Depression treatment in Michigan, by telehealth

Signs of depression

Depression is more than a bad week. It can look like feeling down, empty, or numb most days; losing interest in things you used to enjoy; sleeping too much or too little; changes in appetite; trouble concentrating; feeling tired all the time; or feeling hopeless or worthless. Some people feel more irritable than sad.

Depression is common and treatable, and reaching out is a real step. You don't have to wait until things are at their worst to ask for help.

If you're having thoughts of harming yourself, please call or text 988 (Suicide & Crisis Lifeline) or call 911 right away. This page and the booking process aren't for emergencies.

Your first visit

Your first evaluation is about 40 minutes by secure video. We'll talk about how you've been feeling, how long it's been going on, and what's been happening in your life. I'll also ask about sleep, physical health, relationships, past treatment, and what you hope will change.

I take a whole-person approach, looking at your mental, physical, social, and spiritual well-being. Some medical conditions, like thyroid problems, can affect mood, so I may suggest checking in with your primary care provider or getting labs.

Treatment options for depression

We'll talk through evidence-based options and build a plan together. You choose what fits your values and preferences.

• Therapy. Talk therapy is an effective treatment for depression, on its own or alongside medication. I can help you think through referrals.
• Medication. There are many FDA-approved antidepressants. If medication interests you, we'll talk about benefits, possible side effects, and what to expect over the first weeks. Medication is one option, never a requirement.
• Mindfulness-based approaches. Mindfulness-based cognitive therapy (MBCT) was developed in part to help people who've had depression before. I draw on it, along with compassion-focused ideas, in our work together.
• Daily foundations. Sleep, movement, sunlight, connection with others, and routine all affect mood. We'll look for small, realistic steps.

Follow-up care

Follow-ups are about 20 minutes. We'll track how you're feeling, what's helping, and what to change. Improvement often comes gradually, so regular check-ins matter. We set how often we meet together.

Why telehealth?

When energy is low, getting to an office can feel impossible. Telehealth lets you meet from home, with no commute and no waiting room. You'll need a private space, a reliable internet connection, and a device with a camera. You must be located in Michigan at the time of each visit.

Chris Cummings PA-C sees adults 18+ (teens 16–17 case by case) across Michigan, with most insurance accepted. Learn more about Chris.

This page is general education, not medical advice, and it isn't a substitute for an evaluation. Results differ from person to person. In crisis, call or text 988 or call 911.