Persistent sadness, loss of interest, and fatigue are not signs of weakness, they are hallmarks of depression, a medical condition that deserves skilled care. At Cura Mind and Wellness, patients in Boston and across Massachusetts receive evidence based treatment tailored to their individual needs. Care is directed by Vivian Emuobe, MSN, BSN, APRN, PMHNP-BC, a board certified psychiatric mental health nurse practitioner licensed in Massachusetts, with extensive clinical experience in both inpatient and outpatient psychiatry.
We provide in person visits at our Boston office and telehealth statewide, ensuring students, professionals, and families across Massachusetts can access care without barriers.
Treatment options for depression in Boston
Psychotherapy
Therapy provides coping skills, new perspectives, and support during recovery. Our clinicians use:
- Cognitive Behavioral Therapy, CBT, to reframe negative thoughts and build new habits,
- Behavioral activation to increase engagement in rewarding activities,
- DBT skills to regulate emotions and manage distress,
- Trauma informed care when depression is linked to past experiences,
- Mindfulness practices that reduce rumination and increase present awareness.
Medication management
Medication can reduce symptoms and improve stability, especially for moderate to severe depression. We offer:
- SSRIs and SNRIs as first line treatments,
- Alternatives such as bupropion when energy or motivation are key concerns,
- Augmentation strategies for patients who need more than one approach,
- Stepwise adjustments based on response and side effects,
- Gene testing in Boston for patients with prior medication sensitivity.
Additional supports
- Sleep hygiene planning and CBT-I for insomnia,
- Nutritional counseling with simple, sustainable changes,
- Exercise and movement planning suited to Boston lifestyles,
- Medical weight loss consultations for eligible patients when physical health overlaps with mood concerns.
Recognizing depression
Depression is more than feeling sad. It can interfere with work, school, relationships, and daily routines. Common signs include:
- Loss of interest in activities once enjoyed
- Changes in sleep, either insomnia or oversleeping
- Appetite and weight changes
- Persistent fatigue or low energy
- Difficulty concentrating, making decisions, or remembering details
- Irritability or agitation
- Feelings of worthlessness, guilt, or hopelessness
- Thoughts of death or suicide
Not every person has every symptom. Evaluations at Cura clarify the type and severity of depression, whether major depressive disorder, persistent depressive disorder, seasonal affective disorder, or depression linked to bipolar spectrum conditions.
A structured path to recovery
Instead of generic plans, we outline a step by step approach.
- Phase One, Evaluation: Thorough assessment of history, symptoms, and contributing factors. Rule out thyroid, vitamin, and medication related issues.
- Phase Two, Early Action: Introduce therapy skills and discuss medication when appropriate. Patients leave with a written plan that includes coping strategies and goals.
- Phase Three, Adjustment: Regular follow ups to fine tune treatment, build consistency with CBT and DBT skills, and track functional outcomes.
- Phase Four, Growth: Expand coping strategies, build resilience, and incorporate lifestyle anchors like sleep and stress management.
- Phase Five, Maintenance: Space between visits lengthens as stability grows. Patients leave with relapse prevention tools, early warning signs, and action steps.
Boston’s unique demands
Boston is home to leading universities, hospitals, and high pressure workplaces. Many patients balance intense academics, long shifts, or competitive careers. Depression treatment at Cura acknowledges this context:
- Flexible scheduling for students and professionals,
- Therapy skills for performance anxiety and perfectionism,
- Medication management that considers long hours and demanding shifts,
- Documentation for academic or workplace accommodations when clinically indicated.
What progress looks like
Patients often report:
- More consistent sleep and energy
- Greater motivation and interest in daily life
- Reduced negative thoughts and guilt
- Improved concentration and productivity
- Better relationships and communication
- Renewed sense of hope and resilience
Progress is measured by both symptom scales and personal goals, such as finishing coursework, reengaging with hobbies, or maintaining routines.
Collaboration and continuity
With patient consent, Cura coordinates with therapists, primary care physicians, or specialists. Updates are concise, focused on diagnoses, medication lists, and current plans. We also provide letters for accommodations when clinically appropriate.
FAQs — Depression Treatment in Boston, MA
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Not always. Many patients start with therapy. Medication is considered when symptoms are moderate to severe or when therapy alone does not provide enough relief.
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Yes. Studies confirm that telehealth outcomes are comparable to in person care. You must be physically located in Massachusetts at the time of the session.
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We discuss augmentation strategies, gene testing, and referral for advanced options when indicated. TMS is not available at the Boston office, but we coordinate trusted referrals if appropriate.
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Yes. Many Boston students use our services for depression linked to academic pressure, transitions, or social stress.
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Yes. Every patient leaves with a documented plan that includes therapy focus, medication options if appropriate, and follow up steps.
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It varies. Many patients notice improvements within weeks, but treatment is often continued for several months to reduce relapse risk.
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Yes. With your written consent, we provide concise updates to ensure continuity of care.
Why Boston patients trust Cura Mind and Wellness
- Board certified expertise, clinical leadership with program development experience,
- Integrated approach, combining therapy, medication, and lifestyle interventions,
- Whole person focus, sleep, stress, and nutrition are part of care,
- Evidence based treatment, CBT, DBT skills, trauma informed therapy,
- Convenience, in person appointments in Boston, secure telehealth across Massachusetts,
- Culturally sensitive care, respectful of Boston’s diverse community.
Begin depression treatment in Boston
Depression is treatable. With in person appointments in Boston and telehealth across Massachusetts, Cura Mind and Wellness delivers therapy, medication management, and whole person care designed for recovery. Our approach is compassionate, structured, and effective.