Meet with an online doctor over video for depression diagnosis and treatment today.

Circle Medical's team of board-certified and empathetic providers are standing by to help you. Attend a same-day appointment from the comfort and privacy of your own home.

HIPAA compliant

Available over video and in person

LegitScript certified

Fully licensed medical practice

Same-day appointments available

I hear you - this is what we can do.

Dr. Ixchel Alvarez

What to expect.

During your initial visit with a provider of your choice, you will review your medical history and experiences that led you to seek treatment for Depression. Your provider may ask you to submit previous medical records or request blood work to rule out any potential causes of your Depression that may stem from a physical medical condition.

In a follow-up appointment, your provider will work with you to create a treatment plan that will effectively treat your symptoms of Depression.

In the event your provider determines that you may have a condition that is more appropriately diagnosed and managed by a psychiatrist, your provider will provide psychiatry resources. Additionally, Circle Medical is able to offer therapy referrals in all the locations where we offer care. 

Please read through the FAQ for more information, including guidelines about who is a good fit for generalized Depression diagnosis and care through our practice.

Depression FAQs

Comprehensive Anxiety / Depression Assessment over video

Same-day or next-day appointment availability

If appropriate, we offer evidence-based treatment options for depression

Therapy referrals available everywhere we offer care

As a primary care practice, we can treat you for many other conditions as well, streamlining your medical experience.

In network with most PPO insurance plans

Frequently Asked Questions

Anxiety / Depression Treatment

Can I get diagnosed with anxiety or depression through Circle?

Yes, our Circle Medical providers are able to provide a comprehensive assessment and diagnosis of mild to moderate anxiety or depression.

If you are diagnosed by one of our providers, we are able to provide ongoing healthcare in the form of regular check-ins, assessments, therapy referrals, and evidence-based prescription management if appropriate.

Please note that booking and paying for a video appointment with one of our Circle Medical providers does not guarantee a diagnosis, or a specific medication.

A full medical assessment takes into account the patient’s full health summary, evidence-based diagnostic tools, and other safety factors. Treatment is up to the provider's discretion. We encourage you to read through this entire FAQ for additional details.

Who is a good fit for anxiety and/or depression medication management through Circle?

Our goal, as a primary care practice, is to make mental health more accessible and integrated with primary care. However, primary care has its limitations and this means that there may be instances where it is recommended that you see a specialist, or psychiatrist, for your care.

Circle Medical is a primary care practice, which means that we are not able to treat more complex mental health conditions/medication, such as:
  • History of psychosis, schizophrenia, schizoaffective disorder, and bipolar disorder
   • You are currently taking, or seeking a prescription for, Benzodiazepines, opiate pain medication, or controlled substance sleep aids

What states do you operate in?

To see a list of states, please start booking an appointment. You will be able to select from all of the lists where we are currently practicing.

You must be currently residing in the state of treatment as well as have your primary pharmacy be in that same state in order to be a patient at our practice.


Am I seeing a psychiatrist through Circle?

Our providers are board-certified providers (MD’s/DO’s/NP’s/PA’s) who are able to provide a full scope of primary care services, including mental health, at Circle Medical. We do not have psychiatrists on our platform, however, our Circle Medical providers are able to provide a wide range of mental health care services in a primary care setting to provide access to life-changing care to our patients.

More complex mental health cases may require a psychiatrist to diagnose/treat. We encourage you to please read through this entire FAQ section for additional information.

Do I need to book my appointment with a doctor (MD or DO), or can I book my appointment with any provider (PA-C, NP, etc)?

You do not need to book your initial appointment with a doctor. You can book your appointment with any provider that we have available. Our providers all work closely together to make sure that we are providing the same excellent standard of care to all patients regardless of which provider you book your appointment with.

How long are the appointments?

The first intake appointment is 30 minutes. Follow-up appointments are 20 minutes each.


What is the total cost of anxiety and/or depression diagnosis and treatment?


$5 - $50 average copay* per appointment

*Note: Your specific copay is dependent on your health insurance coverage. We typically see patients with copays of around $0-$50 per appointment, but this can be higher if you have a high-deductible plan and have not yet hit your deductible this year. To confirm your specific copay estimate, you can click to book an appointment and you will be asked to input your insurance information so that you can receive your cost estimate before confirming the appointment.

Our ability to estimate your costs is dependent on your healthcare insurance's database, so we do not guarantee that the estimate you see is the exact amount you will be billed. For the most accurate estimate of your per-appointment costs, we recommend calling the phone number on the back of your insurance card to ask your insurance plan what your primary care appointment costs are.


$100 per appointment


What insurance do you accept?

For non-therapy appointments:

We contract with most PPO insurance plans. If you are a California Bay Area resident, we also work with a small number of HMO plans.

To verify if we work with your insurance, simply start booking an appointment online. You will be prompted to enter your insurance details and will receive eligibility results instantly as well as an estimate of your appointment cost prior to confirming your appointment.

Some PPO plans that we currently work with are:

Anthem Blue Cross/Blue Shield, Aetna, Blue Shield of California, Cigna, Health Net, Humana, and United Healthcare.

Plans that we cannot work with are:

Unfortunately, we are unable to provide care for patients who have Medi-Cal or Medicaid insurance. This is because we are not licensed Medi-Cal or Medicaid providers, so we are not able to provide care, even if these patients choose to pay cash instead of use their insurance. If you have Medi-Cal or Medicaid, please do not book an appointment with us, as we will be unable to provide care even if you do not enter your insurance information.


What do I need to do to prepare for my first appointment? Do I need to submit medical records anywhere?

If you've been diagnosed with anxiety and/or depression before and have your diagnosis paperwork available, you can email it to [email protected]. Be sure to use the same email address that you used to sign up when booking your appointment.

Note: This step is optional. After your first visit, we will facilitate getting your medical records from your previous provider.

What happens after I am prescribed?

After you are diagnosed, if you are prescribed medications, we will coordinate sending these prescriptions to your preferred pharmacy.

You may have a 2-week follow-up if you are on a new dosage for treatment. Once your treatment has stabilized, you will have monthly follow-up appointments to maintain treatment.

If you have questions at any time, please feel free to chat with your provider and care team via our secure app.

Can I get diagnosed in my first appointment? How long does it take to have a complete diagnosis?

It can take 1-2 appointments for a complete anxiety and/or depression assessment to take place and for a possible diagnosis to be made.

Clinically appropriate treatment, tailored on a case-by-case basis.

We put patients first in every decision we make, and follow clinical guidelines based on evidence-based medicine to ensure patients get the most effective care possible.

What is Depression?

Depression is a common mental health condition characterized by persistent and intense feelings of sadness, hopelessness, and a loss of interest or pleasure in activities that were once enjoyable. It goes beyond normal fluctuations in mood and significantly affects a person's daily life, relationships, and overall functioning.

Individuals with Depression may experience a range of symptoms, including persistent feelings of sadness, emptiness, or worthlessness, decreased energy and fatigue, changes in appetite and weight, difficulty concentrating or making decisions, sleep disturbances, irritability, and in more extreme cases, thoughts of death or suicide.

It is important to note that Depression is a treatable condition, and seeking professional help is crucial. A combination of therapy, medication, and support can aid in managing symptoms and improving overall well-being for those affected by Depression.

If you or a loved on is experience severe Depression, including thoughts of self-harm or suicide, please seek immediate medical assistance from an emergency room or Urgent Care facility. National suicide prevention hotline: 800-273-8255

What causes Depression?

Depression is a complex mental health condition with various potential causes. It is often a result of a combination of genetic, biological, environmental, and psychological factors. While the exact causes of depression are not fully understood, here are some common factors that may contribute to experiencing Depression:

Biological Factors: Imbalances in neurotransmitters, such as serotonin, norepinephrine, and dopamine, can impact mood regulation and play a role in the development of Depression. Genetic factors may also contribute, as individuals with a family history of Depression are more likely to experience it themselves.

Brain Chemistry and Structure: Changes in the structure or functioning of certain brain regions involved in mood regulation, such as the prefrontal cortex, amygdala, and hippocampus, have been associated with Depression.

Hormonal Imbalances: Fluctuations in hormones, such as during puberty, pregnancy, postpartum period, or menopause, as well as thyroid dysfunction, can increase the risk of Depression.

Environmental Factors: Traumatic events, such as abuse, loss of a loved one, or a significant life change can trigger or contribute to depression. Chronic stress, social isolation, a dysfunctional family environment, or exposure to violence or neglect may also be contributing factors.

Personal History and Psychological Factors: Individuals with a history of other mental health disorders, such as Anxiety or post-traumatic stress disorder (PTSD) are at a higher risk of developing Depression. Additionally, low self-esteem, negative thinking patterns, and difficulty coping with stress can increase vulnerability to Depression.

Medical Conditions and Medications: Certain medical conditions, such as chronic pain, cancer, heart disease, or hormonal disorders can be associated with an increased risk of Depression. Some medications, including certain antidepressants, steroids, and hormonal treatments may also contribute to symptoms of Depression.

It's important to note that not everyone with these risk factors will develop Depression, and individuals without these factors can still experience Depression.

Each person's experience of depression is unique, and a comprehensive evaluation by a healthcare professional is necessary to determine the specific contributing factors and develop an appropriate treatment plan.

What are the symptoms of Depression?

Common symptoms of Depression may include some off the following:

Persistent Sadness or Low Mood: Feeling sad, empty, or experiencing a depressed mood most of the day, nearly every day. This emotional state may be intense and pervasive, lasting for weeks or even months.

Loss of Interest or Pleasure: Losing interest or pleasure in activities that were once enjoyable, including hobbies, social interactions, or relationships. A diminished ability to experience joy or engage in previously enjoyed activities is a significant symptom of Depression.

Changes in Appetite and Weight: Significant changes in appetite and weight, either an increase or decrease, unrelated to intentional dieting. This may lead to substantial weight gain or weight loss.

Sleep Disturbances: Insomnia or hypersomnia (excessive sleeping) are common in Depression. This can manifest as difficulty falling asleep, waking up too early, or sleeping excessively without feeling rested.

Fatigue and Low Energy: Feeling tired, lacking energy, and experiencing a general sense of fatigue, even after minimal exertion. Physical tasks may require more effort than usual.

Difficulty Concentrating and Indecisiveness: Problems with concentration, focus, and decision-making may arise. Individuals with Depression may experience reduced cognitive functioning, memory difficulties, and slowed thought processes.

Feelings of Worthlessness or Guilt: Persistent feelings of worthlessness, excessive guilt, self-blame, or feelings of inadequacy. Negative self-perception and self-criticism are common in Depression.

Recurrent Thoughts of Death or Suicide: Recurring thoughts of death, dying, or suicide, or engaging in suicidal ideation or behaviors. It's essential to take any mention or indication of self-harm seriously and seek immediate help.

Physical Symptoms: Depressive symptoms can also manifest physically, such as headaches, digestive issues, body aches, and general discomfort.

Not everyone will experience all of these symptoms, and the severity and duration of symptoms can vary.

Diagnosis of Depression requires a comprehensive evaluation by a healthcare professional. If you or someone you know is experiencing symptoms of Depression, it's crucial to seek professional help for proper assessment and appropriate treatment.

How do I know if I need a prescription for Depression?

Determining the need for a prescription for Depression is best done through a comprehensive evaluation with a healthcare professional.

If your depressive symptoms significantly impact your daily functioning, relationships, or overall well-being, it may indicate the need for prescription medication. Prescription medications for Depression can help manage and alleviate symptoms when other interventions, such as therapy or lifestyle changes, are not sufficient.

Factors such as the severity and duration of your symptoms, any co-existing medical conditions, your personal history, and your preferences will be considered to determine if a prescription medication is appropriate for your specific situation. It's important to have an open and honest conversation with a healthcare professional who can provide a proper diagnosis and develop a personalized treatment plan tailored to your needs.

Tips for coping with depressive thoughts and feelings:

Here are some tips that help deal with the symptoms of Depression:

Build a Support System: Surround yourself with supportive and understanding individuals who can offer emotional support. Share your feelings with trusted friends or family members who can provide a listening ear and offer encouragement.

Engage in Regular Physical Exercise: Engaging in regular physical activity has been shown to improve mood and reduce symptoms of Depression. Find activities that you enjoy, such as walking, jogging, dancing, or yoga, and incorporate them into your routine.

Establish a Routine: Establishing a daily routine can provide a sense of structure and purpose, which can be helpful in managing depressive symptoms. Set small, achievable goals for yourself and focus on completing them one step at a time.

Practice Self-Care: Prioritize self-care activities that promote your well-being. This can include activities such as taking a warm bath, practicing relaxation techniques, engaging in hobbies or creative outlets, or spending time in nature.

Challenge Negative Thoughts: Become aware of negative thoughts that contribute to your depressive feelings and actively challenge them. Replace negative thoughts with more realistic and positive ones. This cognitive reframing can help shift your perspective and reduce the impact of negative thinking patterns.

Practice Mindfulness and Meditation: Engaging in mindfulness techniques and meditation can help you cultivate present-moment awareness and reduce rumination on negative thoughts. Explore mindfulness practices such as deep breathing exercises, body scans, or guided meditations.

Take Care of Your Physical Health: Focus on maintaining a healthy lifestyle by getting enough sleep, eating a balanced diet, and avoiding excessive use of alcohol or drugs. Taking care of your physical health can have a positive impact on your mental well-being.

Remember that coping with depressive thoughts and feelings takes time and patience. It's important to be kind to yourself and seek professional help if needed. Everyone's journey is unique, so explore different strategies and find what works best for you.

Don't take our word for it.

We are trusted by over 50,000 patients every month. Here's what they have to say.

I rated you a 10 because firstly my experience was excellent, the provider was very professional and easy to talk to, and the medication she recommended seems to be working great!


My provider is really knowledgeable about her job and is very compassionate. My interactions with the other staff has been great too!


The providers have been exceptionally responsive and giving me great advice. I can get an appointment often within hours if I need something urgently.


Convenient, knowledgeable doctors, and the screen makes me more comfortable asking questions and sharing more personal information.


Very convenient. I didn’t have to wait on hold to make an appointment. Was able to meet in the comfort of my own home. Provider was very professional. Straight to the questions, but felt personal and tailored to my pace.


It's easy to get an appointment. It's nice to be able to not have to sit in an office waiting to be seen. My provider makes me feel like she actually remembers me and I'm not just another folder slapped on her desk. It's very nice. She also discusses treatment with me instead of just throwing pills at me and saying do this or do that. I feel involved and in charge of my own health.


Everyone has been absolutely wonderful to work with. Genuine, resolves my concerns and intelligent. Thank you!


Circle Medical has finally given me access to the kind of care that not only works best for me, but also cares about me.


Circle Medicine gave me access to care that if I had not been able to access through telemedicine I most likely would not have gotten it. Not to mention the ease of use, which is an absolute 10. Technology at its finest.


My provider really listens and understands my issues.


Absolute top of the line providers. Most caring, competent, empathetic, kind doctor I've ever had. She is so dedicated to her patients.


Circle Medical has been such a great platform to see a care provider! I have had such a great experience with the ease of using the platform as well as the providers. Thank you!


Excellent providers on staff. The patient coordinator team is fantastic as well. I def recommend. I am so happy with Circle Medical provider's services.


Everything works so smoothly! Right from home or work. You don’t have to worry about being late because of traffic.


This service is life-changing, it made getting the medication that I need so much easier and has over all improved my quality of life without hassle.


Just amazing! My provider is down to earth, very knowledgeable, and respectful of my own experience as a healthcare provider. Circle Medical’s ease of access to the service, and responsiveness are models in the industry.


I have been extremely happy with the entire staff, alwasy so willing to help me in any way from appointments to assistance with insurance. I have already recommended Circle Medical to my sister, who struggles with many of the same issues that I do.


My provider was excellent. She was very knowledgeable and listened to me, she made me feel like me & what I'm going through matters. Circle Medical has excellent providers. Plus the customer service/patient care reps are great. I chatted with 2 and they were able to assist me in a timely fashion. I already booked my next appointment. I'm so happy that I chose Circle Medical.


Circle Medical has made getting care for my mental health from a professional so convenient and stress free. As a busy mom and ER RN, I love anything I can do from home. My provider has been so great and helpful!


It was a very personal and safe experience that made me feel absolutely comfortable talking about my personal problems and helping me find a solution.


My provider is absolutely amazing. Very compassionate, listens, provides feedback, and takes her time. I feel very comfortable and confident with my care.


Friendly staff. Compassion for ailment, quick response and open schedules. Very knowledgeable team!


Very compassionate and professional service with great follow-up.


The process was easy and quick. I waited months for an appointment with an office and missed it. With Circle Medical I was seen and treated in a few days. Amazing.


The app was very easy to use. I didn't have any problems at all. I really like it. The provider I chose was very good and very thorough. Everything on the app work and was just easy to maneuver. Thanks for such a great experience!!


I knew I needed to get diagnosed but just too anxious to go out and seek a provider. The ease of online appointment has made me not cancel or miss appointments.


Because they get right to the main issues. Most doctors I have seen go through a trial and error diagnosis that goes on for a year or more.


My provider is so genuine and insightful and I truly get value from our sessions! It's extremely easy to set up, navigate and just hassle-free. No wait times, no sitting on hold with an office, no fighting traffic, and no hidden costs. I also like the responsiveness from the chat. Someone always responds and assists me with my questions like how to change pharmacies or reschedule my appointment.


They have been beyond helpful. All of the staff have been kind and considerate and always get back to me in a timely manner. They have helped so much. I would highly recommend them to anyone.


Easy access, no run around. Blown off by at least 3 different doctors before finding Circle and my diagnosis/treatment has immensely improved my life.


Circle Medical is a one stop shop for all my medical needs. No more waiting in a doctor's office for me!!


I like being able to talk face-to-face to a provider without having to take a whole day off of work to go to doctor's appointment, and I can get primary care and other services all in one place.


I’ve been through a few online doctors and psychiatrists and Circle has provided the most professional providers I’ve encountered. They truly care about their patients. The app is also easily navigated and has multiple options of care!


It is so difficult to access mental health care services right now especially for ADHD, I have received immediate and responsive care that has already improved my quality of life, thank you.


It's just been an easy process and this is the first time where I feel like my provider really wants to get to know me as a person and not just another appointment.


It was amazingly fast to get an appointment compared to the wait times in my area for a mental health professional. The provider I am seeing is very personable and I feel like she understands me and always gives me opportunities for questions. I have never felt judged. I have used the chat support and received a response much faster than most doctors offices.


It’s nice to have flexibility. The provider was very good and I felt like I was getting excellent care and didn’t need to stress out about taking time off work to get it.


The app is easy to use, appointment scheduling is convenient, there are lots of providers to choose from, and the providers are supportive, explain things well, and are non-judgemental.


My provider is great, very attentive and a great listener. This app makes my life so much easier and convenient when it comes to keeping up with my health.


My provider has been amazing, its quick, easy and you're not waiting months for appointments!


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