Depression Treatment and Medication Management
Innate Wisdom Psychiatry & Wellness provides treatment for personalized depression and treatment resistant depression at our office in Arvada, CO or via Telehealth sessions. Whether you're starting treatment for the first time or looking for a better fit, our goal is to make your care feel collaborative, compassionate, and effective.
Our psychiatric nurse practitioner, Daniel Plastino, offers medication management that’s tailored to your unique symptoms, health history, and past experiences with treatment. Every step of the process is built around what works best for you.
We focus on providing medication-based support for adults dealing with a range of mood and mental health challenges.
If any of the following sound familiar, we may be able to help:
Conditions We Help Treat
Ongoing low mood, lack of energy, and loss of interest in daily activities that lasts more than two weeks and interferes with functioning.
Major Depressive Disorder (MDD)
Depression that hasn’t improved after trying two or more medications. We specialize in helping people explore new options when others haven’t worked.
Treatment-Resistant Depression
When anxiety symptoms, such as racing thoughts, worrying, and catastrophizing, show up alongside feelings of depression.
Depression with Anxiety
Mood disorders marked by alternating episodes of depression and mania or hypomania. Depressive episodes involve low mood, fatigue, and loss of motivation, while manic or hypomanic episodes feature elevated or irritable mood, increased energy, and impulsive behavior.
Bipolar Disorders
Emotional lows triggered by life changes, stress, or grief that may require short-term medication support.
Situational Depression
Depression shows up differently for everyone. Some deal with mild depression, while others face moderate or severe symptoms. It might feel like a heavy fog, constant low energy, negative thoughts, or just not feeling like yourself. That’s why your care should never be one-size-fits-all.
Your treatment plan will be shaped by your experience. During your initial treatment visit, we’ll talk about your depression symptoms, how long they’ve been present, and what prescription medications or other treatments you’ve tried. Then we’ll explore safe, evidence-based options to help you feel more balanced.
Personalized Depression Treatment That Works for You
If you’ve tried multiple medications or therapies without feeling much better, it could be a sign of treatment-resistant depression. This doesn’t mean you’re out of options. It just means it’s time for a different approach.
At Innate Wisdom Psychiatry & Wellness, we work closely with you to understand what hasn’t worked and why. We consider advanced integrative treatment options and fine-tune your care based on your body’s response. Our goal is to help you feel better in a lasting, meaningful way.
Here are some of the ways we support you:
Specialized Support for Treatment-Resistant Depression
Prescribing and managing antidepressant medications and supplements
Exploring medications for anxiety if needed
Adjusting your treatment based on side effects or progress
Taking a holistic approach to mental healthcare
Helping you learn about mindfulness and somatic techniques
Supportive therapy in the context of medication management
Working with your therapist to align goals and support
Offering both in-person and telehealth appointments for flexibility
If you've tried multiple medications and still feel stuck, ketamine may offer a different kind of support. It’s been gaining attention as an option for people with treatment-resistant depression who haven’t found relief through traditional medications.
At Innate Wisdom Psychiatry & Wellness, we don’t provide ketamine-assisted therapy ourselves, but we do evaluate whether it could be a good fit for you. If it makes sense for your situation, we’ll guide you through the next steps and refer you to a trusted provider.
Learn more about ketamine treatment for depression and how it may be part of your care plan.
Ketamine Options for Treatment Resistant Depression
At Innate Wisdom Psychiatry & Wellness, we understand that living with bipolar disorder can be overwhelming. We are here to help. Our holistic treatment approach combines expert medication management with compassionate, individualized care, providing treatment for various bipolar spectrum illnesses such as bipolar I disorder, bipolar II disorder, and cyclothymia. We collaborate closely with you to find the right balance, aiming to stabilize mood, improve depressive symptoms, and support your overall well-being. Together, we will build a treatment plan that helps you feel more in control and hopeful about the future.
Specialized Support for Bipolar Disorders
Collaborative Care with Your Therapist
Medication works best when it's part of a larger support system. If you would like and give permission, we can coordinate care with your therapist.
Here’s how we can collaborate with your therapist:
Share treatment updates
Coordinate medication plans to support therapy goals
Adjust medications based on feedback from both you and your therapist
Provide continuity of care, even if your therapist changes
Make the process feel easier and more connected for you
What to Expect During Treatment
Getting help shouldn’t feel complicated. Here’s how our treatment process works, step by step:
Schedule Your First Appointment
Request an appointment online, by phone, or email for a 60-minute initial consultation.
Talk Through Your History
We’ll review your symptoms, previous treatments, health history, and establish therapeutic goals.
Build a Personalized Plan
You'll get a medication strategy and care plan tailored to your needs and lifestyle.
Start Treatment
Begin your medication with guidance on what to expect.
Follow-Up Visits
These 30-minute check-ins help track your progress and fine-tune your treatment.
Stay Connected
Reach out anytime with questions or updates. We’re here to support you throughout the process.
When it comes to treating mood disorders, finding the right fit matters. At Innate Wisdom Psychiatry & Wellness, we don’t rush you through appointments or hand out generic treatment plans. We take time to understand your story, your symptoms, and what you’ve already tried.
Everything is personalized to you.
Why Choose Innate Wisdom Psychiatry & Wellness?
You’ll work directly with a licensed psychiatric nurse practitioner
Your treatment focuses on evidence-based medication support
We specialize in treatment-resistant depression and complex cases
We cooperate with your therapist to create a connected care plan
Both in-person and telehealth options are available for your comfort and schedule
Our care is judgment-free, holistic, patient-centered, and collaborative.
Start Your Path Toward Healing
You don’t have to figure this out alone. If you're ready to take the next step, we’re here to help you feel more like yourself again. Whether you're just starting or you’ve been through this before, we’ll meet you where you are.
Request your first appointment today and let’s talk about what’s working, what’s not, and how we can help improve depression symptoms. You can also give us a call or email, whatever feels easiest for you.
What Our Clients Say
Over the past three years, Daniel has been an exceptional support in my life. His care goes beyond just diagnosis and standard treatment. In our sessions, Daniel consistently shows dedication and often goes the extra mile to help me.
He's introduced me to various mindfulness and self-care strategies that have significantly improved my mental health and overall well-being. These tools have made a real difference in my day-to-day life and have contributed to personal growth I hadn't expected.
Daniel's approach is both professional and caring. He has not just treated my symptoms, but has given me the skills to better manage my mental health. I'm grateful for his guidance and the positive impact he has had on my life.
— Corey J.
I started my mental health journey about 2 years ago and Daniel has been instrumental in my care. He is compassionate, attentive, and informative. Finally a correct diagnosis and treatment has made a world of difference in my life. I highly recommend Daniel!
— Joseph F.
I’ve been seeing Daniel Plastino for about 3 years now and he has been instrumental in helping me through my mental health challenges. I was at the lowest point in my life when I met Daniel, and through his compassion and knowledge of mental health, we were able to not only develop a treatment plan that truly fit my needs, but I was able to get back to living life again. I feel empowered now knowing that I have the tools that I need to navigate through life’s challenges. Thanks Daniel for all you do!
— Anonymous
About Innate Wisdom Psychiatry & Wellness
Innate Wisdom Psychiatry & Wellness’ practitioner Daniel Plastino, has over 14 years of combined nursing and advanced practice experience in medicine and psychiatry.
Education and Licensing:
Bachelor’s and Master’s degrees in nursing from the University of Pennsylvania
Board Certified Psychiatric-Mental Health Nurse Practitioner
Colorado Advanced Practice Nurse with Prescriptive Authority
Certifications:
Psychedelic-Assisted Therapies (December 2024, Naropa University Center for Psychedelic Studies)
Ketamine and Psychedelic Medicine (May 2023, PRATI)
Integrative Somatic Trauma Therapy (February 2023, Embody Lab)
Insurance and Payment Options
We want mental health care to be accessible. We accept many major insurance plans and also offer self-pay rates if you're not using insurance.
FAQs
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Not at all. While we often coordinate care with therapists it’s not required to get started. If you’re not already in therapy, we can help connect you with one, and work together to support your treatment plan.
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If you’ve tried two or more prescribed medications, such as selective serotonin reuptake inhibitors (SSRIs) or serotonin norepinephrine reuptake inhibitors (SNRIs), and still don’t feel relief, you may be facing treatment-resistant depression. We’ll review your history and look into other medications or approaches, including whether you're experiencing a more severe form of depression that may need a different plan.
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Yes, we offer both in-person visits at our Arvada office and virtual telehealth appointments, whichever is more convenient for you.
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Most antidepressants take about 2 to 6 weeks to begin working. We’ll monitor your progress and adjust your plan as needed to make sure it’s working for you.
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Some people take medication short-term, while others benefit from longer treatment. We’ll talk openly about your goals and check in regularly to see what makes the most sense for you over time.
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Your first visit is a 60-minute consultation where we’ll go over your symptoms, medical history, past treatments, and any questions you have. You’ll leave with a personalized plan and a clear understanding of next steps.