Psychiatry

Depression & Mood Disorders

Depression and mood disorders affect millions of South Africans, yet many go undiagnosed and untreated. Dr Xopa provides thorough assessment and evidence-based treatment for major depressive disorder, persistent depressive disorder (dysthymia), bipolar disorder, and related conditions. Treatment is individualised and may include psychotherapy, clinical interventions, lifestyle changes, and ongoing monitoring to ensure sustained recovery.

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Psychiatry

What to Expect

  • A thorough assessment of your mood symptoms, their duration, severity, and impact on functioning
  • Screening for co-occurring conditions such as anxiety or other medical causes
  • A collaborative discussion about treatment options
  • A clear explanation of each recommended approach, its expected benefits, and what to expect
  • Regular follow-up appointments to monitor progress and adjust treatment as needed
  • A safety plan if you are experiencing suicidal thoughts or self-harm urges
Depression & Mood Disorders at Pretoria Health
Areas Covered

Conditions We Treat

Major depressive disorder (clinical depression)
Persistent depressive disorder (dysthymia)
Bipolar I and Bipolar II disorder
Cyclothymic disorder
Seasonal affective disorder
Postpartum depression
Premenstrual dysphoric disorder (PMDD)
Treatment-resistant depression
Our Process

How It Works

1

Initial Assessment

A comprehensive psychiatric evaluation to understand your symptoms, establish a diagnosis, and identify contributing factors.

2

Treatment Plan

A personalised treatment plan is developed collaboratively, which may include psychotherapy referral and lifestyle changes.

3

Active Treatment

Treatment begins with close monitoring. Adjustments are made based on your response, and therapy goals are regularly reviewed.

4

Maintenance & Recovery

Once symptoms are well controlled, appointments are spaced further apart. Relapse prevention strategies are put in place to support long-term wellbeing.

Benefits

Why Choose This Service

Experience in treating complex and treatment-resistant mood disorders
Integrated approach combining ongoing clinical care with therapeutic strategies
Regular monitoring of treatment efficacy
Collaborative care with your GP, psychologist, or therapist
Support for medical aid authorisation of chronic psychiatric care
FAQ

Common Questions About Depression & Mood Disorders

Sadness is a normal human emotion that passes with time. Depression is characterised by persistent low mood, loss of interest or pleasure, and other symptoms (such as sleep disturbance, fatigue, and difficulty concentrating) lasting at least two weeks and affecting your ability to function. If you are unsure, an assessment can provide clarity.
This varies by individual. For a first episode of depression, treatment is typically continued for at least 6–12 months after symptoms resolve. For recurrent depression, longer-term treatment may be recommended. Dr Xopa will discuss the appropriate duration for your situation.
Mild to moderate depression may respond well to psychotherapy alone, particularly cognitive behavioural therapy (CBT). However, moderate to severe depression usually benefits from a combination of clinical care and therapy. Dr Xopa will recommend the approach suited to the severity of your condition.
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