Depression Treatment by Telehealth in North Carolina
Mindful Counseling & Wellness treats depression by telehealth across North Carolina, pairing a thorough psychiatric evaluation with ongoing medication management guided by measurement-based care. Josephine W. Hazeley, MSN, PMHNP-BC, builds a plan around your symptoms, history, and preferences, then adjusts it based on how you respond.
What we help with
- Major depressive disorder (MDD)
- Persistent depressive disorder (dysthymia)
- Perinatal and postpartum depression
- Depression with co-occurring anxiety
- Low mood, loss of interest, or fatigue affecting daily life
- Depression that hasn't responded to a first medication
What does depression treatment look like here?
Care begins with a psychiatric evaluation over secure video. Josephine W. Hazeley, PMHNP-BC, reviews your current symptoms, mental health and medical history, sleep, and anything else that shapes how you're feeling, then talks through the options with you. If medication fits your goals, follow-up visits track how it's working and give you a place to raise side effects or questions.
Depression treatment usually involves psychotherapy, medication, or both, and the right plan depends on your needs, preferences, and medical situation (NIMH). Every visit happens by telehealth, so you can be seen from anywhere in North Carolina without a commute or a waiting room.
If you or someone you know is in crisis, call or text 988 (Suicide & Crisis Lifeline) or call 911.
How does measurement-based care work, and what if the first medication doesn't help?
Measurement-based care means using a standardized rating scale, such as the PHQ-9, at intake and again at follow-up visits so change is tracked with numbers rather than memory. The APA Clinical Practice Guideline for the Treatment of Depression recommends individualized treatment plans informed by rating-scale measurements alongside a review of benefits and side effects. Seeing your PHQ-9 move over time helps you and your PMHNP decide together whether the current plan is doing enough.
Antidepressants take time to work, usually 4 to 8 weeks, and sleep, appetite, and concentration often improve before mood does (NIMH). If a first medication doesn't help enough or the side effects are hard to live with, that's common and there are next steps — adjusting the dose, switching medications, or combining treatments — always approached in general terms and individualized with your clinician.
Therapy, medication, or both?
There's no single right answer. For milder depression, psychotherapy is often tried first, with medication added if therapy alone doesn't produce a good response; people with moderate or severe depression are usually prescribed medication as part of the initial plan (NIMH). Which path fits you is something you decide with your clinician, not a rule applied to everyone.
MCW provides psychiatric evaluation, medication management, and supportive therapy as part of its services. When a course of specialized therapy would help alongside medication, we can talk through that and help you coordinate care, so treatment isn't limited to one tool.
How do I get started?
You can start an intake online and schedule your first telehealth visit.
In-network with major North Carolina health plans; self-pay is welcome, too. If depression is making everyday things feel heavy, an evaluation is a concrete first step toward a plan built around you.