Online Therapy for Depression and Anxiety in New Jersey

Depression and anxiety disorders are different, but people with depression often experience symptoms similar to those of an anxiety disorder, such as nervousness, irritability, and problems sleeping and concentrating. Each disorder has its own causes and its own emotional and behavioral symptoms.

Causes

Most likely, depression is caused by a combination of genetic, biological, environmental, and psychological factors. It is also known that many people who develop depression have a history of an anxiety disorder earlier in life.  There is no evidence that one disorder causes the other, but there is clear evidence that many people suffer from both disorders. If you are feeling symptoms of depression or anxiety, contact our office to schedule an appointment with Dr. Miller.

Signs & Symptoms

People with depressive illnesses do not all experience the same symptoms. The severity, frequency, and duration of symptoms vary depending on the individual and his or her particular illness.

Signs & Symptoms include

• Persistent sad, anxious, or “empty” feelings
• Feelings of hopelessness or pessimism
• Feelings of guilt, worthlessness, or helplessness
• Irritability, restlessness
• Loss of interest in activities or hobbies once pleasurable, including sex
• Fatigue and decreased energy
• Difficulty concentrating, remembering details, and making decisions
• Overeating, or appetite loss
• Thoughts of suicide, suicide attempts

Treatments

Depression, even the most severe cases, can be effectively treated. The earlier that treatment can begin, the more effective it is. The first step to getting appropriate treatment is to visit a doctor or mental health specialist. Your doctor can provide you with a physical exam, interview, or lab tests to determine if there are any medical conditions that may be causing your symptoms. If your doctor can find no medical condition that may be causing the depression, the next step is a psychological evaluation.

Once diagnosed, a person with depression can be treated in several ways. The most common treatments are medication and psychotherapy. Medication includes antidepressants which primarily work on brain chemicals called neurotransmitters, especially serotonin and norepinephrine. Other antidepressants work on the neurotransmitter dopamine. Scientists have found that these particular chemicals are involved in regulating mood.

Related: 5 Signs You Should See a Psychiatrist for Depression

For mild to moderate depression, psychotherapy may be the best option. However, for severe depression or for certain people, psychotherapy may not be enough. A combination of medication and psychotherapy may be the most effective approach to treating major depression and reducing the chances of it coming back.

Contact Us Today

Take control of your life with the help of Dr. Miller and contact our office today at 201-977-2889. We have offices in Paramus & Edison, New Jersey.

Frequently Asked Questions

Can anxiety and depression occur together?

Yes, anxiety and depression can occur together. These conditions often overlap, and it’s common for individuals to experience both at the same time. They share many symptoms, such as difficulty sleeping, concentration issues, and feelings of fatigue. The two conditions can feed into one another, creating a cycle where anxiety worsens depression and vice versa. This co-occurrence is known as comorbid anxiety and depression, and it requires a comprehensive approach to treatment.

What are the benefits of online therapy for depression and anxiety?

Online therapy offers convenience, allowing individuals to access help from the comfort of their homes, which can reduce stress and anxiety about attending sessions in person. It provides flexibility in scheduling, making it easier for people with busy lives to get support. Online therapy also increases accessibility for those living in remote areas or for people with mobility issues. It often reduces the stigma associated with seeking mental health treatment, as it’s more private. Additionally, it can be more affordable than traditional in-person sessions. Many people find comfort in engaging with a therapist in a familiar environment, which can enhance openness and honesty.

How is depression treated at Family Psychiatry and Therapy?

Family Psychiatry and Therapy treats depression using a combination of therapies tailored to the individual’s needs. Cognitive Behavioral Therapy (CBT) is commonly used to help patients identify and change negative thought patterns. Medication, such as antidepressants, may be prescribed depending on the severity of symptoms. The practice emphasizes a collaborative approach, working closely with patients to create personalized treatment plans. In some cases, other therapeutic modalities, like mindfulness or interpersonal therapy, are integrated. We also provide ongoing support and adjustments to treatments to ensure progress over time.

Is Family Psychiatry and Therapy in-network with Horizon Blue Cross Blue Shield?

Yes, we are an in-network provider with Horizon Blue Cross Blue Shield in New Jersey. This means that individuals seeking treatment for depression and anxiety can utilize their insurance benefits to access our online therapy services.

Can online therapy help prevent an anxiety or depressive relapse?

Yes—online therapy offers consistent support during vulnerable periods, including after symptom improvement. Regular check-ins help monitor mood, identify warning signs early, and reinforce coping tools—especially cognitive behavioral techniques—that can ward off relapse. Being remote, it encourages adherence and reduces the chance that life changes will interrupt care. Your therapist can also adjust treatment strategies proactively if symptoms begin creeping back. Additionally, having continuity of care virtually means you can maintain momentum even during busy or stressful times. Thus, online therapy is an effective relapse-prevention strategy.

How is the telehealth experience kept private and secure?

Online therapy at Family Psychiatry employs encrypted platforms that meet HIPAA standards to ensure your sessions remain confidential. You’ll receive unique login credentials and guidance on using secure video tools, minimizing risks of unauthorized access. Sessions are held in private virtual rooms, and therapists work from secure, confidential environments. Your personal health details are protected via secure data storage systems and privacy policies. This setup mirrors in-person confidentiality while adding convenience. You can feel assured that your therapeutic space, even online, is both safe and private.

Can lifestyle factors like diet or exercise be addressed during therapy?

Absolutely—therapy at Family Psychiatry often includes holistic conversation on lifestyle factors such as nutrition, sleep, and physical activity. A psychiatrist or therapist can help you link changes in diet or routine to mood and anxiety levels, and suggest practical tweaks. If beneficial, they may suggest referral to a nutritionist, sleep specialist, or physical trainer for added support. Even virtually, they can collaboratively set and track goals—like improved sleep habits or regular movement—that support mental health. Discussing lifestyle alongside therapy can improve outcomes more effectively than focusing on symptoms alone. In combination with medication or counseling, these changes promote long-term well-being.

Who should I talk to if I’m experiencing symptoms of anxiety or depression in New Jersey?

If you’re experiencing symptoms of anxiety or depression in New Jersey, it’s important to reach out to a licensed mental health professional. Family Psychiatry and Therapy offers both psychiatrists and therapists trained to assess and treat these conditions. You can reach out to us and schedule a consultation with one of our mental health providers to discuss your symptoms and determine the best course of action. Your primary care doctor can also be a good starting point, as we can offer referrals to specialists. Support groups and hotlines are additional resources if you’re seeking immediate help. It’s essential to connect with someone you trust to begin addressing your symptoms.

Additional Information in the Paramus & Edison, New Jersey Area

• National Institute of Mental Health – Depression: Comprehensive information about depression, including its symptoms, causes, and available treatments. It explains different types of depression, such as major depressive disorder and persistent depressive disorder, and offers insights into how depression can affect people differently. The site highlights evidence-based treatments, including medications, therapy, and lifestyle changes, while also offering tips for managing depression. It emphasizes the importance of early detection and treatment to improve outcomes. The website includes resources like brochures, educational materials, and links to support services. For those dealing with both anxiety and depression, the information on treatment approaches can help individuals understand their options, including therapy that targets both conditions simultaneously, offering guidance and reassurance.
  
• American Psychological Association – Anxiety Disorders: Detailed overview of anxiety, covering its symptoms, causes, and various treatment options. It explains the different types of anxiety disorders, such as generalized anxiety disorder, panic disorder, and social anxiety disorder, providing a clear understanding of how each manifests. The site highlights evidence-based treatments, including cognitive-behavioral therapy (CBT), exposure therapy, and medication, as effective methods for managing anxiety. It also offers practical advice on how to cope with anxiety in everyday life, emphasizing the importance of professional help. The resources include educational materials, videos, and links to find psychologists. For those experiencing both anxiety and depression, the site helps by guiding them towards integrated treatments that address both conditions, offering reassurance and support through evidence-backed solutions.
  
• New Jersey Department of Health – Behavioral Health Services: Focuses on promoting the integration of physical and mental health care in the state. It provides resources and initiatives aimed at improving access to mental health services, including programs for substance abuse, behavioral health, and psychiatric care. The site highlights state-run programs designed to improve the overall well-being of New Jersey residents, emphasizing a holistic approach to health. It also connects individuals with essential services, including crisis hotlines, outpatient care, and long-term support. For those dealing with anxiety and depression, the website offers information on how to access mental health resources and community-based services that can assist with both conditions. By fostering collaboration between healthcare providers, the site helps individuals receive comprehensive care that addresses their mental and physical health needs.
  
• Mayo Clinic – Cognitive Behavioral Therapy (CBT): Explains this therapy as a structured, goal-oriented approach to treating various mental health conditions, including anxiety and depression. CBT helps individuals identify and change negative thought patterns and behaviors that contribute to their emotional distress. The page details how therapy sessions typically work, outlining the collaborative process between patient and therapist to develop coping strategies. It also covers the benefits of CBT, such as its effectiveness for a wide range of mental health conditions and its focus on practical, long-term skills. CBT can be used alone or alongside medications, depending on the individual’s needs. For those struggling with anxiety and depression, CBT offers a proven method to manage symptoms, improve mood, and develop healthier mental habits, leading to better overall well-being.
  
• Understanding Your Coverage: This resource helps Horizon BCBSNJ members understand their health insurance coverage in detail, including insights into out-of-pocket costs, deductibles, and the benefits available under their plans. It includes helpful guides and tips to maximize the value of their health insurance.