SSRI / SNRI Therapy for Depression & Anxiety

SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin-norepinephrine reuptake inhibitors) gently adjust the balance of brain chemicals that influence mood, worry, and energy. They are typically considered first-line treatment and are often most effective when paired with therapy such as a cognitive behavioral therapy referral and supportive lifestyle changes.

Before recommending medication, Dr. Golian reviews your symptoms and history, often using validated tools like PHQ-9 depression screening or GAD-7 anxiety screening. Most people begin to notice meaningful improvement over several weeks rather than days, so patience and steady follow-up are part of the plan.

Come prepared to talk openly about your symptoms, sleep, daily stress, and any past experiences with mental health medications. Bring a current list of everything you take, including supplements and over-the-counter products, so Dr. Golian can check for interactions through careful medication reconciliation.

Let us know about pregnancy, plans to conceive, alcohol use, or other health conditions, since these can shape which medication is the best fit. There is no special fasting or physical prep required to begin.

Early follow-up is essential. Dr. Golian typically checks in within the first few weeks to review how you are tolerating the medication, watch for side effects, and confirm the dose is working for you. Convenient telehealth visits make these check-ins easy to keep.

Doses are adjusted gradually, and stopping a medication is always done with guidance rather than abruptly. If your situation calls for additional expertise, Dr. Golian coordinates a psychiatry referral, including through Cedars-Sinai when appropriate.