Depression treatment by neurologist Ihor Stanislavovych Shkinder in Dnipro.

Patients may present with complaints of a prolonged low mood, loss of interest in usual activities, sleep disturbances, or difficulty concentrating.

The doctor performs a thorough clinical assessment, carefully analyzes the symptoms and medical history, and, if necessary, orders additional tests to clarify the cause of the condition.

As a result, you receive a clear action plan: what to do at this stage, which tests and examinations are important, and recommendations for monitoring changes.

Igor Stanislavovich’s approach is distinguished by a careful examination of each symptom and continuous adjustment of treatment, taking into account the specific features of any coexisting conditions.

When to See a Doctor

If you notice changes in your emotional state or behavior that cause concern, it is worth seeing a neurologist. Such a visit can help determine the causes of your symptoms and identify the steps needed to improve your well-being. You should make an appointment with a neurologist if, during depression, you notice:

• Persistent low mood that does not go away for several weeks
• Loss of interest in usual activities and hobbies
• Difficulty concentrating and making decisions
• Increased feelings of anxiety or worry without an obvious cause
• Sleep problems that interfere with proper rest
• Increased fatigue and low energy throughout the day
• Symptoms that recur or become more severe over time
• Difficulty with social or work activities due to worsening mood
• No improvement when trying to cope with low mood on your own
• Thoughts that cause fear or anxiety and interfere with living fully

If you are experiencing such symptoms, a consultation can provide a professional assessment and help choose the best support options. It is important to remember that self-help methods are not always effective, and timely consultation with a specialist helps you better understand the situation and work toward improving your quality of life.

Emergency Situations, or When to See a Doctor Urgently

• A sudden and severe worsening of mood with pronounced anxiety or panic attacks
• The appearance of intrusive thoughts causing fear and distress that cannot be controlled
• Severe sleep disturbance accompanied by confusion or disorientation
• A combination of marked apathy and dangerous thoughts about one’s own safety
• A rapid worsening of symptoms that makes it difficult to speak, move, or carry out everyday activities

If you experience these symptoms, do not wait for a scheduled appointment — urgent medical attention is needed. Our clinic offers a doctor-at-home service for prompt assessment and support.

Causes and Risk Factors

In this section, we will discuss possible causes of depression and the factors that may influence its development and course. Understanding these aspects can help you better prepare for a medical evaluation and assessment by a doctor.

Main Causes / Mechanisms (briefly)

• Changes in the functioning of the nervous system that affect mood and perception
• Stressful events that trigger a prolonged decline in emotional well-being
• Sleep disturbances that worsen emotional and psychological state
• The impact of chronic diseases or long-term use of certain medications
• Genetic predisposition that increases the risk of mood disorders

Risk Factors

• Frequent severe stress or prolonged emotional distress
• Family or work-related problems leading to emotional exhaustion
• Lack of physical activity and social interaction
• Age over 40–50, when cognitive and emotional impairments more often appear
• The presence of other neurological or psychiatric conditions
• Alcohol abuse or harmful habits
• Lack of adequate sleep and rest
• Previous head injuries or infectious diseases

Reversible Causes That Are Important to Rule Out

• Thyroid dysfunction and hormonal imbalances
• Consequences of acute stress or traumatic events
• The effects of medications that cause mood changes
• Vitamin and micronutrient deficiencies affecting the nervous system

Understanding the causes and risk factors of depression helps create a comprehensive view of the problem and determine the direction for further detailed examination and medical follow-up.

Diagnosis

The diagnosis of depression is aimed at a comprehensive assessment of symptoms and the patient’s overall condition in order to understand the possible causes of a worsening mood. The doctor evaluates the complaints and selects the necessary examination methods to create a further treatment plan.

Diagnostic approach

• Medical history collection — discussing symptoms, medical history, and factors affecting the condition
• Physical examination to assess overall health and identify possible associated problems
• Assessment of emotional and psychological state using special questionnaires and an interview
• Ordering basic laboratory tests when indicated to rule out somatic causes
• Additional investigations if necessary to clarify the diagnosis
• Analysis of the results and development of a preliminary examination and treatment plan

Typical tests when indicated

May include:

• Complete blood count and biochemical parameters
• Thyroid function tests
• Neurological tests and specialist consultations when indicated
• Assessment of vitamin and micronutrient levels

What to bring to the appointment

• Medical records and results of previous examinations
• A list of medications and supplements you are taking
• A symptom diary or notes about how you are feeling
• Questions and concerns you want to discuss with the doctor

Understanding the stages of diagnosing depression can help you feel more confident before your visit and ensure more effective communication with your doctor.

Treatment

Treatment for depression is aimed at improving the patient’s overall condition and reducing symptoms that interfere with daily life. The treatment plan is selected individually, taking into account the specifics of each case, and requires a physician’s evaluation.

Treatment goals

• Reducing the severity of symptoms and discomfort
• Addressing possible causes affecting the condition
• Restoring normal emotional and social functioning
• Preventing complications and recurrent exacerbations

Main treatment approaches

• May include medication therapy aimed at stabilizing mood
• The main directions are psychotherapeutic support and counseling
• Rehabilitation methods may be used to restore activity and emotional balance
• Non-drug approaches, when indicated, help support overall condition
• Therapy is individualized and adjusted depending on the clinical picture

What the doctor does

• Selects and adjusts treatment based on individual characteristics
• Assesses the impact of comorbid conditions and takes them into account during therapy
• Monitors side effects and changes the treatment approach if necessary
• Explains to the patient the criteria for evaluating treatment effectiveness
• Coordinates interaction with other specialists when needed

What to expect: plan and monitoring

• Treatment effectiveness is assessed regularly and as indicated
• The treatment plan is adjusted if the desired effect is not achieved or side effects occur
• Condition monitoring requires follow-up consultations depending on the situation
• The need for additional supportive and follow-up methods is discussed

You can learn more about treatment options for depression during a consultation with Dr. Shkinder, Igor Stanislavovich.

Prevention

Prevention is important for reducing the risk of developing depression and alleviating its symptoms. The prevention program is selected individually, taking into account the patient’s characteristics and health status.

Main measures for primary prevention

• Maintaining regular physical activity at a level that is comfortable for you
• Establishing a balanced sleep and rest schedule
• Minimizing stressful situations and learning ways to cope with them
• Quitting harmful habits such as smoking and excessive alcohol consumption
• Managing comorbid conditions according to your doctor’s recommendations

Screening and secondary prevention / regular monitoring

• Regular monitoring of emotional and mental well-being as indicated
• Discussing the effectiveness of current treatment and the need for adjustment with a doctor
• Monitoring chronic conditions that affect overall health
• When indicated, laboratory and instrumental tests to assess body function

Practical tips

• Increase communication and participation in social activities to reduce feelings of isolation
• Discuss possible lifestyle and sleep routine changes with your doctor
• Make a list of situations that cause stress and work through them with a professional
• Monitor your health and do not delay seeing a doctor if new symptoms appear
• Maintain moderate physical activity appropriate to your abilities

Depression prevention helps preserve quality of life and requires careful attention, taking individual characteristics into account.

Important to know

Depression treatment requires a careful and systematic approach, starting with identifying the possible causes and factors affecting the condition. Early consultation helps choose the right treatment strategy and reduce the risk of complications or worsening symptoms. A doctor may recommend follow-up monitoring to assess treatment effectiveness and make timely adjustments to the care plan. The course of depression is influenced by various factors, including stress levels, sleep quality, the presence of chronic illnesses, and others. Self-medication can blur the clinical picture, cause unwanted side effects, and delay seeing a specialist.

• It is important to identify the causes and triggering factors, not just reduce symptoms
• Early assessment helps choose the most appropriate treatment strategy
• Follow-up monitoring is necessary to evaluate therapy and adjust it when indicated
• Stress, sleep disturbances, and other factors can affect the course of depression
• Self-treatment without medical supervision can make diagnosis more difficult and cause complications
• In our clinic, coexisting conditions are taken into account and a comprehensive approach is selected

Timely medical attention and open discussion of symptoms help develop a plan that truly supports quality of life and helps find balance. For more detailed information, you can refer to the general page on depression.

Self-help before your appointment: what you can and cannot do

Before seeing a doctor for depression, it can be helpful to take some safe steps to relieve symptoms and gather information. If your symptoms worsen or warning signs appear, contact Dr. Igor Stanislavovich Shkinder immediately.

What you can do before the appointment

• Write down when and how changes in mood and behavior began.
• Bring a list of all medications and supplements you are taking to the appointment.
• Keep a symptom diary, noting their intensity and triggers.
• Maintain a regular sleep and rest schedule if possible.
• Reduce physical activity if you feel very tired or apathetic.
• Drink enough water to avoid dehydration.
• Measure and record your temperature and blood pressure if you know how to do so.
• Try to avoid stressful situations as much as possible.

What you should not do before the appointment

• Do not stop taking prescribed medications without consulting a doctor.
• Do not start using new medications or herbal remedies on your own.
• Do not attempt to change dosages or treatment methods on your own.
• Do not ignore worsening symptoms or the appearance of new ones.
• Do not try to diagnose yourself using internet resources or symptoms.
• Do not postpone a doctor’s visit if warning signs increase or sleep worsens.
• Do not abuse alcohol or other substances.
• Do not use sedatives or sleeping pills without a doctor’s recommendation.

If signs of deterioration appear, seek help from Dr. Igor Stanislavovich Shkinder immediately for timely assessment of your condition.

How I can help as a doctor with depression-related concerns

During a depression consultation, I can help you in the following ways: understand the possible causes of your condition, assess how severe it is, and identify any potential risks. Together, we will review your symptoms and medical history, check how well your current treatment is working, and create a plan for next steps. It is also important to take any coexisting conditions into account and provide lifestyle recommendations tailored to you. During the consultation, we will discuss how to monitor changes and when it is appropriate to seek help again.

• Review symptoms and medical history to identify possible causes
• Assess the severity of the condition and potential health risks
• Check current prescriptions and how well they are tolerated, and adjust them if needed
• Create a detailed plan for examinations, treatment, and monitoring progress
• Take into account comorbid conditions and medications for a comprehensive approach
• Provide recommendations on routine and lifestyle based on individual indications
• Explain how to monitor the condition and when to return for follow-up
• Perform an initial assessment of possible causes and rule out other conditions
• Adjust treatment if the effect is insufficient or side effects occur

A medical consultation is not just about choosing a medication, but about thoroughly reviewing the condition with all relevant factors in mind. This approach helps select the best treatment strategy and ensures systematic care aimed at improving quality of life and reducing the risk of complications.

What questions can you ask a doctor about depression?

At an appointment for depression-related concerns, you can discuss the following with Igor Stanislavovich Shkinder: evaluating and reviewing symptoms, identifying possible causes of worsening mood, getting help with recurring symptoms and when treatment has not been effective. The doctor can also take into account the impact of any coexisting conditions and create a plan for next steps. If your condition suddenly worsens, you experience severe anxiety, thoughts of self-harm, or a sudden change in behavior, you need urgent medical help — do not wait for a scheduled appointment.

• How long has the low mood and apathy been going on, and why does it persist?
• What should I do if I constantly have no energy or interest in life?
• Why is my sleep getting worse, and how is that connected to my emotional state?
• What can contribute to anxiety and irritability?
• How are depression and my chronic medical conditions related?
• Why do the symptoms keep coming back or become more severe without an obvious reason?
• What should I do if the treatment prescribed earlier is not helping?
• Is it possible to get a second opinion on the tests or treatment I have already had?

• What exactly is causing my symptoms, and why did they appear now?
• How can I tell whether my condition is related to depression rather than another illness?
• Which examinations and tests are needed in my case specifically?
• Which diagnostic methods are truly necessary for an accurate assessment?
• What do I need to know before the visit and how should I prepare for the examinations?
• What treatment options are available, and how do they differ from one another?
• Is it possible to recover completely from the symptoms, or is this a long-term condition?
• What should I do if the prescribed therapy does not lead to improvement?
• Is it possible to avoid medications or procedures if that is feasible?
• How long does treatment last, and how often are follow-up checkups needed?
• What signs indicate improvement or worsening of the condition?
• What should I do if my mood suddenly worsens or the symptoms flare up?

Doctor Igor Stanislavovich Shkinder helps address a wide range of depression-related issues — from initial evaluation and choosing a treatment strategy to monitoring effectiveness and adjusting the plan. It is important to remember that if warning symptoms appear that require immediate intervention, it is best not to delay contacting a specialist.

How the consultation goes

A neurology consultation for depression includes a detailed review of your complaints, an assessment of your current condition, and the development of a plan for next steps. The scope of any necessary examinations is determined individually, based on indications and the specifics of your condition. A final diagnosis is not made immediately during the appointment; instead, an initial assessment is carried out and the next steps are outlined.

1. Clarifying complaints and the purpose of the visit: we discuss what exactly is troubling you, when the changes began, what makes the condition worse, and what you expect from the appointment.
2. Taking your medical history and risk factors into account: we gather information about your mental and general health, stress, chronic conditions, and habits.
3. Reviewing previous treatment and test results: we analyze what has already been done, and ask you to bring medical records and a list of any medications you are taking.
4. Examination and targeted tests as indicated: we perform the necessary assessment of the nervous system and emotional state.
5. Preliminary conclusion: we discuss possible causes of the symptoms, what is important to rule out, and form an overall picture of the condition.
6. Diagnostic plan if needed: this may include laboratory tests, thyroid function assessment, and neurological and psychological tests.
7. Developing a treatment and follow-up plan: we discuss the principles of therapy and accompanying measures without going into details of specific medications.
8. Monitoring and next steps: we determine the timing of follow-up visits and the criteria by which changes in the condition can be assessed.

If this is your first visit, the focus will be on clarifying symptoms and identifying possible causes of their onset. If previous treatment has not been effective, we will look into the reasons, assess the current approach, and make adjustments if necessary.

This approach will help you better understand your condition and receive thoughtful support from a specialist. During the consultation, the doctor discusses all stages in detail, which makes it possible to build a treatment plan that takes your individual characteristics and goals into account.

Preparing for the Appointment

To make your appointment with a neurologist effective and help create a treatment plan for depression more quickly, it is important to prepare in advance. This will make it easier to gather information and give the doctor a complete picture of your condition.

• Bring a list of all current medications, including names, dosages, and how they are taken.
• Bring the results of previous examinations, scans, and tests to the appointment — originals or copies.
• Write down your main complaints: when the symptoms start and what makes them worse or better.
• Do not stop taking prescribed medications without consulting your doctor.
• Come with notes about any recent changes in how you feel and your mood.
• If recommended, come on an empty stomach: do not eat or drink for 8–12 hours before the appointment (unless told otherwise).
• Avoid using makeup, creams, or other products that may affect the examination, if applicable.
• If possible, prepare a list of questions you want to discuss during the appointment.
• Tell the doctor about any allergies and chronic conditions.
• If you are unsure about anything, уточните details with the reception desk before your visit.

If you have questions about preparation or any concerns, it is better to clarify them in advance by phone. Do not change your medication regimen on your own — this is important for preserving an accurate picture of your health.

About the Doctor

Igor Stanislavovich Shkinder is a neurologist of the highest category with over 20 years of experience. He often works with patients who have recurring symptoms of depression, a complicated course of illness, or ineffective previous treatment.

In his practice, the doctor pays special attention to reviewing symptoms and medical history, as well as adjusting treatment in consideration of coexisting conditions. This approach makes it possible to identify the causes of the condition more accurately and develop the best management plan.

During the consultation, you will receive a clear explanation of the situation and a plan for next steps.

Why patients choose Dr. Igor Stanislavovich Shkinder

In treating depression, Igor Stanislavovich Shkinder pays close attention to a detailed review of symptoms and the causes of the condition, which makes it possible to choose the most appropriate treatment strategy. Patients value the clear, step-by-step plan of action that helps them understand how and when the next stages of therapy will take place. The doctor carefully takes into account any comorbid conditions and medications, ensuring safety and reducing the risk of side effects. Special emphasis is placed on follow-up over time, with regular treatment adjustments as the condition changes. Thanks to the opportunity to bring and discuss previous test results, unnecessary procedures can be avoided and the correct treatment plan can be established more quickly.

• A clear plan of sequential therapy steps: what is done now, how it is monitored, and when reassessment will take place
• Tests only when indicated, without unnecessary prescriptions — saving the patient time and resources
• Consideration of comorbid conditions and medications for safe and effective treatment of depression
• Monitoring of the condition over time and treatment adjustment in case of insufficient effect or side effects
• Review and interpretation of previous test results to optimize the management plan
• Explanation of complex issues in simple, accessible language without excessive medical terminology
• Focus on preventing relapses and supporting long-term quality of life
• Experience in managing complex and combined cases, taking into account the patient’s individual characteristics

This approach helps patients better understand their diagnosis and their role in treatment, reducing uncertainty and fear about the process. The doctor creates a plan that evolves along with changes in the patient’s condition, making treatment more flexible and adaptive.

Case Studies

Initial consultation for prolonged low mood and fatigue

A middle-aged patient presented with complaints of long-term worsening mood, loss of interest in usual activities, and a constant feeling of fatigue. It was important to rule out physical causes and understand possible psycho-emotional factors. A thorough assessment of symptoms, medical history review, and preliminary examination were performed. Over time, a partial improvement in condition was observed within a few weeks after the start of comprehensive management. The patient continues to be followed for stabilization and support of the results.

Adjustment of treatment after lack of response to previous therapy

A middle-aged woman presented with recurrent symptoms of depression despite previously prescribed treatment. It was important to understand why the current therapy was not providing the expected relief and to identify any contributing factors. Previous prescriptions and possible side effects were reviewed, and an adjusted management plan was developed. After several follow-up visits, stabilization and a reduction in symptoms were noted. Further monitoring is planned to maintain the improvements.

Chronic depression in the presence of comorbid conditions

An elderly patient presented with long-standing chronic low mood in the setting of concomitant cardiovascular and neurological diseases. The task was to choose a safe treatment approach taking into account all existing diagnoses and medications. A comprehensive review of the medical history and current condition was performed, and a step-by-step treatment plan was established. Follow-up examinations showed improved quality of life and stabilization of the overall condition. The physician continues to monitor progress and adjust the plan as needed.

Exacerbation of symptoms after a stressful event

A young woman presented with a rapidly worsening mood and anxiety after a major stressor. It was necessary to assess the condition quickly, rule out associated complications, and develop a monitoring plan. An initial evaluation was performed, and a set of supportive measures was prescribed. Within a month, a noticeable reduction in symptom severity was observed. Regular follow-up and prevention of possible exacerbations continue, taking the patient’s individual characteristics into account.

Recurrent episodes of deterioration requiring treatment adaptation

A middle-aged patient presented with complaints of periodic recurrences of depressive symptoms despite treatment. The physician needed to investigate the causes of relapse and adapt the therapeutic approach. Factors contributing to the worsening were analyzed, and the management regimen was revised. Dynamic follow-up showed a trend toward stabilization, with measures in place to monitor and respond promptly to exacerbations. The patient remained under regular follow-up.

How long does a consultation last?

The average consultation lasts 30–60 minutes; please уточнить when booking.

How should I prepare for the appointment?

It is helpful to write down your main complaints, how often the symptoms occur, and any possible triggers.

What should I bring to the consultation?

Please bring the results of any previous examinations, a list of medications you are taking, and any medical records/discharge summaries.

Do I need to come fasting or follow any restrictions?

Usually no, unless otherwise specified when booking.

How many visits are usually required?

It depends on your condition and response to treatment; usually several visits are needed for assessment and adjustment.

When can I expect the first results from treatment?

This is individual and depends on the chosen treatment plan and your body’s characteristics.

What should I do if my condition worsens before the appointment?

If symptoms worsen and are potentially dangerous, seek emergency care. For less severe changes, contact your doctor.

Can treatment be combined with my current medications?

We discuss compatibility and adjust treatment during the appointment; do not change your medications on your own.

Can I have an online consultation?

Yes, online consultations are available and are suitable for initial assessment and follow-up.

Can I come with tests I have already done?

Yes, please bring any up-to-date results for a more accurate assessment.

Do I need follow-up visits, and how often should I schedule them?

Follow-up visits are needed to monitor effectiveness and adjust therapy; the frequency is determined individually.

Can I get a second opinion?

Yes, the doctor will review your history and test results and discuss alternative options.

What should I do if symptoms return after improvement?

Contact your doctor to assess the situation and possibly adjust the treatment plan.

What tests are usually needed for depression?

The approach depends on your specific symptoms and indications; the doctor will determine the necessary tests.

Can I find out the treatment plan in advance?

The plan is developed individually after assessing your condition and test results.

How should I talk to the doctor about my complaints?

It is important to be as open as possible and describe all changes in your physical and emotional well-being.

Can I change the dosage or medications on my own?

We do not recommend changing treatment without consulting a doctor.

What should I do if I cannot make it to a scheduled appointment?

Please notify the clinic in advance so the visit can be rescheduled and continuity of care maintained.