Psychiatry

Depression & Mood Disorders

Depression and mood disorders affect millions of South Africans, yet many go undiagnosed and untreated. Dr Nel provides thorough assessment and evidence-based treatment for major depressive disorder, persistent depressive disorder (dysthymia), bipolar disorder, and related conditions. Treatment is individualised and may include psychotherapy, antidepressant or mood-stabilising medication, lifestyle interventions, and ongoing monitoring to ensure sustained recovery.

Book This Service View Pricing

Psychiatry

What to Expect

A thorough assessment of your mood symptoms, their duration, severity, and impact on functioning
Screening for co-occurring conditions such as anxiety, substance use, or medical causes
A collaborative discussion about treatment options including therapy and medication
If medication is recommended, a detailed explanation of how it works, expected benefits, and potential side effects
Regular follow-up appointments to monitor progress and adjust treatment as needed
A safety plan if you are experiencing suicidal thoughts or self-harm urges

Areas Covered

Conditions We Treat

Major depressive disorder (clinical depression)

Persistent depressive disorder (dysthymia)

Bipolar I and Bipolar II disorder

Cyclothymic disorder

Seasonal affective disorder

Postpartum depression

Premenstrual dysphoric disorder (PMDD)

Treatment-resistant depression

Our Process

How It Works

Initial Assessment

A comprehensive psychiatric evaluation to understand your symptoms, establish a diagnosis, and identify contributing factors.

Treatment Plan

A personalised treatment plan is developed collaboratively, which may include medication, psychotherapy referral, and lifestyle changes.

Active Treatment

Treatment begins with close monitoring. Medication dosages are adjusted based on your response, and therapy goals are regularly reviewed.

Maintenance & Recovery

Once symptoms are well controlled, appointments are spaced further apart. Relapse prevention strategies are put in place to support long-term wellbeing.

Benefits

Why Choose This Service

Experience in treating complex and treatment-resistant mood disorders

Integrated approach combining medication management with therapeutic strategies

Regular monitoring of medication efficacy and side effects

Collaborative care with your GP, psychologist, or therapist

Support for medical aid authorisation of chronic psychiatric medication

FAQ

Common Questions About Depression & Mood Disorders

Sadness is a normal human emotion that passes with time. Depression is characterised by persistent low mood, loss of interest or pleasure, and other symptoms (such as sleep disturbance, fatigue, and difficulty concentrating) lasting at least two weeks and affecting your ability to function. If you are unsure, an assessment can provide clarity.

This varies by individual. For a first episode of depression, treatment is typically continued for at least 6–12 months after symptoms resolve. For recurrent depression, longer-term treatment may be recommended. Dr Nel will discuss the appropriate duration for your situation.

Mild to moderate depression may respond well to psychotherapy alone, particularly cognitive behavioural therapy (CBT). However, moderate to severe depression usually benefits from a combination of medication and therapy. Dr Nel will recommend the approach best suited to the severity of your condition.

Depression & Mood Disorders

What to Expect

Conditions We Treat

How It Works

Initial Assessment

Treatment Plan

Active Treatment

Maintenance & Recovery

Why Choose This Service

Common Questions About Depression & Mood Disorders

You Might Also Be Interested In

Psychiatric Assessments

Anxiety Disorders

Trauma & PTSD

Ready to Book Depression & Mood Disorders?