped for a while and then faded, the hardest part is not knowing why. Dr. Hardik Yadav, MD, a Board-Certified Psychiatrist, treats depression across Maryland by video, and finding that why is where he starts. Evening and weekend times are open.
When an antidepressant hasn't helped, there is almost always a specific reason, and finding it is the point of a real evaluation. Your initial visit runs a full 60 minutes with Dr. Yadav, who walks through your history and every antidepressant you have already tried. He looks for what commonly sits underneath and holds recovery back: anxiety, a personality disorder, or substance use tangled up with the depression, plus physical causes that can deepen it or mimic it, such as a thyroid problem, anemia, low B12, or two prescriptions working against each other. Naming the real driver is what lets the next plan actually fit your situation.
Depression Medication, Measured Against a Real Number
Progress with depression is easy to lose track of from the inside, so Dr. Yadav scores yours with the PHQ-9, a short standard questionnaire, at every visit. That turns a vague sense of better or worse into a number he can act on. When it helps to know how your body processes a given medication, he can order genetic testing to guide the choice and cut down on trial and error. He also draws on talk-therapy approaches alongside the medication and refers you to a therapist when that would add something. Most of his patients notice a difference within their first two to four appointments, and the plan is adjusted from there based on what you report.
When Depression Comes With Anxiety, ADHD, or More
Depression rarely arrives on its own. It often travels with anxiety, bipolar disorder, ADHD, or a substance problem, and treating just one of them tends to leave you stuck partway. Dr. Yadav treats depression, anxiety, bipolar disorder, PTSD, OCD, ADHD, and addiction, so when two things overlap he can work on both at once, which is usually where the earliest relief comes from. Sometimes the depression turns out to be secondary. Treat the ADHD driving it, for instance, and the low mood often eases as the focus and follow-through come back.
Depression Care From One Psychiatrist, Start to Finish
From your first consult through every follow-up, the same psychiatrist handles your care, so the person adjusting your medication is the one who already knows your history. Dr. Yadav is a Board-Certified Psychiatrist with over 15 years of experience, and he holds a Master's in Public Health. Through his work in the corrections system he has managed severe, complex cases, which is part of why he is steady with depression that resisted earlier treatment or comes wrapped up with other conditions.
Private Depression Care, Online Across Maryland
Appointments are video visits you can take from home or behind a closed door at work, anywhere in Maryland, and medication check-ins run about 30 minutes. Evening and weekend times keep treatment from colliding with your job. Because Ansh Health Associates is private and cash-pay, none of your depression treatment runs through insurance, so it stays off your insurance record and separate from your employer. The platforms are HIPAA-compliant, and new patients can usually be seen within the same week.
Depression Treatment Cost and How Cash-Pay Reimbursement Works
Ansh Health Associates lists its rates before you book. The initial 60-minute evaluation is $350, and each follow-up visit is $200. Since Dr. Yadav's care is cash-pay, you pay at the time of the visit by credit, debit, or HSA or FSA card. Afterward you can request a superbill with the CPT codes already filled in and submit it to your insurance for possible reimbursement, and what comes back depends on your plan. The free 15-minute consult lets you talk through your situation and the cost before you commit to anything.
“When an antidepressant hasn't worked before, there is almost always a reason nobody went looking for. I start by finding it, then track your progress with a real score instead of a guess.”
Dr. Yadav is a Board-Certified Psychiatrist and an Addiction Medicine Specialist (American Board of Preventive Medicine), with an MD, a Master of Public Health, and over 15 years of experience that includes complex cases in the corrections system. Every visit across Maryland is with him directly, by video.
Questions
Frequently Asked Questions
- Can I get depression treatment through telehealth in Maryland?
- Yes. Dr. Yadav evaluates and treats depression entirely by video for patients in Maryland, medication included. No in-person visit is required, and new patients can often be seen within the same week.
- What if antidepressants haven't worked for me before?
- That is much of what Dr. Yadav does. The initial 60-minute visit reviews every medication you have tried and checks for overlapping conditions and physical causes that keep depression from lifting, so the next plan is built on what was actually missed.
- How do you tell whether the treatment is helping?
- Dr. Yadav scores your depression with the PHQ-9, a short standard questionnaire, at every visit. Changes in your mood show up as a number he can adjust the plan around.
- Do you take insurance?
- No. Ansh Health Associates is a private, cash-pay practice, with the initial evaluation at $350 and follow-ups at $200, paid at the time of your visit. You then receive a superbill to file with your insurer for possible reimbursement, and the free 15-minute consult is a no-cost way to sort out the details first.
- How soon will I feel a difference?
- Everyone responds at their own pace. Most of Dr. Yadav's patients report noticing a change over their first two to four appointments, as he adjusts the plan around your PHQ-9 scores and what you tell him.
Start with a free 15-minute consult
Disclaimer: This information is provided for educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Please schedule a consultation with our team to discuss your individual needs.