Psychiatric Excellence

Psychiatry located in Financial District, San Francisco, CA

If you’re one of the more than 16 million American adults living with depression, you may feel like there is no escape from the black cloud that follows you around. Double board-certified psychiatrist and neurologist Dr. Goel offers compassionate and highly customized psychiatric care and medication management at Psychiatric Excellence in San Francisco to help manage your symptoms and help you lead a fulfilling life. Call or schedule a consultation online today.

Depression Q & A

What is depression?

Depression, clinically referred to as major depressive disorder, is a widespread and severe mental health condition that interferes with your emotions, thoughts, and behaviors. In addition to causing feelings of intense sadness and hopelessness, depression interferes with your everyday activities and relationships, and it often contributes to physical health problems.

Depression is different from the sadness and grief that most people experience at various points during their lives. Depression symptoms last for a much longer time, and while grief can trigger depression, your depression may not have an apparent cause or trigger.

What are the symptoms of depression?

Depression causes a variety of disruptive emotional and physical symptoms, including:

  • Feelings of intense sadness, hopelessness, and worthlessness
  • Lost interest in previously enjoyed activities
  • Unexplained weight changes
  • Sleeping too much or too little
  • Fatigue
  • Impaired cognitive skills, including memory, concentration, and decisiveness
  • Thoughts of death or suicide


Your symptoms must last for two weeks or longer for a clinical diagnosis. If you have thoughts of self-harm or suicide, call 911 or go to your nearest emergency room.

What causes depression?

Depression is a brain disorder. When you have depression, the neurotransmitters that regulate your mood are abnormal and can lead to physiological changes in your brain that interfere with your feelings and behaviors.

Your hormones may also play a role in the dysfunction of your mood-regulating neurotransmitters. For example, the hormonal fluctuations associated with pregnancy, childbirth, and menopause are all known as potential triggers for depression.

In addition to the neurological and hormonal factors of depression, your risk of depression increases if you have a personal or family history of mental illness or if you’ve experienced poverty, abuse, or neglect. Depression may also develop during a prolonged or chronic disease, and it may be influenced by your personality type.

How is depression treated?

At Psychiatric Excellence, Dr. Goel offers compassionate, customized care, combining kindness with medical expertise. He works with you to find the best possible medication to regulate your brain chemistry and mood with minimal side effects. If you’re interested in therapy, Dr. Goel can refer you to a trusted psychologist to provide collaborative care.

If you’re concerned about depression, call or schedule an appointment online today.





Panic Attacks

Bipolar Disorder 1

Bipolar Disorder 2

Anger Management