Depression is rarely just one thing. For some people it is a chemical and genetic pattern that responds well to medication; for others it is tangled up with sleep, nutrition, thyroid or hormonal issues, chronic stress, grief, or life circumstances that no prescription alone can fix. When treatment only targets the surface, it is common to feel a little better but never fully well.
At Sphosh Health, depression care is whole-person. Because Dr. Koichi Tanji is both a naturopathic doctor and a licensed mental health counselor, a first visit looks underneath the diagnosis: relevant labs, thyroid and metabolic health, nutrient status, sleep, gut-brain factors, stress load, and the story of what has been happening in your life. From there we build a plan that fits you.
That plan may combine nutrition and lifestyle changes that genuinely affect mood, support for sleep and the nervous system, therapy, and medication used thoughtfully when it is the right tool. We are comfortable prescribing antidepressants when they help, and equally comfortable helping people who want to address root causes rather than rely on medication alone.
If you are in crisis or having thoughts of harming yourself, please call or text the 988 Suicide and Crisis Lifeline right away, or go to your nearest emergency room. For ongoing, whole-person depression care, we are here.
Sphosh Health serves patients across Washington by telehealth and in person in Bellevue, and is in-network with Premera, Regence, Blue Cross Blue Shield, Aetna, Cigna, and Kaiser PPO. To get started, call (425) 278-6166.