Depression is one of the most common mental-health conditions among adults in Nebraska, and one of the most treatable. At Midwest Mind & Body Healthcare in Papillion, we provide evidence-based treatment for major depressive disorder, persistent depressive disorder, seasonal affective disorder, postpartum depression, and depression that co-occurs with anxiety, hormonal change, ADHD, or chronic medical illness.
Our founder, Kim Wohlwend, MSN, APRN, is a dual ANCC board-certified Family Nurse Practitioner and Psychiatric-Mental Health Nurse Practitioner. Depression rarely exists in isolation: thyroid function, vitamin D and B12 levels, sleep, chronic pain, perimenopausal change, and medication interactions all affect how depression presents and how it responds to treatment. Looking at the whole picture, not just the psychiatric slice, is part of how we practice.
Every visit is designed around you. The first appointment is a full 60 minutes, long enough to understand what brought you in and build a plan you actually agree with. Follow-ups are focused and practical, with direct access to a clinician between visits through the patient portal.
Who We Help
Depression takes different shapes.
We treat the full range of depressive and related mood disorders in adults 18 and over. You do not need a formal diagnosis to book a visit. If your mood, energy, motivation, or ability to enjoy life has changed, that is reason enough.
Major Depressive Disorder (MDD)
Persistent low mood, loss of interest, changes in sleep and appetite, fatigue, concentration problems, and a sense of worthlessness or hopelessness lasting 2 weeks or more.
Persistent Depressive Disorder (Dysthymia)
A chronic, lower-grade form of depression lasting 2 years or longer. Often feels like "just how I am" rather than an episode, but treats as well as MDD when recognized.
Seasonal Affective Disorder
Recurrent depression tied to the change of seasons, most commonly fall and winter in the Nebraska climate. Responds to a combination of medication, light therapy, and behavioral strategies.
Postpartum Depression
Depression emerging in pregnancy or the year after childbirth, distinct from baby blues. Treated with pregnancy- and breastfeeding-aware medication choices and close follow-up. See our perinatal mood page.
Perimenopausal Depression
Mood changes that emerge or worsen during perimenopause, often alongside hot flashes, sleep disruption, or brain fog. Our dual psychiatric and family NP training lets us address both mood and hormones.
Bipolar I & II
Mood stabilizer and atypical antipsychotic management for bipolar I, bipolar II, and cyclothymic disorder. Careful screening at intake to distinguish bipolar depression from unipolar, because treatment differs.
Depression with Anxiety
The most common pattern we see. Many first-line antidepressants treat both. See our anxiety treatment page.
Treatment-Resistant Depression
Depression that has not responded to two or more adequate antidepressant trials. We review prior trials, consider augmentation strategies, and refer to advanced options (TMS, ketamine) when appropriate.
Our Approach
How depression treatment works here.
Comprehensive evaluation
60-minute first visit covering symptom history, medical and psychiatric history, current medications, sleep, substance use, and life context. Labs ordered when indicated to rule out medical contributors like thyroid disease or vitamin deficiencies.
Individualized plan
Treatment typically combines evidence-based antidepressant medication (when appropriate), CBT-informed strategies, and lifestyle changes that have the biggest impact on depression: sleep, movement, social connection, and sunlight exposure. For patients whose mood is tangled up with depression and weight management, we look at both together rather than treating them as separate problems.
Close follow-up
We follow up 2 to 4 weeks after starting medication, then at the cadence you and your clinician decide. Direct access to your clinician between visits through the secure patient portal.
Medication Options
Evidence-based antidepressant management.
Medication is one tool among several. When it is the right tool, we use it carefully: starting at an appropriate dose, adjusting deliberately, and monitoring both benefit and side effects. Expect to feel at least partial improvement in sleep and appetite within 2 to 4 weeks, and broader mood response by 6 to 8 weeks. We explain the reasoning in plain language and decide together.
First-line options we commonly prescribe:
- SSRIs. Sertraline (Zoloft), escitalopram (Lexapro), fluoxetine (Prozac), paroxetine (Paxil), citalopram (Celexa).
- SNRIs. Venlafaxine (Effexor XR), duloxetine (Cymbalta), desvenlafaxine (Pristiq), levomilnacipran (Fetzima). Useful when depression comes with chronic pain or fatigue.
- Atypicals. Bupropion (Wellbutrin) for patients who want to avoid sexual side effects or whose depression comes with low energy. Mirtazapine (Remeron) for depression with severe insomnia or appetite loss. Trazodone often used adjunctively for sleep.
When first-line options don't fully work:
- Switching. Changing to a different first-line agent often helps when one doesn't work.
- Augmentation. Adding a second agent (such as low-dose aripiprazole, quetiapine, or buspirone) to an existing antidepressant.
- Referral for advanced therapies. TMS (transcranial magnetic stimulation) and ketamine/esketamine referral when appropriate.
Bipolar-spectrum treatment:
- Mood stabilizers. Lithium, lamotrigine, valproate, carbamazepine.
- Atypical antipsychotics. Quetiapine, lurasidone, cariprazine, aripiprazole.
Medication is never the only conversation. We work with you on sleep, sunlight exposure, movement, and social connection, because those interventions have meaningful effect sizes in depression. For ongoing therapy, we collaborate with trusted therapy partners across the Omaha area.
Pricing & Insurance
Transparent pricing. Insurance accepted.
Insurance
- Aetna
- Blue Cross Blue Shield
- UnitedHealthcare (including UMR)
- Midlands Choice
- Nebraska Total Care (Medicaid)
Self-Pay
- Clear, flat pricing. No subscription.
- Good-faith estimate provided on request.
- Currently out of network with Medicare, Cigna, and Tricare.
Plan coverage, copay, and deductible vary by patient. We recommend verifying your mental-health benefits before your first visit.
Depression care for the Omaha metro.
We see adults in person at our Papillion, Nebraska office and by secure telehealth anywhere in Nebraska. Mental-health services are licensed in Nebraska only.
Also serving specific cities: Depression Treatment in Omaha · Mental Health Care in Bellevue
FAQ
Common questions about depression treatment.
Do you accept insurance for depression treatment?
Yes. We are in-network with Aetna, Blue Cross Blue Shield, UnitedHealthcare (including UMR), Midlands Choice, and Nebraska Total Care (Medicaid). Self-pay is $300 for the initial visit and $150 for follow-ups. Currently out of network with Medicare, Cigna, and Tricare.
How quickly can I be seen?
Most new patients are scheduled within 1 to 2 weeks. Appointments are offered in person in Papillion or by secure telehealth anywhere in Nebraska.
What antidepressants do you prescribe?
We commonly prescribe SSRIs, SNRIs, and atypicals (bupropion, mirtazapine, trazodone) as first-line options. When first-line options do not fully work, we consider switching, augmentation, or referral for advanced therapies like TMS or ketamine.
How long before depression medication works?
Most antidepressants take 2 to 4 weeks to begin working and 6 to 8 weeks for full effect. Sleep and appetite often improve first, then mood and motivation. We follow up closely during this period.
Can I get depression treatment by telehealth in Nebraska?
Yes. Depression treatment is available by secure telehealth for patients physically located in Nebraska. In-person visits are available at our Papillion office.
Do you treat bipolar disorder?
Yes. We manage bipolar I, bipolar II, and cyclothymic disorder with mood stabilizers and atypical antipsychotics. We also carefully screen depression patients for bipolar features, because treatment differs.
What if I have depression plus anxiety?
Very common. Most people with depression have anxiety too. Many first-line antidepressants treat both. See our anxiety treatment page.
Do you offer therapy as well as medication?
We provide medication management and CBT-informed supportive strategies during visits. For ongoing psychotherapy, we refer to trusted therapy partners in our care network.
Is depression treatment covered by Medicaid?
Yes, for Nebraska Total Care beneficiaries. We are in-network for mental-health services, and there is no cancellation or no-show fee for Medicaid patients.
You don't have to feel this way.
Evidence-based depression treatment from a dual ANCC board-certified nurse practitioner. Insurance accepted. Most new patients seen within 1 to 2 weeks in Papillion or by Nebraska telehealth.
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