Depression
We understand that tackling depression can feel overwhelming, but our team is here to provide you with the support, guidance, and resources you need to navigate through this challenging time. With personalised treatment plans using evidence-based therapies, and compassionate care, we will help you regain control of your life and find a path to recovery.
What is depression?
Depression, also known as clinical depression or major depressive disorder, is a mood disorder characterised by persistent feelings of sadness and disinterest in life.
It can disrupt daily activities and sometimes lead individuals to feel their life lacks value. Treatment often requires long-term support, as symptoms cannot be overcome quickly.
Common symptoms include sadness, emptiness, anger, frustration, hopelessness, lack of pleasure in activities, low energy, anxiety, slowed thinking, guilt or worthlessness, changes in appetite, food cravings, and difficulty concentrating. Early recognition and appropriate treatment are vital for managing depression effectively.
Causes of depression
While the exact cause of depression is not currently known, there could be a variety of factors, including; biological differences, such as physical brain changes; brain chemistry, relating to neurotransmitters and their interaction with neurocircuits in maintaining mood stability; hormones, as hormonal changes are understood to contribute to depression; and inherited traits, as people who have relatives with this condition are more likely to have it.
Aside from inherited traits, other risk factors can include; personality traits, such as being pessimistic by nature, or having low self-esteem; having a history of mental health disorders; abusing alcohol or drugs; having a serious chronic illness; and having experienced stressful or traumatic events, such as sexual physical abuse, financial difficulties, or the loss of a loved one.
Diagnosing depression
Diagnosing depression includes two main steps.
A physical examination, which can involve questions being asked about your health, and checking if your depression is linked to a physical health problem.
A psychiatric evaluation, which can involve a discussion about your feelings, behaviours and symptoms.
Treatment of depression
The two main forms of treatment for depression are psychotherapy and medication.
Psychotherapy - also known as psychological therapy or talk therapy - involves talking with a mental health professional about your condition and the issues related to it. The most effective types of psychotherapy for treating depression include interpersonal therapy and cognitive behavioural therapy.
Medication is another main form of treatment for depression, often used in conjunction with psychotherapy or as a standalone treatment. Antidepressant medications work by targeting neurotransmitters in the brain to regulate mood.
Your journey
Referral
We accept self referrals although would prefer to receive referrals from your GP or other healthcare provider, outlining relevant clinical background.
Your first assessment
You can choose to meet your doctor in person at our consulting room in Edinburgh's New Town; or by secure video call from the comfort of your own home. Our initial appointments last one hour. This will afford you plenty of time to discuss your current difficulties and your goals for treatment. We will spend the final 15 minutes discussing our formulation and treatment options. You will subsequently receive a copy of your assessment letter and treatment plan (by secure email). If you have multiple or complex issues a further assessment appointment may be required, this will be discussed with you at the start of the appointment.
Follow up
Subsequent 30 minute follow up appointments will usually be carried out by video consultation (face to face is also possible) and will be more focused on medication titration and symptom review.
Our clinical team
Dr John Ferguson
MBChB BsCMed Sci (neuroscience) MRCPsych
Dr. Ferguson is a Consultant Psychiatrist with extensive experience and a deep commitment to patient care. His journey began with a dual degree in Medicine and Neuroscience from the University of Aberdeen, driven by a fascination with consciousness and the brain. Drawn to psychiatry for its focus on understanding patients' lives, he commenced his training in Edinburgh in the early 2000s.
Throughout his career, Dr. Ferguson has remained dedicated to both public and private practice, specializing in mood disorders, neurodevelopmental conditions, and sports psychiatry. His personal connection to mood disorders and ADHD motivates him to provide the best possible care, aiming for full recovery for his patients.
Beyond psychiatry, Dr. Ferguson enjoys open water swimming, chess, and mindfulness. He resides in East Lothian with his family and beloved dog, Maisie.
Dr David Crocker
MBBS, BSc (Hons) PgDip IDEWM & MRCPsych
Dr David Crocker studied Medicine at King’s College London, where he soon developed a fascination with the mind and an appreciation of the fundamental importance of mental health in peoples lives. After graduating in 2013, he completed his early years as a doctor in Cornwall, before undertaking training in expedition medicine.
He moved to Edinburgh in 2018 to undertake core training in psychiatry, and in the ensuing years he gained extensive experience of psychiatric practice in various settings. He successfully qualified as a Member of the Royal College of Psychiatry in 2022.
David has a family history of ADHD and recognises first-hand how difficult it can be to feel heard, with this often poorly understood and under diagnosed condition. He prides himself on being a good listener and having a non-judgemental and personalised approach. He lives in Edinburgh and enjoys mountaineering, racquet sports, and spending time with his dog Winston.
Fees
New patient psychiatric assessment (one hour) - £350
Follow up consultation (30 mins) Consultant - £170
Private prescription - £25
Private controlled drug prescription - £30
All payments must be made at the time of booking by card payment.
Cancellation Policy
We operate a strict cancellation policy for appointments. Cancellations made within 48 hours of the appointment will be charged the full rate. Failure to attend appointments will also be charged the full rate. Cancellations can be made by emailing admin@edinburghadultpsychiatry.co.uk or phoning 0131 364 4758