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Although there is no proven cure for ADHD, you can still treat it to a manageable extent. This is a point where the individual with ADHD will be able to lead a normal life. Like every other disorder, ADHD does not spell doom. With the proper treatment, an individual with ADHD can still fulfill his potentials. The “proper treatment” in this case involves necessary medications, counseling and enforcement of certain behaviors. Like every other debatable case, there are side in this case too. Some people are of the opinion that ADHD medications are more effective while others believe that counseling or other non-drug therapies are more effective. Before we continue, we will look at both cases.


Types of ADHD Treatment

What is medication based ADHD treatment?

This form of treatment involves the use of drugs for the treatment of ADHD. It is important to note that there are two basic types of ADHD drugs. They include stimulants and non-stimulants. There is usually a third type of drug. This drug is not a major drug for the treatment of ADHD but a support drug that can work with either stimulants or non-stimulants. They are similar to taking analgesics alongside malaria drugs.

Types of ADHD medications

  • Stimulants: The major type of ADD medication most people know about are stimulants. This is the medication most doctors prescribe for 70-80% of children living with ADD. This type of ADD medication increases dopamine and norepinephrine levels between the brain’s synapses. They take effect within hours as they work as soon as they cross the blood-brain barrier. This causes hyperactivity and impulsivity to slow down or reduces.
  • Non-stimulants: If we are to be logical (which we are), this would be the exact opposite of stimulant ADD medications. This type of medication is an alternative remaining 20-30% of individuals that stimulants do not work on. Unlike stimulants, it often takes days for the full benefits of non-stimulants to set in.
  • Antidepressants: This is not a type of ADD drug. It is usually a “side drug” most doctors recommend for ADD patients. This is because most ADD patients tend to have anxiety, depression, bipolar disorder or other mental health issues. The idea of antidepressants is to help the other drugs work properly. Doctors usually prescribe them with stimulants.

What is counseling based ADHD treatment?

Counseling based treatment involves the use of talking or behavior therapy for the treatment of ADHD. This type of treatment does not involve the use of drugs or any form of medication. Types of counseling based treatments include the ones below.

  • Psychotherapy: this involves getting a child to open up about their feelings to a therapist. They get to talk about their relationship with their peers, individuals of authorities and other individuals they regularly encounter in their day-to-day lives.
  • Behavior therapy: this involves the process of teaching the child to monitor their behaviors. It also involves how to make necessary changes to those behaviors. This involves rewarding positive behaviors.
  • Support groups: your child can also be part of support groups. Children with ADHD get to interact with other individuals who share their condition. There is this relief and motivation that comes with knowing that you are not alone.
  • Parental and social skills training: parents and other individuals can also teach the child necessary skills like waiting their turn, learning to communicate properly and tolerating others.


Attention Deficit Hyperactivity Disorder Facts
ADHD Facts


The only way you can be certain that your approach is working is when you observe changes in behavior. No particular approach is superior to the other. Research shows that treatment is actually specific to individuals. The only form of treatment that can be more effective is the combination of medication and counseling. It is important to teach your child even while they are on medication. The medicine can make corrections but it cannot teach your child how to behave. This implies that the debate between medication and counseling for treating ADHD will continue.

If you have ADD or ADHD, do not look any further than Mango Clinic for your help. Visit our website and set-up an appointment today.


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This is a complete guide that will inform you about the sure short methods, you can apply to recover from depression. This mental health problem should not be taken lightly as its prevalence is increasing day by day all over the world and especially in America.

So, let’s jump into the core of the action.

Chapter # 1. Alarming Sign And Symptoms

Chapter # 2. Professional Consultation

Chapter # 3. Antidepressant Medications

Chapter # 4. Emotional Support Animal (ESA)

Chapter # 5. Psychotherapy

Chapter # 6. Risk Reduction

Chapter # 7. Alternative Treatment Methods

 Chapter 1: Important Signs And Symptoms Of Depression You Need To Know

Before talking about the signs and symptoms, it is important for you to know what depression is and why this horrible mental health disease latches onto someone.

What is depression?

Major depressive disorder or more commonly known as depression basically changes your behavior for the worst. You start thinking and acting in a negative way which is detrimental to both, yourself and society.

What causes this change in your behavior?

There is a host of different causes of depression, but these are the most common ones you should look out for:

1) Certain drugs For example, isotretinoin(used to treat acne), corticosteroids, and the antiviral drug interferon-alpha can increase the risk of depression.

2) Death of a loved one Although natural, death, or loss of a loved one can increase the risk of depression.

3) Trauma or abuse Past physical, sexual, or emotional trauma or injury can increase the susceptibility to depression in future life.

4) Genetics A positive family history of depression may increase the risk of this disease.

5) Major illnesses Suffering from primary or chronic diseases increases the chance of developing depression.

6) Addiction People who are addicted to certain substances are at a higher risk of suffering from depression.

7) Hormonal abnormalities Abnormal values of thyroid hormone may also lead to depression.

8) Sleep deprivation People with lackluster sleep are at an increased risk of depression.

What are the different types of depression?

The major types of depression that can affect you are:

1) Major depressive disorder (MDD)It is the most common type of depression that affects people that’s why it is also called the ‘classic type’. Many of the symptoms of depression are present in a patient with major depression.

2) Persistent depressive disorder (Dysthymia)In this type of depression, a patient suffers from low mood and decreased energy for major periods of time for more than 2 years while other symptoms of depression are usually absent.

3) Bipolar disorderIn this disorder, symptoms of mania and depression coexist in a patient. Patients usually suffer from high and low moods even during the same day.

4) Seasonal affective disorder (SAD)This type of depression is related to the winter as the days get shorter. This mood change may result from alterations in the natural daily rhythm of the body. The change in the function of the chemicals like serotonin or melatonin may also cause this disorder.

5) Postpartum depression (PDD) This type of depression occurs in pregnant women. Pregnancy brings a lot of hormonal shifts in women which may result in drastic mood changes. The onset of depression can occur during pregnancy or immediately after childbirth.

6) Premenstrual dysphoric disorder (PMDD)This depression is a more serious version of premenstrual syndrome (PMS). Its symptoms usually start after the ovulation period and end when the menstruation starts. 

Signs of depression
Symptoms of Depression

Hidden signs and symptoms of depression you need to look out for:

1) Loss of desire to perform your choresIf suddenly, you do not want to get out of your bed and complete your routine tasks then it is a bad omen in regards to your mental health.

2) Constant feeling of hopelessnessWhen there is a will there’s a way and if you, unfortunately, succumb to this disease you will slowly lose all hope of better things and days.

3) Loss of appetite or overeatingEating habits often fall on the edge of the spectrum in depression following all or none rules.

4) Lack of sleep or oversleeping Again you might become sleepless or start sleeping too much because of depression.

5) Lethargic or fatigued feelingIt will drain the energy reservoirs of your body leaving you with the feeling of tiredness 24/7.

6) IrritabilityWhen even the tiniest things start bothering you and you are not able to take your minds off them then my friend you might have a problem that can become a serious issue.

7) RestlessnessIt changes your brain activity in such a way that rest might become a dream for you.

8) Feeling of guiltThis disease will make you a very harsh critic of yourself and this criticism will lead to self-loathing.

9) Indecisiveness in decision makingYour decision-making power may vanish implicating serious consequences on your life choices following depression.

10) Concentration and memory issuesThe impact of depression can be fatal in your academic and professional career as it negatively affects concentration and memory.

11) Increase in intensity of physical painsYou may experience unexplained ache and pain due to this mental illness.

12) Suicidal thoughtsLastly, all the above-mentioned signs and symptoms may drive a person in such a state of mind where even taking his/her own life may become a possibility.

However, one or more of these signs and symptoms does not mean that a person has depression. Therefore, it is imperative for you to read the next chapter.

Chapter 2: Seek Professional Consultation Before It’s Too Late

In this chapter, I will go through the fundamental reasons for you to seek professional help if you start noticing the signs and symptoms mentioned in section one.

Signs and symptoms of depression are relatable to other medical health conditions:

One of the difficulties in the diagnosis of depression is that it shares common signs and symptoms with other medical health conditions. Hence, if you start experiencing signs and symptoms mentioned in chapter one, you need to see a medical doctor for proper clinical evaluation and ruling out of other health issues.

Some of the common medical conditions that can be misdiagnosed as depression are:

1) ADHD (Attention Deficit Hyperactivity Disorder)

2) Bipolar Disorder

3) Anxiety

4) PTSD (Post-Traumatic Stress Disorder)

5) Hypothyroidism

6) Diabetes

7) Chronic Fatigue Syndrome


 How is depression diagnosed?

One of the problems with depression is the difficulty in its diagnosis. Unfortunately, there is no specific test available which can guarantee you a 100% accurate diagnosis of depression. Therefore, you need to seek professional help if you start observing the above-mentioned signs and symptoms.

Here is the step-by-step procedure by which doctors conclude the diagnosis of depression in a patient:

Step # 1 – Listening to your signs and symptoms

Step # 2 Using the standard questionnaire for the diagnosis of depression

Step # 3 Performing a physical examination to determine your overall state of health

Step # 4 Ordering routine blood samples to rule out any underlying pathological causes

Step # 5 Differentiating between depression and other forms of mental illnesses

Step # 6 Reaching a definite diagnosis based on your signs and symptoms

What can you do to help the doctor in the diagnosis of depression?

As already discussed, the diagnosis of depression can be a tricky scenario for a doctor. However, there are certain things that you can do to aid the clinician in reaching the diagnosis:

1) Be thorough while discussing your signs and symptoms with your doctor

2) Don’t hide any information that might be helpful in your diagnosis

3) Discuss any health-related issue that might be damaging your health

4) Elaborate on the possible trigger factors affecting your mental health

5) Answer the doctor’s questions appropriately

These steps could go a long way in reaching the correct diagnosis of your problem.

Treating you depression
Treatment of Depression

What would happen if your depression is left untreated?

The possible consequences of untreated depression are dire, and you should immediately consult your doctor in case of alarming signs and symptoms of depression.

Some of the most common outcomes of untreated depression are:

1) Lack of sleep (Insomnia)

One of the telling effects of undiagnosed and untreated depression is on your sleeping patterns. The most common result is believed to be insomnia (Lack of sufficient sleep). You may experience the following symptoms because of this problem:

1) Fatigue and lethargy in the morning

2) Trouble initiating sleep in the night

3) Waking up in the middle of the night

4) Trouble going back to sleep after waking up in the middle of the night

5) Unsatisfactory sleep that never seems adequate

Long term insomnia can be a massive problem in its rights. Hence, you must see a doctor as soon as possible.

2) Alcohol and drug abuse

The chances of people turning to alcohol and drug abuse are more in people with untreated depression. Following signs and symptoms may appear in people:

1) A feeling of melancholy

2) Relationship problems

3) Tremors

4) Memory loss

5) Reluctance to talk about your problems

It can disrupt your personal and social life in a very negative way. Therefore, it is necessary to diagnose and treat depression as quickly as possible.

3) Financial impact

A depressed person is more likely to lose his job because of a lack of focus and loss of productivity. So, it is of extreme importance to diagnose and treat depression promptly to save a person from having financial implications due to the inability to focus on his/her work.

4) Social life disturbances

All the social relationships of a depressed person are at stake due to his/her poor mental health. In this situation, it is vital for the family members as well as the friends of the depressed person to understand the severity of the condition and persuade the patient to get medical help.

5) Higher risk of suicide

The most dreaded complication of the untreated depression in a person is the higher risk of suicide. Therefore, depression should be treated as a medical emergency to avoid such undesirable consequences. 

That brings us to the end of the 2nd chapter. I will start discussing treatment options from the 3rd chapter. Keep reading!


 Chapter # 3: The Age-Old Formula (The Antidepressant Medications To Treat Your Depression)

I will be covering the essential aspects of antidepressants in this chapter so that it becomes easier for you to understand the types, mechanisms, and possible side effects of antidepressants. It will help you in selecting the best line of management for you.

A brief history of antidepressants

Antidepressants were discovered as a result of coincidence by researchers in the 1950s. Scientists were experimenting on a drug, in Switzerland, for the treatment of schizophrenia when they found out its effects on the brain’s neurotransmitters. This new drug changed the balance of these chemicals in mind to uplift the mood of a person. This was the beginning of the medications that we now know as antidepressants.

Different types of antidepressants available today

Some of the most commonly used antidepressants are:

1) SSRIs (Selective Serotonin Reuptake Inhibitors)

2) SNRIs (Serotonin and Noradrenaline Reuptake Inhibitors)

3) NDRIs (Norepinephrine and Dopamine Reuptake Inhibitors)

4) Tetracyclic antidepressants

5) SARIs (Serotonin Antagonist and Reuptake Inhibitors)

6) TCAs (Tricyclic Antidepressants)

7) MAOIs (Monoamine Oxidase Inhibitors)

8) Nutraceuticals or Medical Food


Commonly prescribed effective antidepressants
Most effective antidepressants

Now let’s briefly overview the properties of each type of antidepressant.

Reuptake Inhibitors (SSRIs, SNRIs, and NDRIs)

Mechanism of action – These drugs cause inhibition of the reuptake of neurotransmitters (Serotonin, adrenaline, norepinephrine) in the brain. It allows these happy chemicals (Because they are linked to happiness in a person) to persist in the mind for a longer duration of time. Eventually, it leads to the elevation of the mood in a person.

Major drugs The primary medicines of this group are:

  • SSRIs (citalopram, escitalopram, fluvoxamine, paroxetine, sertraline, olanzapine)
  • SNRIs (duloxetine, venlafaxine, desvenlafaxine, levomilnacipran)
  • NDRIs (bupropion)

These are the newly developed antidepressants that are now most commonly used these days. They are the first line of management in depressed patients. They have fewer side effects as compared to the older antidepressants.

Side Effects Common side effects that you might experience with these medications are:

1) Nausea, vomiting or diarrhea

2) Dry mouth

3) Insomnia

4) Drowsiness

5) Agitation

6) Nervousness

7) Weight increase or decrease

8) Sexual problems


 Tetracyclic and Tricyclic Antidepressants

Mechanism of action Their mechanism of action is similar to the reuptake inhibitors. They also stop the reuptake of neurotransmitters in the brain cells. This uplifts the mood of a person.

Major drugs The major medications of this group are:

  • Tricyclic antidepressants (amitriptyline, desipramine, imipramine, nortriptyline)
  • Tetracyclic antidepressants (maprotiline, mirtazapine)

These drugs are not commonly used now due to their adverse effects. They are employed if the newer drugs do not work in a patient.

Side Effects Common effects of these medications you may experience are:

1) Constipation

2) Blurred vision

3) Weight gain or loss

4) Dry mouth

5) Blood Pressure abnormalities

6) Rashes

7) Hives

8) Increased heart rate


 MAOIs (Monoamine oxidase inhibitors)

Mechanism of action They act by inhibiting the monoamine oxidase enzyme. This enzyme is responsible for the breakdown of monoamine neurotransmitters. In this way, the duration of monoamine neurotransmitters in the brain is raised. It enhances the mood of a person.

Major drugs The major medications of this category are:

  • MAOIs (selegiline, isocarboxazid, phenelzine, tranylcypromine)

The downside of these medications is that they also lower the body’s ability to metabolize other drugs. Thus, the risk of drug-drug interactions increases with the use of these antidepressants.

Side effects You may experience the following side effects:

1) Abdominal pain

2) Weight gain

3) Anxiety

4) Headache

5) Fatigue

6) Abnormal body movements

7) Erectile dysfunction

8) Sudden changes in blood pressure


Nutraceuticals or Medical Food

The drug included in this class is I-methyl folate. It consists of essential B vitamins (B9). Depression is linked to low levels of folate in the body. This decreased sources of folate in humans results in lower production of neurotransmitters as folate is an essential component in the synthesis of neurotransmitters. This drug increases the production of folate in the body. Subsequently, neurotransmitters production is also increased, which relieves the symptoms of depression.

How will doctors determine the right antidepressant for you?

The following considerations will be kept in mind while deciding the best possible antidepressant for you.

Your specific symptoms

Symptoms of depression vary from person to person. Similarly, some antidepressants are more potent against a particular set of symptoms. For example, if you are feeling more lethargic because of your depression, your doctor will choose an antidepressant for you, which is more directed towards your fatigue and lethargy.

A beneficial family history with a particular drug

If someone in your family had a positive impact on the symptoms of depression with a specific drug, it is more likely that your doctor will prescribe you the same class of medication. Besides, if a particular drug worked for you in the past, it may be productive again in controlling your symptoms.

Ability to tolerate the possible side effect

You may experience side effects of antidepressants to a different severity from another person. A particular drug may be tolerable in one person; however, it may cause severe discomfort in another person. Therefore, it also depends on your ability to tolerate medication in the selection process of the best suitable drug for you.

Possible interaction with other medications

Antidepressants can react with other medications in an unsafe way. Therefore, you need to tell your doctor about your complete medication history. Your doctor will prescribe you the antidepressant medication based on your drug history.

Pregnancy or breast-feeding

Certain antidepressants are known to cause congenital disabilities in children whose mothers take antidepressants during pregnancy. Therefore, it is crucial to know the safe drugs in pregnancy. This leads to avoidance of health risks in the mother as well as the baby.

Related health problems

Some physical and mental health conditions may be exaggerated by the use of antidepressants. So, you need to discuss your health problems with your doctor.

Your financial condition

Some antidepressants are very costly. Hence, your financial status and insurance come into play in the decision of the selection suitable and cost-effective antidepressant for you.

What can you do to make antidepressants work for you?

There are several strategies that you can follow to get the best out of antidepressants.

Wait for the desired results

Antidepressants typically take 6 or more weeks to be fully active. So, be patient after commencing on a particular antidepressant.

Adjust dosage on doctor’s advice

Some antidepressants can be taken in full dose from the start, while others require a gradual increase in their dosage. Therefore, work closely in regards to the dose of your medication with your doctor.

Take the correct dosage of your medication timely

It is never a good idea to skip a dose of your medication or completely stop taking your medication without consultation with your doctor. Even if you are experiencing symptoms due to a specific medication, you should call your doctor about the possibility of stopping it. Therefore, the continuation of your medicines at a proper dosage is essential.

Monitor if your side effects wear off

The initial side effects of antidepressants usually take some time to wear off. If you are still experiencing side effects even after a couple of weeks, it is better to inform your doctor.

Change medication if required

If your symptoms are not improving even after a couple of weeks with a particular antidepressant, inform your doctor. And discuss the possibility of a change in medication.

With that, this chapter is closed now. It is now time to tell you an imaginative and highly effective treatment option in the next section. Stay tuned!


 Chapter 4: Defeat Your Depression With The Help Of Emotional Support Animals (ESAs)

In this chapter, you will know about the emotional support animals (ESAs). You will be getting detailed information on how these animals can help with your mental illnesses.

What are emotional support animals (ESAs)?

Emotional support animal (ESA) is a term used for pets that provide their owners with emotional support and mental relief consistently. They differ from service dogs as they do not require any specific training. They can accompany you in your homes, at work, and even on planes if the situation requires so. 

Overcome depression with the help of ESA
ESA and Depression

How can you acquire an emotional support animal?

It is a natural process, and you can even get your emotional support animal letter online from a legal source. This brings the question:

        What is an emotional support animal (ESA) letter?

An emotional support animal letter or ESA letter is a piece of document that acknowledges the fact that you are suffering from a mental health problem and outlines that you want therapeutic benefits from your ESA. In other words, this letter enables you to own an ESA for the betterment of your health.

        Who can issue you an ESA letter?

ESA letters are issued by psychiatrists, qualified mental health professionals, or physicians.

        Can you obtain an ESA letter online?

Yes, you can get an ESA letter online. A significant number of clinics and sites provide online service to receive an ESA letter. However, be aware that many scams are also present on the internet. They do not fulfill the requirement to issue you an authentic ESA letter. Therefore, you should opt for an online service only after thorough research.

          Are ESAs similar to pets?

ESAs are different from pets in the sense that they are adopted explicitly for the improvement of your health, whereas pets are mostly selected for adventure and thrill. Additionally, ESAs are protected by different laws as compared to pets. For example, you may not be able to travel by air with your pet. But, you are legally allowed to accompany your ESA on the flight.

How does ESA help to relieve the symptoms of your depression?

ESAs increase the production of certain happy hormones and neurotransmitters, which improves your mental health. A brief description of these hormones and their function is given below:

     1.Love hormone (Oxytocin)

Oxytocin, also known as the love hormone, is synthesized in the hypothalamus. The pituitary gland releases it in the brain. Its benefits include:

1)  It reduces your stress Oxytocin benefits mental health by acting as a natural stress reliever. It does so by counteracting the stress hormone(cortisol) levels in the brain.

2) It improves your social skills Scientists have found by experimenting on prairie voles(small mouse-like mammals)that more oxytocin receptors in your brain upgrade your social behavior, which is the ultimate cure for mental illnesses.

3) It enhances your sleep Oxytocin promotes sleep in humans by encouraging standard sleeping patterns and, thereby, reducing sleep disturbances.

4) It promotes your sexual arousal By increasing the feeling of bonding, Oxytocin leads to better sexual receptiveness and intimacy, which improves sexual health.

   2.The happy chemical (Serotonin)

Serotonin, also known as the happy chemical, works as a chemical messenger in the brain. Its mental health benefits are summarized as:

1) It makes you happySerotonin has a starring role in controlling your mood. Normal levels of this hormone are necessary to remain comfortable and calm.

2) It treats your depression Many drugs used for the treatment of depression work to increase or maintain the level of Serotonin in the brain. So, it can be an alternative medication for depression.

   3.Feel-Good neurotransmitter (Dopamine)

Dopamine also called as a feel-good neurotransmitter, mentally helps people in the following ways:

1) It gives you pleasureDopamine is released during pleasurable situations and helps you in achieving joy by motivating you to seek out enjoyable activities.

2) It rewards youDopamine plays a vital role in the reward system of the brain. Higher levels of this hormone create a feeling of reward and achievement in you.

The combined effort of these happy hormones and neurotransmitters with the help of an ESA keeps the symptoms of depression at bay.


What steps should you follow to defeat your depression with the help of an ESA?

Here is the step by step process that you should follow to accelerate your recovery with the help of an ESA:

Step # 1 – Assess your symptoms Analyze the number, type, and severity of the symptoms you are experiencing.

Step # 2 – Consult your doctor If you are experiencing some symptoms, it’s better to discuss it with your doctor to confirm the diagnosis.

Step # 3 – Ask your doctor about the positive impact of pets in depression Learn more about the significant effects of an ESA in depression.

Step # 4 – Receive an ESA letter from your doctor or acquire it online from a legalized channel It is totally up to you on how you want to get an ESA letter.

Step # 5 – Choose a pet of your liking and bring it homeYour ESA can depend upon your taste. It can be a cat or dog or any other exotic animal you may desire.

Step # 6 – Enjoy your pet’s comforting companyDecrease your stress levels by sharing a space and enjoying the excellent company of your friendly pet.

Step # 7 – Share your personal and deepest secrets with your pet Don’t worry about the consequences of the full disclosure of your problems, your ESA will never judge you.

Step # 8 – Enjoy the unconditional love of your petThis unconditional love can go a long way in your treatment of depression

Step # 9 – Cuddle your ESA as much as possible The healing power of touch can never be ignored, so cuddle your pet whenever possible.

Step # 10 – Experience the surge in your happy hormone(Serotonin) levels Your happy hormone level will increase tremendously, making you happy and calm.

Step # 11 – Live a depression free life with the help of your ESA Normal values of the happy hormone in your brain will make depression a thing of the past, and you can live with your pet happily ever after.

It’s the end of the chapter. Let’s look into another widely used treatment option for depression in the next section.


Chapter 5: Talk Your Depression Away With Psychotherapy

In this chapter, you will know the necessary information about psychotherapy and the different types of psychotherapies used to treat depression so that you can choose accordingly.

What is psychotherapy?

Psychotherapy is the form of treatment in which a person with depression works with a trained and licensed health care professional or psychologist to identify and possibly negate the factors causing his/her symptoms. In simple words, your depression is treated by repeated talking sessions.

What are the different types of psychotherapy?

There are many different effective therapies available to treat your depression. The most appropriate therapy session for you depends on the severity of your symptoms, your personal choice, and the set of goals you want to achieve through this therapy.

Let’s briefly discuss the type of therapies available to cure your depression.

Behavioral Therapy

Behavioral therapy is concerned with changing the behaviors connected to human emotions. In depression, behavioral therapy is focused on engaging patients in the positive activities that will eventually lead to their well being.

Cognitive Therapy

 Cognitive therapy works around the principle of changing the negative thoughts of a person into positive ones. For this purpose, typical goal-oriented small sessions are arranged for depressed patients. This therapy usually lasts about 6 to 18 weeks.

Cognitive-Behavioral Therapy

Most often, cognitive and behavioral therapy are combined effectively to treat depression. This therapy is focused on altering your negative thought process as well as converting your behaviors that contribute to your symptoms through healthy activities. This is one of the best forms of psychotherapy, and its effects are long-lasting.

Dialectical Behavior Therapy

It is also a form of cognitive-behavioral therapy. It is directed to educate people about stress management, control their negative emotions, and how to improve their relationships with other people.

Psychoanalytic therapy

The purpose of this therapy is to bring out your deep-rooted and unconscious emotions and memories to the surface that might be causing your depressive symptoms. This is usually less focused and long term psychotherapy for patients.

Interpersonal therapy

The focus of this therapy is on social and interpersonal communications. These relationships play a significant role in the standard mental health of a person. This is usually a short term therapy with the involvement of role-playing in therapy sessions.

Psychotherapy for depression
When to consider psychotherapy for depression?

How many individuals can take part in a psychotherapy session simultaneously?

It depends on the person’s choice and requirement. Generally, there are four formats of psychotherapy sessions.

1) Individual therapy This session consists of only the patient and the therapist. Complete privacy is provided to the patient during these sessions.

2) Couples therapy This type of treatment helps couples to understand why their partners are suffering from depression and what can be done to alleviate this mental health condition.

3) Family therapy It involves the whole family of the patient. This type of treatment is particularly helpful for children and teenagers.

4) Group therapy A joint session of the patients may be the best-suited option in some cases. In this way, patients can learn from each other’s experiences and help one another towards the same goal of getting rid of depression. 

How does psychotherapy help with your depression?

It will improve your mental health in the following ways:

1) By modifying your negative thoughts and behavior into a positive attitude

2) By understanding the root of your problem, it comes up with solutions to tackle your particular issue

3) By bringing the sense of control back to you

4) By reigniting the lost sense of enjoyment in you

5) By teaching you healthy coping mechanisms and problem-solving techniques

How can you get maximum out of psychotherapy?

Here are a few tips to follow to achieve optimum mental health benefits from therapy sessions:

1) Keep an open mind about therapist analysis and suggestions

2) Implement and follow the therapist advice in your daily life as much as you can

3) Regularly attend therapy sessions 

4) Involve your family and friends in your therapy sessions

5) Don’t hesitate to talk about the troublesome things in your past during the therapy sessions

6) Be patient as therapy sessions will take time to show beneficial results

7) Keep a journal of your progress and update it after each session

8) Don’t quit in the middle of your treatment therapy sessions and complete your therapy

9) Choose the type of psychotherapy according to your need and symptoms

Now you know the different treatment options for your depression. In the next chapter, it’s time to tell you how you can reduce the risk of depression.


Chapter 6: Steps You Need To Take To Reduce The Risk Of Depression

In this chapter, you will know the basic strategies that you can implement in your daily life to reduce the risk of depression. These measures will not only help you to avoid depression but also you can prevent the recurrence of this mental health problem.

Identify your risk factors

The dynamic of each individual’s life is different from one another. Therefore, you must understand the risk factors that might put you on the brink of depression. Some of the most important risk factors you should keep an eye on are:

1) Family History – If you have depression running in your family, then you are at a higher risk of also suffering from this mental health disease.

2) Look out for psychological factors – These include your personality traits. For example, if your personality is built around perfectionism or low self-esteem, then your chances of a mental health problem are higher.

3) Lack of social support – Community support plays a significant role in the mental health condition of a person. Inadequate social support is an essential factor in the disruption of the standard mental health of a person.

4) Hormonal changes – Women undergoing hormonal changes are at increased risk of developing depression.

5) Previous history of depression – If you previously have had this problem, then you must take extra preventive measures to avoid it in the future.

6) Chronic illness – If you are suffering from a chronic painful disease, then your chances of going into depression are increased.

7) Drastic changes in life – Sudden significant changes in life may put you at risk of depression.


Necessary risk-reducing measures you need to take

The critical ways in which you can avoid stress are:

Don’t overwork yourself

Although it is encouraged to stay busy and active; however, working for long hours without necessary breaks amplifies your stress levels to an extreme point. Therefore, you should try to limit your work hours and indulge in fun activities to get away from all the tensions of your job.

Think wisely before making big decisions 

Major decisions related to your relationships, job, or career can have a significant effect on your mental health. So, it is vital to take a step back and think wisely before making any such drastic commitment related to your life. Even if you have made a wrong decision in your life, there is no need to panic. You always have time to make amends for your mistaken judgment.

Limit your social media time

Social media addiction is a growing problem in the modern world. For good mental health, you need to stay connected with your family, friends, and coworkers instead of random strangers on the internet. Hence, you must limit your social media usage. I know it will be hard for you at first, but with time, you can make necessary adjustments to curb your addiction to social media.

Build healthy relationships

You need to live an active social life for your mental health. You can do this by building strong relationships with your family and friends. You have to make time for your loved ones, no matter how busy you are!

Keep a positive company around you

You will always encounter negative people in your life. They might be just taking advantage of you or just plain right bullying you. Therefore, you must stay away from such people and their negative vibes. The more you surround yourself with positive people, the better your mental health will get.

Manage chronic conditions and pains timely

Chronic conditions and chronic pain arising because of them are a significant contributor to mental health problems. So, you should act timely to manage such situations. This quick action will go a long way in keeping your mental health safe and sound.

Be mentally prepared for tough situations

Life is not smooth sailing; we all know this fact. There are bound to be fluctuations in the waves of life. Therefore, you should mentally prepare yourself to accept the harsh realities of life. You might feel low for some time; however, never let these bitter realities destroy your mental health.

Overcome depression risks
How to reduce the risk of depression?

Lifestyle adaptations you need to make to reduce the risk of depression

The following lifestyle modifications you should try to incorporate in your life to minimize depression and any other mental illness risk:

 Sleep at least 6-8 hours daily

Not sleeping enough is exceptionally harmful to your physical and mental health. It leads to insomnia, which is a precipitating factor for depression. Here are a few tips that will help you to sleep better:

  • Put away your electric equipment at least 30 minutes before your bedtime
  • Try reading a bedtime book instead of watching tv
  • Make a time table of your sleep and stick to it
  • Take a warm shower before going to sleep
  • Try breathing exercises and relaxation techniques for a better sleeping experience

Eat a balanced diet

A balanced diet doesn’t mean that you only have to eat fruits and vegetables. However, too much of anything is not suitable for your health. Therefore, your weekly diet should consist of adequate amounts of proteins, carbohydrates, and fats, as all three are needed for the proper functioning of your body.

Drink at least 7-8 glasses of water daily

I can’t stress enough that by just doing this, you can save yourself from so many physical and mental health problems. Dehydration poses a great danger for your general health. So, take my advice and keep yourself hydrated by drinking 7 to 8 glasses of water daily.

Exercise regularly

You don’t need to hit the gym, just a regular dose of the daily walk would suffice. Only by walking 20 minutes a day, you can achieve a large number of health benefits. One of these benefits includes your necessary distance from depression.

Don’t go near drugs

Drugs, if just for recreational purposes, can have a severe impact on your brain function. And there is a strong correlation between drug addicts and depression. Hence, if you want your mental health in optimum condition, say no to drugs.

After the end of this chapter, we will be moving on to the final section of this guide book, where you will be learning about the alternative treatment methods of depression.


 Chapter 7: Alternative Treatment Methods Of Depression You Need To Look Out For

If all forms of the treatments and techniques mentioned above don’t work, you should not be disheartened as there are other methods of treatment available for depression. In this chapter, you will learn about these methods.

1.Electroconvulsive therapy (ECT)

ECT is one of the newer methods employed for the treatment of depression. In the past, it was not considered safe for patients due to ECTs adverse effects on memory. However, with refined techniques over the last 20 years, it is now considered to be a safe and effective method for the treatment of depression in patients.

 How is ECT applied to patients?

ECT procedure usually involves the patients undergoing general anesthesia. This renders them safe from feeling any pain during the process. Afterward, charged electrodes are applied to the head of the patient, and the electric current is passed through them.

How does ECT work in depressed patients?

The mechanism of working of ECT is still unknown; however, it is believed that by passing electric currents through the head produces a temporary seizure in the brain of the patient. Typically, several sessions of treatment are required of this procedure to relieve a patient from the symptoms of depression effectively.

What type of patient is suitable for ECT?

ECT is usually considered in patients in which other treatment options have not brought desirable results because ECT usually requires hospitalization and general anesthesia of the patients. It is also preferred in suicidal patients as instant results are needed in such patients. It is also used as maintenance therapy in already treated patients.

2.Vagal Nerve Stimulation (VNS)

It is a surgical procedure that involves the placement of a pulse generator under the collar bone of a depressed patient. This pulse generator then functions to generate electric pulses which are sent to the vagus nerve. In response, the vagus nerve is stimulated, which affects the mood centers of the brain in an attempt to normalize mental activity. This treatment is usually reserved for patients with chronic depression who do not respond to antidepressants and other forms of therapeutic methods.

3.Repetitive Transcranial Magnetic Stimulation (rTMS)

This form of treatment is like ECT. However, instead of electric currents, strong magnetic currents are passed through the brain in this process, although it is not as effective as ECT.

4.Herbal Medications

Some herbal medications are considered to play a role in the treatment of depression. But, their curative role thus far is only believed to be a placebo effect. Besides, these medicines might interfere with the function of antidepressants if taken along with them. One of the examples of such types of herbal remedies is s-adenosyl-methionine (SAM-e), which is considered to be effective in depression. However, medical studies are not conclusive about its effectiveness.

5.Massage Therapy

The massage itself is not a therapeutic option for the treatment of depression. However, it can act as an adjuvant therapy to your first treatment plan. Massage not only decreases your anxiety, but it also works on your stress hormone levels and brings it to lower values. Since there are no side effects in massage therapy, it is a safe bet as a side treatment of your depression.


It is a technique in which thin needles are inserted into the body for curative purposes. Even the World Health Organisation (WHO) recognizes acupuncture as a treatment method for depression. However, it is still considered as pseudoscience.

This brings us to the end of the chapter and also the guidebook on depression.


Depression is a severe mental illness that should not be taken lightly at any cost. In case of any worrying signs and symptoms of depression, immediately consult your doctor. With the help of treatment methods and lifestyle modifications discussed in this guidebook, you can defeat this deadly mental illness swiftly. But remember, professional medical advice is necessary before starting any form of treatment.

If you feel depressed, do not look any further than Mango Clinic for your help. Visit our website and set-up an appointment today with one of our licensed doctors.


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Domestic animals play very significant roles in our lives as human beings. They help us in terms of protection and security. Dogs protect us from some forms of harm. Cats and other animals also offer help in the protection aspects. Until now, some things we did not notice about these animals were their intelligence and ability to read our emotions. With time, research has shown that these animals can actually help us go through certain emotional phases. This is the idea behind emotional support animals

What is an emotional support animal (ESA)?

An emotional support animal is an animal that offers companionship and support to an individual living with a disability. The animal will be able to provide some form of assistance that will help overcome one or more aspects of the disability. Dogs are the most common emotional support animals. Cats and miniature horses also feature on the list. Emotional support animals are different from pets or service animals.

Many individuals are getting emotional support animals. You can contact an ESA doctor if you need one. Before you go adopting a cat or dog, there are certain important considerations for living with emotional support animals that you should know about. I will be discussing these considerations during the course of this article.


ESA characteristics
Emotional Support Animal


Here are the important considerations for living with an emotional support animal:

There are certain things you have to consider before getting an emotional support animal. It takes more than getting a dog or a cat. Although emotional support animals double as pet, they are more than just pets. These considerations will make you understand what you want better.

Eligibility for the use of ESA

A psychologist or therapist has to approve your need for an emotional support animal. A number of people tend to abuse the law that permits the use of emotional support animals. They use it as a way to bring animals into places that often place restrictions on these animals. In this regard, you can only get an emotional support animal if a therapist certifies or recommend your need for it. Before meeting a therapist, understand what it takes to be in need of an emotional support animal.

The role of the ESA

If you are able to get the first step right, you should have no problem with this step. Knowing why you need an emotional support animal will help you determine the role that animal will play. Mind you, this is an emotional support animal, not a service animal. This implies that this animal does not have any initial training and you will have to accustom yourselves to each other.

Laws concerning the accommodation of ESA

You also need to consider what the law states about accommodating an emotional support animal. The law states that you have to make certain necessary adjustments in your home to accommodate emotional support animals properly. The ESA dog is not what you adopt and tie to your gate for security. This is a companion and you will treat it as such. You also need to understand what the law states about ESA so that you will understand the restrictions your property owner can set and those he cannot set.


ESA housing laws
Emotional Support Animal Housing Policies

The temperament and size of your ESA

Size and temper plays a major role in the type of animal you can get for emotional support. You do not want to get a companion that easily gets angry and attacks people or an animal that is too big or bulky. If you want to avoid certain animal restrictions on your ESA, you should consider this factor too.

Although there are no empirical studies to prove that these little darlings work wonders more than keeping regular pets or service animals, most individuals admit that they do have certain positive effects. These effects will not take place if you do not consider these factors I stated above.

If you need an ESA letter, do not look any further than Mango Clinic for your emotional support animal letter needs. Visit our website and set-up an appointment with one of our licensed doctors today.


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Attention Deficit Hyperactivity Disorder

Attention Deficit Hyperactivity Disorder is a disorder that challenges an individual’s ability to pay attention, organize themselves and interact properly with orders. It is of three types, namely:

  • Hyperactivity or impulsivity: Just like the name states, the individual is too hyperactive to pay attention, organize himself or interact properly with others. They tend to have excess energy and are unable to contain themselves.
  • Attention deficit: This case is the opposite of hyperactivity disorder. In this case, the individual acts like someone lost in his own word. He will easily lose interest in daily activities, amongst other features.
  • Hybrid: This is not exactly a type. It is a combination of the two types above. Individuals with cases like this tend to exhibit both signs and symptoms for hyperactivity and attention ADHD.

Treatment of ADHD

With adequate knowledge of the disorder, let us examine how to treat it.

What most individuals know about ADHD is that you use drugs to treat it. Truth is, there is more to the treatment of ADHD than the use of medications alone. Permit me to enlighten you on the types or forms of treatment for ADHD.


Types of ADHD treatment

Types or forms of treatment of ADHD

When it comes to the treatment of ADHD, there are two types of treatments. They include medication-based treatment and non-medication based treatment. We shall be taking it one at a time, starting from medication-based treatment.

Medication-based ADHD treatment

This is the use of drugs to treat ADHD. These drugs are majorly of two types, stimulants and non-stimulant. Antidepressants are not a type of ADHD drug but support drugs. It is a support drug because it helps to suppress some side effects of the major ADHD drugs

Types of medication-based ADHD treatment

  • Stimulants: these drugs get their name from their quick ability to take effects by altering parts of the brain control certain actions. They include methylphenidate, amphetamine, dextroamphetamine, dexmethylphenidate, amphetamine sulfate amongst others. There are various categories of stimulants as well, but that discussion is for another day.
  • Non-stimulants: unlike stimulants, non-stimulants do not take effect very quickly. While stimulants need hours to take effect, non-stimulants need days to take effect. While stimulants are the first reference for treating ADHD, it may not always work. Non-stimulants are equally good alternatives to stimulants for the treatment of ADHD. They include atomoxetine, long-acting clonidine, bupropion, long-acting guanfacine, amongst others.
  • Antidepressants: as I was saying earlier, depressants help to curb the side effects of ADHD drugs especially stimulants. They are similar to taking analgesics alongside the drugs doctors recommend for your illness.

Non-medication based ADHD treatment

This involves the treatment of ADHD without the use of drugs. Often called the counseling-based approach, this treatment involves teaching the individual with ADHD the acceptable behaviors.

Exercises for attention deficit hyperactivity disorder
Exercise for ADHD

Types of non-medication based ADHD treatment

  • Behavior therapy: this involves teaching the child to monitor his behaviors. Before you can apply this technique, you need to outline acceptable behaviors from unacceptable ones. With that in mind, you can go ahead and enforce acceptable behaviors.
  • Psychotherapy: this involves the use of a therapist. The individual will have sessions with the specialist and talk about everything. Their relationship with their peers, parents, teachers, bosses, and their own behaviors. This process has its own way of helping the individual learn.
  • Social skill training: this involves individuals close to the individual with ADHD teaching the individual with ADHD necessary social skills. Social skills like waiting their turn, allowing others to go first, organizing tasks, knowing when to stop talking and allowing others to talk.
  • Support groups: this involves the individual with ADHD joining groups of individuals with ADHD. They learn by sharing their experiences, shortcomings, improvements, and other necessary information that can help them develop and adjust to regular life.

When it comes to the treatment of ADHD, it involves the use of medication and non-medication based therapy. Even after taking all the drugs, the individual with ADHD will still have to learn the proper behavior in order to avoid relapse. Besides, even your doctor will suggest you take breaks between medications to assess their effect so far. In other words, I am saying that no type of treatment is superior to each other as they both work together.

Mango Clinic provides you with the best treatment of ADHD. Make your appointment with one of our medical professionals today.


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Dyanavel XR for ADHD

When it comes to the treatment of attention deficit hyperactivity disorder (ADHD), there are no magical ways to go about it. The process remains quite straightforward. It involves the use of medications (drugs), talking therapy (counseling) and a healthy lifestyle (certain rituals or practices). Today, we will be discussing the medication aspect of treating Attention Deficit Hyperactivity Disorder. This involves the use of drugs for the treatment of this disorder. There are usually two types of drugs for treating Attention Deficit Hyperactivity Disorder. They are stimulants and non-stimulants.

  • Stimulants: these ADHD drugs \take effect within hours of administration. They are the more common type of ADHD drugs. They work for about 70% of ADHD cases.
  • Non-stimulants: these are the less popular ADHD drugs. Unlike stimulants, it takes days before they begin to take effect. They are usually an alternative to cases where stimulant drugs do not work. They work for about 30% of ADHD cases.

Both drugs are effective, and neither is superior over the other as treatment is specific to individuals. Today, however, we will talk about a stimulant drug. This drug is Dyanavel XR during the course of this write-up, we will be discussing the uses of this drug, its dosage as well as its side effects. This article is not a replacement for the prescription from your doctor. It is more of a guide to help you alongside your doctor’s prescription.

Attention deficit hyperactivity disorder
ADHD Facts

Dyanavel XR Uses & Effectiveness

You can use this drug for the treatment of ADHD. This drug helps to improve your listening ability, your ability to focus and pay attention, control behavior problems and improve your ability to organize tasks. You can take this medication by mouth with or without food. It is best to take it in the morning as taking it later in the day may cause insomnia. It is best to follow the directives of your doctor or pharmacists. Always use the device or spoon your pharmacists provide you. Do not take alcoholic drinks while on these drugs. Alcoholic drinks increase the effects of this drug and may cause certain side effects.

Dyanavel XR Dosage

The dosage is usually once in the morning every day. Although it is best to take it in the morning, you can still take it when you forget it if you remember early enough. If it seems like it is late, you can leave it until your next dosage. Do not overdose in a bid to keep up with your doses. Also, do not use replica spoons or devices to administer your dosage. Always use the spoon or device your doctor or pharmacist recommends/ always follow the directives of your doctor. Sometimes, your doctor may recommend you start on a low dosage or your doctor may recommend you take a short break from your drugs to see if there are changes in your behavior or if there is a need to continue using the drug. Always follow the recommendation of your doctor. Doing anything asides that may increase the side effects of this drug.

Dyanavel XR Reviews
Reviews for Dyanavel XR

Dyanavel XR Side Effects

Talking about side effects, there are certain symptoms that come with a stoppage or overdose of this drug. I will be listing some of the side effects next. Before I do so, permit me to state that the side effects will not outweigh the benefits of the drug if you follow the recommendation of your doctor. Your doctor or pharmacist understands the drug more than you and will only recommend it if they are certain that the benefits will outweigh the side effects. These side effects are usually because of the actions of the patient outside the recommendations of the doctor or because of a preexisting condition such as drug and substance abuse. Below are some of the side effects.

  • Pain, Nausea/Vomiting
  • Insomnia
  • Nervousness
  • Loss of appetite
  • Dry mouth
  • Stomach upset

Doctors usually recommend anti-depressants alongside ADHD drugs to help with certain side effects. So report to your doctor if you observe the following side effects.

  • Fainting or seizures
  • Severe headache or heart-pounding/irregular heartbeat
  • Hallucinations
  • Loss of coordination
  • Severe dizziness
  • Restlessness
  • Unexplained fear
  • Rash, itching or swelling

It is important that you let your doctor know if you have any prior health condition that may the chances of some of these side effects occurring.

The first step towards the treatment of ADHD is a proper medical diagnosis from an experienced doctor who is familiar with the condition. Mango Clinic provides you with the best treatment of ADHD. We are here to make sure all our patients get the right treatment to live a healthier life. So if you are interested, give us a call or visit our website to make your appointment with one of our medical professionals.

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Mango Clinic provides patients with genuine emotional support animal letters that are written by licensed physicians. Unlike many other websites online, we offer a legitimate service that only aims to help patients looking for aid to their health treatments. It is very easy to come across sites that only want to take your money, and we want to make sure no one falls victim to them. By identifying the right things, you will be able to know whether a site can be trusted or not.

What Is An Emotional Support Animal?

It is no secret that medication and therapy do not work for everyone. Even if they do have positive effects, it may not be enough; in worse cases, the medication and therapy are hindering recovery. Due to how people may react to these forms of treatment, it is no surprise that other types of treatment exist. Some of these alternative forms are more popular than others, and some are also more effective than others.

Among the more popular and well-known treatment options is having an emotional support animal. For some, this can be the most beneficial treatment option for them, providing immense calm and positivity for the owner. ESAs are not specially trained and they don’t need to be; their presence as pets for the owner is all that is required.

While it may be odd that there is not much more to ESAs, their straightforward function as vital pets to their owners makes them appealing to many who may already benefit from having a pet. It is not unusual for someone wanting an ESA to own already a pet that can qualify as their ESA. However, it is also not uncommon if someone wants an ESA but does not already have a pet, so either scenario is usual.

There is also the question of what type of animal can be an ESA. Essentially any domesticated animal that is your pet can count as an ESA, and that can include the usual cats and dogs. However, your choice of ESA does not have to be limited to the very popular; animals as diverse as rabbits, snakes, birds, and pigs can count as ESAs.


Spot an ESA scam
ESA scam

What Is An Emotional Support Animal Letter?

You may have heard a lot about ESA letters, documents, or certificates, and you may not exactly know what any of that means. It may seem complicated, but it’s fairly straightforward and easy to understand.

If you live in an apartment, you might want to get an ESA letter for housing. This letter will protect you from landlords who may want to kick you out or charge you more for having an ESA.

If you plan to go on a trip and are taking your ESA with you, a letter for travel is essential. It can be a fearful hassle to bring your ESA with you on a trip without knowing whether you will get into any complications. An ESA travel letter will protect you and your animal companion from unfair airline fees, as well as from being put in cargo.

Who Is PDSCenter?

Most websites offering ESA letters market themselves as animal-centric, meaning lots of pictures of people with their ESA (almost always a dog). But PDSC (short for Psychological Disability Service Center) is much different from any of those. PDSC presents itself as a website focused on helping people with mental ailments that can be solved by getting an ESA and letter. It’s the presentation, including the name, that makes it so unique, as so few, if any other, sites of this type put such an emphasis on the “mental health” aspect of the business.


Emotional support animal misconceptions
Common Misconceptions About ESA

Is PDSCenter Legit?

As mentioned on their homepage, through PDSC, your letter will be signed and written by a licensed physician. In fact, they point out that, if a licensed physician does not sign your letter, it is not valid. While this is true, their website does not explicitly state that you must speak with one of these licensed physicians.

However, there are more troubling things to make a note of. On their homepage (which is where almost all of the information is kept), they point out that their ESA letters do not expire and that they can be used in restaurants and stores. None of that is true; all ESA letters expire, and they cannot be used for anything except housing or travel. What’s even crazier is that they state “Other companies will try to force you to pay annual renewal fees, but our letters are designed to be expiration free.” If they are designed to be expiration free, then they are designed to be illegitimate.

On top of that, PDSC does not sell you one letter, but two; one for housing, and one for travel. This does not make sense, because if you are getting a letter for housing and travel, you only need one.

Why Choose Mango Clinic?

Mango Clinic makes it simple by having you speak directly with a licensed physician. We provide genuine ESA letters that are signed by the doctors you speak with; they are both emailed and presented in person. Whether in person, over the phone, or via video chat, getting in touch with a licensed doctor has never been easier. So call us or visit our appointment page today.


Miami Licensed ESA Doctors
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If you have always wondered what other treatment options exist for health disorders besides medication and therapy, then Mango Clinic has an answer. Emotional support animals can be extremely helpful for many patients who would rather not be taking medication or going through therapy sessions. Even if you do take medication, ESAs can be a terrific supplement as its own form of therapy. As such a positive and popular alternative treatment option, it is essential to know what to look for when trying to get an ESA letter.

What Is An Emotional Support Animal?

When it comes to treating a wide swath of health issues, there are many solutions that work for different people. Some treatment options work better for others, which is why so many exist in the first place. If you do not respond well to medication, you might do better focusing on therapy sessions. Maybe a combination of the two work well, or perhaps you need something more.

Alternative forms of treatment can then be implemented that further assist the patient in their recovery. One very popular and effective alternative treatment option is having an emotional support animal. Also known as ESAs, an emotional support animal is an animal that can provide the owner with the same type of relief and recovery as medication or therapy. In many ways, ESAs are their own type of therapy, as they are able to make their owners feel so much better when in their presence.

It is not unusual for a person to vent and speak with their pet, and this is the type of thing which you can do with your ESA. This is because if someone already owns a pet, they can make them an ESA. All you really have to do is let people know in case they ask, such as a doctor or therapist. There is no hard restriction on what counts as an ESA, either, as long as they are a domesticated pet. If you have a dog, cat, pig, or snake that makes you feel immensely better every time you’re with them, they can absolutely qualify to be your ESA.


Emotional support animal facts
Amazing ESA Facts

What Is An Emotional Support Animal Letter?

Many people who have emotional support animals, or intend to get one, might be aware of ESA letters. Some might think an ESA letter allows you to take your ESA with you everywhere, but this is not the case. An ESA letter permits you and your animal companion to live in residential complexes that may otherwise not allow pets. It can also allow you to board an airplane with your ESA without being hassled by airlines.

If you have a legitimate ESA letter, you will be able to evade fees that landlords may want to put on you for having an animal living with you. You will also prevent a landlord from kicking you out of an apartment, as the letter will make this type of action illegal.

An ESA letter is also helpful for when you need to go on a trip, as it will let you and your animal companion board a flight without hassle. Airlines would have no problem charging you fees for having a pet, but as a doctor recommended ESA with a legitimate letter, you should have no problem.

Who Is Certify Therapy Dog?

Even though it uses images that we have seen on many other websites, Certify Therapy Dog is not what it seems. For one thing, the website’s name is not consistent; their FAQ page has them “International Therapy Dog.” However, their homepage appears to be consistent on calling them “Certify Therapy Dog.”

According to Certify Therapy Dog themselves, they are a non-profit organization; they mention you making a “contribution” when getting your letter, but have prices set anyway. However, the bigger issue is that they mention registering your pet, which is always an easy way to know whether to trust the service or not. This is because there is no registry for ESAs; you never register anyone for anything when it comes to ESAs. If a business says you have to register your pet or something of that nature, stay away.

We mentioned Certify Therapy Dog reusing images from other sites, and by that we mean the information that conveys to the customer how you get an ESA letter. If you have seen enough of these sites, those reused images that you have no doubt seen before are a dead giveaway. There is also no mention of speaking with a licensed doctor, which is necessary if you are getting a genuine letter.

One final thing to mention is the process of actually getting pre-qualified, something else you will see on so many similar websites. After answering basic questions, you will be told that you qualify and that you can continue with the process. What is most interesting is that the results page uses a different URL from It actually uses, which is a separate website providing the same type of service. It even uses the same images featuring information that can be found on Certify Therapy Dog’s homepage.

Characteristics of an ESA letter
What an ESA letter must contain?

Is Certify Therapy Dog Legit?

After everything that has been seen and explained, it should come as no surprise that we do not recommend Certify Therapy Dog for your ESA letter needs. Not only is it too much like every other site of its kind, but the information is inconsistent. From mentioning “registration” to having a different website for its pre-qualification results page, Certify Therapy Dog is just too suspicious to consider genuine.

Why Choose Mango Clinic?

Providing an authentic service for patients, Mango Clinic makes sure each and every patient speaks directly with a licensed physician. After being evaluated and approved, your licensed physician will sign your ESA letter, which is also stamped. You will receive both a PDF and physical copy, which you can use either for housing, travel, or both. Visit our appointment webpage or call us or schedule your appointment today.

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Mango Clinic believes in giving everyone the treatment options they deserve. Many forms of treatment exist, including emotional support animals, which can be highly beneficial to anyone. As an alternative form of treatment, it can also be hard to understand what one should believe online. There are many sites that claim to provide ESA services, but they often cannot be trusted. We want to make sure you know what to look out for when you come across these types of sites, including knowing how to get a legitimate ESA letter.

What Is An Emotional Support Animal?

Those with health disorders are often told to take medication as treatment, and this can often be very helpful. However, some people may not respond as well to medication, along with therapy sessions. Even those that have positive reactions from medication and therapy may still need something more to better ensure their recovery.

Emotional support animals, also commonly referred to as ESAs, are animals that act as emotional support for owners. If it sounds too straightforward, that’s because it is and is supposed to be. An ESA should be nothing more than a comforting presence for their owner; in this respect, an ESA is doing its job, which means they do not have to be specially trained.

There is also no specific animal that must be an ESA, even if it seems only dogs can qualify. Any domesticated animal that can already be your pet can count as your ESA. If you already own a cat and it makes you feel safe and comfortable, then it could qualify to be your ESA. Even if you own a cute rabbit and feel so much better when you are with it, it can qualify. Most domesticated pets can be eligible as your ESA, including birds, pigs, and snakes.

Emotional Support Animal
Mental Health Benefits of an ESA

What Is An Emotional Support Animal Letter?

You have no doubt heard about emotional support animal letters, especially if you are interested in having an emotional support animal. ESA letters go hand-in-hand with ESAs nearly all of the time, but that’s only because of rules and regulations from residential complexes and airlines. A person can freely claim that their pet is an ESA; the letter just makes that more official with regards to housing and travel.

If you live in an apartment complex that would not otherwise allow pets, an ESA housing document will permit you and your animal companion to live in the apartment. This means your landlord will not be allowed to kick you out of the apartment, nor will they be allowed to charge you more per month because of your animal companion.

ESA letters can also work for travel, as airlines can easily make a trip or vacation that much more complicated. If you have a legit ESA letter, you and your animal companion can board an airplane without having to pay an additional fee. Not only that, but an ESA letter can save your pet from being thrown into cargo.


Who Is United Service Dog?

Once you have seen so many fraudulent ESA websites online, they can all start to bleed together. It sometimes can feel as though each one is no different than the other, and in a lot of cases, that’s true.

United Service Dog is yet another site claiming to offer ESA letters. However, they make the classic mistake of including service dogs in their list of services, which are a completely different thing from ESAs. And like so many of these sites, they exclusively feature dogs on their site (and site name), which makes some sense for service dogs, but not for ESAs. Additionally, the site seems to have a greater focus on service dog information and products. That they even have ESA services at all is a little surprising; the site has enough information about service dogs that it could just be that.

When it comes to actually getting for what passes as an ESA letter on this site, United Service Dog does what so many other sites do: make you fill out a form, which they say is looked over by a medical professional. You will get approved and a PDF of your letter, along with other physical goodies if you so, please. It can also depend on the package, since some versions come with additional materials, such as ID cards and vests, none of which are ever necessary or helpful.

If you just wanted to get a letter, you might be a little confused about what to do. United Service Dog appears to provide two types of documents: an “Emotional Support Animal Certificate” and a “Signed Medical Housing And Travel Letter.” This is highly confusing because all anyone ever needs is one document, whether it be a letter for housing, travel, or both.

On some other sites, having two different but similar documents effectively means one is a “registration” while the other is the actual “letter.” Seeing the word “registration” is another easy way to tell if the site can be trusted, as no registration exists for ESAs.

Fake emotional support animal service
Ways to spot a fake ESA service

Is United Service Dog Legit?

We do not recommend United Service Dog for your ESA letter needs. This stems from their website exhibiting the usual patterns associated with fraudulent websites, from their products sold to their careless association of service dogs with emotional support animals. On top of all this, their website does not contain a physical address, phone number, or email. The only way to get in touch is via a fill-out contact form, and no legitimate business for ESAs excludes an address, email, or phone number.

Why Choose Mango Clinic?

Getting an emotional support animal letter should not be so problematic. Mango Clinic makes it easy and official by having you speak directly with a licensed physician who can provide you with a legitimate recommendation. We provide authentic ESA letters that are signed by the doctors you speak with; they are both emailed and presented in person. Whether in person, over the phone, or via video chat, getting in touch with a licensed doctor has never been easier. So call us or visit our appointment page today.

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It can be difficult knowing what to do when you have an emotional support animal. Websites can say things you think are true, but might actually attempt at scamming you. Mango Clinic wants to make sure you know how to spot untrustworthy sites by explaining what an ESA and ESA letter are. We also want to go over an example of these types of sites, so that you do not get stuck with a letter you can’t use.

What Is An Emotional Support Animal?

Not everyone reacts that well to medication or therapy sessions. Some people do have positive effects from medication and therapy sessions, but there can be something missing. Even if you are finding positive benefits to traditional treatment forms, you might think something else might be more helpful.

Whether you need a whole new form of treatment or something to supplement your preexisting treatment, it’s hard to go wrong with an emotional support animal. Whether you already have a pet or are looking to get one, an ESA is essentially just a regular domesticated animal that provides irreplaceable comfort for their owners. Plenty of people who already have pets may already feel these ways about their pets, but identifying them as ESAs makes them much more important.

This does not mean you can call your pet an ESA and everyone abides by it. If you refer to your pet as an ESA, that means you have a severe health disorder or ailment that is treated by being with your pet. An ESA provides the type of relief and help that medication might for others, and this is why they can qualify as doctor-recommended treatment.

One of the best parts of an ESA is that they are not restricted by a type of animal. On the contrary, all kinds of animals can qualify to be someone’s ESA, as long as they are a domesticated pet. Cats and dogs are the most popular, to the point of eclipsing every other potential animal. However, rabbits, birds, and snakes are among the other options a patient might choose from.

Emotional support animal v/s Service animal
ESA and Service Animal

What Is An Emotional Support Animal Letter?

If you live in your own home with your own rules, this likely means you are not paying rent, which means no landlord. For people in these cases, an ESA housing letter may not be of use to them. A person who lives in an apartment complex, especially ones that may have rules against animals, can be in trouble if their landlord does not take kindly to them having an ESA. This is why an ESA letter is so important, as one for housing offers protection to those who may have problems with their situation.

Regardless of where you live, an ESA travel letter can do anyone some good. If you expect to take your ESA with you on an airplane, you will want to have an ESA travel letter, as airlines are more than happy to prevent you and your animal companion from flying together.

What is an emotional support animal letter
Characteristics of an ESA letter

Who Are Emotional Support Animal Co?

For a site offering emotional support animal letters, Emotional Support Animal Co has a surprisingly barren website. Their homepage contains all the information you need, such as the processes and why you might need an ESA letter. Otherwise, there is not much there to see or click on. Even the “Qualify” button doesn’t do anything but redirect you to the homepage. On the homepage, you will see the “Qualify Now” option that is on the right. Presumably, you can figure out if you qualify by giving them some information.

If you want to see any information regarding prices or packages, you can always click on the green “Already took assessment?” button that is on the top right of the screen. You may not be able to purchase anything, but at least you can see what they offer, such as housing, travel, and combination package.

Emotional Support Animal Co mentions that you can only get an ESA letter if it is from a licensed “therapist.” While it should actually be a licensed physician (not necessarily a therapist), there is uncertainty as to whether you will directly speak with one of these “therapists.” It seems unlikely, as they state that a “therapist” will look over your assessment and from there they will write and sign your letter.

Are Emotional Support Animal Co Legit?

While Emotional Support Animal Co isn’t wrong about making sure a licensed doctor signs your letter, they make the classic mistake of stating that someone will look over an assessment you filled out. The problem here is that, in order to make the letter official, you have to directly speak with a licensed doctor. If you just fill out a form and wait for someone to “approve” it, then it isn’t genuine. No matter what else they say, you can know for sure to stay away if they do not have you speaking with a licensed doctor.

One other thing to mention is that they state an ESA letter can be used in restaurants and grocery stores. This is absolutely not true, and the reason why ESA letters exist for either housing, travel or both. An ESA letter can only be used for housing or travel situations; saying they can be used in grocery stores or restaurants is a lie.

Why Choose Mango Clinic?

Unlike so many sites online, Mango Clinic provides a genuine service for those looking to get an ESA letter online. We have every patient speak directly with one of our licensed doctors, who can evaluate you over the phone, in person, or via video chat. We make it easy for you while also keeping it completely legitimate and official. If you are interested, visit our appointment webpage or give us a call today.

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For some people, regular forms of medication do not fully help them with their health disorders. These drugs can have harmful side-effects and can make the patient in question not feel any better, or feel nothing at all. Other alternatives do exist, but some of the most helpful and unique forms do not ever appear to them. Sometimes these alternatives are not as obvious as other forms of medicine and therapy, but they do exist and are significantly helpful for recovery.

Significance of an Emotional Support Animal

One of the alternatives is having an emotional support animal (ESA). Many people all around the world have unrestrained love for animals, and many of them keep pets for this reason among others. From providing love and affection to just being kind and enjoyable company, a pet can do wonders for many people and their families. ESAs exist because pets have this sort of power and have proven to be a reliable form of therapy for people suffering from certain disorders. With an ESA, a person can feel more comfortable and safe anywhere, including on an airplane. With the right documentation, you can even take your companion with you on a flight.

The reason ESA letters are important is because they allow you a level of freedom you and your pet would not have otherwise. We at Mango Clinic understand how important it is for those with ESAs to have this freedom from worry and concern when looking for a new apartment or making plans for a trip. We provide valid letters that will let you bypass any fees an airline or landlord will try to put on you. No matter where in the country you live, our licensed doctors can help you get the right documentation with no problems.

Emotional Support Animal Benefits Review

In the journey of getting your emotional support animal letter, it’s essential that you know about scam sites. It’s very easy to search online on how to get an ESA letter and come across several websites that claim to offer it, usually with the promise of the process being fast and easy. Sites like want nothing more than to take your money and provide you with invalid documentation. For these reasons and more, you will want to know what to look out for when coming across these illegitimate businesses.

Is Legit? is an interesting case since their primary form of business is related to medical marijuana. However, if you ignore pretty much everything else on their homepage, you will notice at the top right corner a small link with a paw that says “ESA.” This will send you out externally to another page that has the same URL as, but adds “/ESA” to it. Just from that page’s home, you can tell it’s fake because it mentions getting an “ESA prescription” for 12 months. Not you or your dog get prescribed with an ESA letter, so this alone should convince you to stay away.

There are other red flags across the site that are also common on other scam sites, so what you see here can often be applied elsewhere. A major one is the lack of a physical address; any clinic that provides genuine ESA letters must have a physical address. If the business can do telehealth communication for giving out legit letters, they must have a physical address where their physicians and staff work. As expected, does not feature a verifiable address. They also do not have a verifiable phone number; when the number is dialed, it goes straight to voicemail. There also appears to be no other way of contacting them aside from this phone number; any real business will have functioning numbers to dial and multiple ways to get in touch.

Another big issue is when the business provides very little info about itself. has plenty of info to let you understand what it means to get an emotional support animal and get an ESA letter. However, there is virtually nothing written about MMJDoctorOnline or its ESA division on the site. This becomes problematic when you realize no doctors are listed, something which can compromise the legitimacy of a site that claims it can provide legitimate certificates from certified doctors. Remember: To get a valid ESA letter, you must speak with a licensed doctor who can officially and legally approve you for one. Merely filling out a questionnaire and waiting for a doctor to approve it does not count.

Real ESA letter
Characteristics of real ESA letter

How Does Compare to Mango Clinic?

Qualifying Patients

In order to be a qualified patient for, you need only fill out an online exam, which is then reviewed by a “licensed doctor.” Afterward, you will receive the letter both in the mail and as a PDF file. This all sounds great, but there is no mention of speaking with a licensed doctor, which is what is required for a real ESA letter.

Mango Clinic has you speak with a licensed physician who will ask you specific questions to determine whether you qualify for an ESA letter. The addition of telehealth via video chat and the ability to get a real letter wherever you are is easier and more secure than ever before.

Cost for an ESA Letter charges $99 for either housing or travel letters while charging $149 for a letter that covers both. One thing included in the combo pack is an “ESA ID card,” which is not included with the separate housing or travel options. It should be said that, if you are getting a real ESA letter, all you need is the letter. An ID card or anything similar is wholly unnecessary and a waste of space; it will not help you if you need to prove your pet is an ESA, as it is nothing more than an accessory.

Mango Clinic makes it easy with one $199 letter that covers both housing and travel, while also providing a $99 yearly renewal. You get customer support and do not get charged for any extra pets you want to cover. You can get a physical copy of your letter mailed to you and also get a version via email.

Getting an ESA Letter says it can get you a letter in almost no time. Simply fill out that questionnaire and let someone approve it, and you have yourself a letter. If the business in question does not have you directly interacting with a licensed physician, it can not provide you with a genuine ESA letter.

Mango Clinic does things much more carefully because that is how it should be done. It may take longer, but this way you get a genuine letter that will actually give you legal leverage to take your ESA on flights or stay with you at certain residential complexes. Unlike, Mango Clinic will let you speak with a licensed doctor either in person or via telehealth, both of which can get you a valid letter.

What are the Guarantees? does not appear to offer any refunds or guarantees if an airline or landlord rejects your letter. The only sort of refund offered is if you are not approved by one of their “doctors” after having your questionnaire looked over.

Mango clinic provides a 100% money-back guarantee if you are not completely satisfied. Not only that, but we offer support no matter where you are. This means we can be reached in case you need us to speak with anyone who is disputing your ESA letter.

If you are looking to get an ESA letter, do not go to This site and so many others like it do not do things properly, all so that they can get a quick buck from unsuspecting internet browsers.

You should always get your official documentation from clinics like Mango clinic that have you speak with licensed doctors and feature a money-back guarantee, along with support in case of anything. You can call us or visit our webpage and start your application today.

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Mango Clinic

+1(786) 422-9327
434 SW 12th Ave
#205 Miami, FL 33130

Mon-Sat 10 am – 6 pm

Mango Clinic

Mango Clinic

347 5th Ave Ste 1402,

New York, NY 10016

(888) 578-6704

Mon-Sat 10 am – 6 pm

Mango Clinic

Mango Clinic. All rights reserved.