The following are a few of the things Alex has special training for in her practice:

- Depression
- Anxiety
- Mental Health
- Grief and loss
- Behavioral Health
- Relationship consulting
- Abuse
- Family Counseling
- Post Traumatic Stress Disorder (PTSD)
- Drug and alcohol abuse

Please schedule an appointment with Alex if there is anything you would like to discuss with her. She is an expert in her field, and always ready to listen and provide the upmost patient respect and privacy.
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What is Depression?
By Alex Shade, LCSW Health Consultant

Depression is a very common, medical illness that can affect anyone. Depression is a treatable illness.

Symptoms of depression include:

• Anger or irritability
• Sadness
• Sleeping too much or too little
• Lack of interest in activities you usually enjoy
• Guilt, feeling inadequate or worthless
• Feeling tired most of the time
• Difficulty concentrating
• Appetite changes
• Feeling “slowed down” or “speeded up”
• More aches and pains
• Thoughts of suicide or death

1. When the body is depressed a person sleeps poorly, eats differently, has less energy, struggles with concentration and has more aches and pains
2. When behavior is depressed a person does much less than usual. She/he talks less, produces less, and socializes less.
3. When the mind is depressed, thinking changes. A person depressed experiences more intense negative and painful thoughts about the past, present and future.

• Consider seeing a counselor
• Try to do some exercise each day
• Add relaxation time to your day
• Spend time with people who can support you
• Eat healthy foods
• Avoid or limit caffeine
• Schedule pleasant activities
• Take medications as prescribed
• Regular daily schedule

Please call the Waterfall CHC at (541) 756 - 6232 and schedule an appointment

Leslie Augustus, PMHNP


Alex Shade, LCSW Health Consultant