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Depression treatment at Lampstand Behavioral Health starts with what you’re already good at and what you actually want — not with a checklist of symptoms. Evans Duah, PMHNP-BC, offers psychiatric evaluation, medication management, and therapy for depression from the Providence, RI office, or by telehealth across Rhode Island, Massachusetts, Arizona, and Colorado. You do not need a diagnosis to get in touch.
An estimated 8.3% of U.S. adults — about 21.0 million people — had at least one major depressive episode in the past year, according to the National Institute of Mental Health. Most of them, 61.0%, got treatment. The rest are usually waiting for one of two things: permission to start without a diagnosis already in hand, or proof that treatment here won’t just mean being handed a prescription and sent home.
The approach
Depression treatment here is built around your strengths and your goals, not just a diagnosis — a diagnosis describes a problem, it does not describe a person. Your first appointment is a psychiatric evaluation where you and Evans decide together whether treatment looks like medication, therapy for depression, or both.
Low mood that has stopped lifting, loss of interest in things you used to care about, changes in sleep or appetite, low energy, and a creeping sense of hopelessness are the signs most people come in with — whether that’s ongoing major depressive disorder or seasonal affective disorder, depression that follows a seasonal pattern and most often arrives with shorter days. Therapy at Lampstand is trauma-informed and LGBTQ+ affirming, and can run alongside medication or instead of it. The exact approach is decided at your first appointment, not before.
Medication
No. Medication is offered, discussed, and explained — it is not a condition of being seen here. Some people come in wanting a prescription; some want to try therapy first; some aren’t sure yet, and that’s a fine place to start too.
If medication does make sense for you, Evans walks through what it’s for, what to expect, and what the alternatives are before anything is prescribed. Nothing starts without that conversation, and nothing continues without checking whether it’s actually working.
When it isn’t working
“The medication isn’t working” is the start of a conversation at Lampstand, not the end of one. Evans Duah explains it this way:
“One thing I’ve learned is that ‘the medication isn’t working’ is the beginning of a conversation, not the conclusion. I ask what the patient actually took, how consistently they took it, what side effects they experienced, and what they expected to change. Those details help me understand whether we’re evaluating the treatment itself or a treatment plan the patient couldn’t realistically follow. My takeaway is that prescribing a medication and making the plan workable are two different parts of treating depression.”
Evans Duah, PMHNP-BC
That distinction matters because a medication and a medication plan can fail for completely different reasons — and only one of them means the drug itself was the wrong choice. For patients whose prior medications caused side effects or didn’t help, Lampstand also offers pharmacogenetic testing, a genetic test that shows how your body processes psychiatric medications. It informs the decision; it doesn’t make it for you.
Who to see
A psychiatric nurse practitioner like Evans Duah can evaluate, diagnose, and prescribe medication for depression; a therapist provides talk therapy and generally can’t prescribe. At Lampstand, you don’t have to choose in advance — the first appointment is where that gets sorted out.
Many people need both: medication to make the lower points more manageable, and therapy for depression to work through what’s underneath them. Others need just one. Treatment here flexes either way, and can shift over time as you do.
Getting started
Your first appointment is a full psychiatric evaluation, in person in Providence or by secure video if you’re in Rhode Island, Massachusetts, Arizona, or Colorado — and telehealth here isn’t treated as a lesser version of an office visit. Evans reviews your history, current symptoms, and what you’re hoping changes, then proposes a plan with you, not for you.
After that, most people move to shorter follow-up appointments — more frequent during a difficult stretch, less frequent once things are stable — to monitor progress, adjust medication if it’s part of the plan, and watch for side effects.
Cost
Lampstand Behavioral Health accepts roughly 20 insurance plans. Coverage varies by individual policy, so it’s worth checking yours before your first appointment — self-pay is available either way.
| Insurance category | Examples accepted |
|---|---|
| State / federal | MassHealth, Medicare |
| Major commercial | BlueCross BlueShield, Aetna, Cigna, United Healthcare |
| Regional plans | Tufts Health Plan, Harvard Pilgrim, Oxford Health Plan |
| Behavioral health networks | Optum Health |
If your plan isn’t on this list, call (508) 258-4801 and ask — it’s often still accepted.
In an emergency, do not use this website or this page. If you or someone else is in immediate danger, call or text 988 (Suicide & Crisis Lifeline) or go to the nearest emergency room.

Get in touch
Depression treatment at Lampstand Behavioral Health is available in person in Providence, RI, and by telehealth across Rhode Island, Massachusetts, Arizona, and Colorado.