If you've been diagnosed withclinical depression, you may be relieved to learn what's been causing your symptoms and that there are many medications and othertreatments availablefor them. At the same time, you may be worried you won't be able to afford the drugs or therapy that can help you. Sometimesinsurance plansaren't very generous about treating mental conditions, and if you don't have insurance at all, then paying out of pocket for a medication like Prozac, or even its generic form (fluoxetine), may be a reach for you.
There are ways to get around these challenges, though, by working with your doctor or pharmacist, and by being open to avenues of depression treatment other than antidepressants.
Depression Discussion Guide
Get our printable guide to help you ask the right questions at your next doctor's appointment.
Split Pills
It's sometimes less expensive to buy a medication in a higher dose than the one you've been prescribed. If that drug comes in a form that can physically be split in half, it may be worth it to ask your doctor if this is an option for you. For example, if he wants you to take 20 milligrams (mg) of Prozac each day and 40-mg versions of this drug are cheaper, he could write a prescription for the larger dose pill. You can then split each of those in half.
Find Meds for Free
Pharmaceutical companies often give doctors samples of drugs. Ask your doctor if he has any samples of your medication. Even a few freebies once in a while can lower the overall cost of your treatment. You also may be eligible for free medications through organizations and other programs designed to help people struggling to afford health care, such asNeedy Meds, a nonprofit "providing information on healthcare programs, offering direct assistance, and facilitating programs" andThe Medicine Program(TMP), which offers free services such as a prescription plan and health insurance subsidized by running Google ads on its site.
Explore Alternatives
Herbal remedies and nutraceuticals for treating depression are inexpensive and you don't need a prescription to get them. Here are a few of the most common ones for depression and also for other problems that often go along with depression. But before you run out and stock up on any of these, talk to your doctor. Just because something is labeled "natural" doesn't mean it can't have serious side effects.
- Evening primrose oil (for premenstrual syndrome, or PMS, and premenstrual dysphoric disorder, or PMDD)
- 5-Hydroxytryptophan (5-HTP), an amino acid that is believed to convert tryptophan into both serotonin, a neurotransmitter, and the sleep hormone melatonin (for depression)
- s -腺苷蛋氨酸(抑郁)
- Vitamins and minerals(for depression)
- Kava Kava(for anxiety)
- Valerian (for anxiety and sleep)
- Melatonin (for sleep)
Try Therapy
Psychotherapy can be effective—and expensive, but some providers have sliding-scale fees. Based on your income, the provider will reduce his or her fees. Or you may be able to negotiate a payment plan with a therapist or a lower rate according to what your insurance plan pays. Find out what your town has to offer by way of counseling as well. Many have community mental health centers (CMHCs) that offer a range of treatment and counseling services, usually at a reduced rate for low-income people. CMHCs generally require you to have private insurance or to getting some form of public assistance. TheNational Council for Community Behavioral Health Careis a great source for this type of help.
Consider a Clergyman
If you belong to a church or synagogue, a staff member there may be able to put you in touch with a pastoral counseling program. Certified pastoral counselors, who are ministers in a recognized religious body, have advanced degrees in pastoral counseling, as well as professional counseling experience. Pastoral counseling is often provided on a sliding-scale fee. You can learn more from theAmerican Association of Pastoral Counselorswebsite.
Seek Support
Self-help and support groups allow people to talk about and work together on common problems such asalcoholism,substance abuse, depression, family issues, and relationships. Usually, self-help groups are free. Sources for finding a group near you include theNational Mental Health Self-Help Clearinghouse.
Go Public
You may be eligible for public assistance to pay for your mental health care through such programs asSocial Security, Medicare, and Medicaid.
Clinical Trials
Many research programs for new medications will provide free treatment for participants. One downside is the risk of getting aplaceboor an unproven treatment, so make sure your doctor is on board if you're interested in being part of a clinical trial.
If you or a loved one are struggling with depression, contact theSubstance Abuse and Mental Health Services Administration (SAMHSA) National Helplineat1-800-662-4357for information on support and treatment facilities in your area.
For more mental health resources, see ourNational Helpline Database.