How Does Depression Affect Your Mental Health?

How Does Depression Affect Your Mental Health?
Last updated: July 19, 2026 | Written & Reviewed by OCP Team

Depression is one of the most common mental health disorders, defined by symptoms that include sadness, tearfulness, emptiness, difficult concentrating, and more. It also transforms your thoughts, actions, and sleep schedule. Moreover, depression has different types as per severity. It is a treatable condition with the right therapies and medications. Understanding the symptoms and seeking professional help is necessary to reduce depression signs.

Let’s understand how depression affects our mental health and daily life.

What is depression?

Depression is described as a mood shift that makes you feel persistently sad and a loss of interest in enjoyable things and activities. You will also feel difficulty in memorizing things, eating properly, and thinking. When you feel sad about small things in life, it is taken as a normal feeling. On the other hand, depression is a chronic feeling of sadness and grief. There are different kinds of depression, which include severe symptoms like major depressive disorder.

Without timely treatment, the early warning signs of depression, which is also known as Prodromal Phase, can get worse. It increases the chances of turning acute conditions into a treatment-resistent depression. In severe cases, a person experiencing depression can show signs like self-harm or suicidal attempts. However, it’s not like a sudden happening; instead, depression has several stages, and at each stage the symptom intensity varies. Want to know at which stage you are and how recovery from each stage actually feels? Read our detailed guide on this.

What are Depression Symptoms?

Depression can occur at any stage of life and can be severe in some cases. Symptoms of depression in different age groups include,

Depression Symptoms

Depression Symptoms in Teens and Children

There is a difference in depression symptoms in teens and children,

  • In teens, depression may have signs like irritability, unworthy feelings, poor performance, sadness, and poor school attendance. They may feel extremely sensitive, start using drugs or alcohol, or sleep or eat too much, experience loss of interest, self-harm, and avoid social interactions.
  • In younger children, depression may appear with the signs of sadness, clinginess, worry, aches, or pain. They may refuse to go to school or be underweight.

Symptoms of Depression in Older Adults

Depression is not something normal that we can take lightly. It often remains undiagnosed and untreated in older adults, and they feel unwilling to ask for help. Depression signs might be less obvious or different in older adults, like:

  • Changes in personality or memory problems.
  • Physical aches or pain.
  • Exhaustion, difficulty sleeping, loss of appetite, not due to any medication or medical condition.
  • They often want to stay at home, rather than going outside or socializing with new people.
  • Feelings or thoughts of suicide, especially occur in older men.

What are the Causes of Depression?

Although the exact cause of depression is unknown, there are some common causes. It may happen due to biological, environmental, and psychological factors. Every human being is different, but the following causes increase the chances of you becoming depressed.

  • If you have any blood relation who has experienced depression in their life.
  • When you experience any stressful or traumatic event, like physical or sexual abuse, finances problem, or the death of loved ones.
  • When you have to go through an unplanned major life change.
  • If you are experiencing any medical conditions, such as stroke, chronic pain, or cancer.
  • When you are taking specific medications.

What are the Effects of Depression?

Long-term and short-term effects of depression can disrupt overall health. People who experience symptoms of depression may find it difficult to perform daily activities and routine work. Most of the people don’t ask for help and treatment in depression, which leads to worsening and intensifying the symptoms.

Effects of Depression

The following are the common affects of depression on mental health and well-being.

Effects on Mental Health

The impact of depression on mental health includes the following signs:

  • Depression often keeps you awake at night because your mind is unable to relax. It causes insomnia or difficulty sleeping.
  • Depression can make cognitive changes in the brain. It can affect your learning, memory, concentration, perception, and decision-making processes.

Mental health signs of depression are connected to the central nervous system. It includes the brain and spinal cord. Our central nervous system uses neurotransmitters to send messages in our body to function well. Some of these functions are thoughts, memories, sleeping, stress response, healing, breathing, and so on. Sometimes our brain chemical imbalance can cause depression, and mental symptoms mentioned above.

Physical Impacts of Depression

The physical impact of depression includes the following signs:

Weight Gain or Weight Loss
Some people experience weight gain or weight loss due to changes in their appetite. This can lead to issues like heart problems, exhaustion, or fatigue.

Digestive Issues
Individuals who experience major depression may suffer from stomach problems. These can be aches, cramps, constipation, malnutrition, or other digestive problems.

Immune System or Cardiovascular Issues
Depression and anxiety are connected to stress hormones. When blood vessels constrict, it leads to a risk of heart problems. Malnutrition due to depression results in weight fluctuations and a weakened immune system.

Inflammation
When white cells in your body fight against bacteria, diseases, or viruses in your body, it causes irritated and swollen tissues. There is a connection between depression and inflammation that impacts your nervous system negatively. Most of the time, when we treat inflammation, it reduces depression.

Additionally, some other physical impacts of depression include low energy, exhaustion, headache, muscle pain, or chronic aches in the body.

Emotional Effects of Depression
The emotional signs that depression is affecting you include:

Depressed Mood
Individuals with depression feel emotionally sad, hopeless, or empty. They may have a constantly bad temper, aggression, negativity, anxiety, or nervousness. It disrupts their daily functioning and performance at work or school.

Loss of Interest
Individuals with depression lose their interest in enjoyable activities and social gatherings. It affects their relationship with friends and family and leads to a lack of emotions towards people around them.

Guilt or Unworthiness
Individuals with depression feel guilty for certain things in their lives that are out of their control. They may occupy themselves with feelings of unworthiness, which impact their performance. They also have negative thoughts about hurting themselves or others.

These are some of the emotional effects of depression that almost everyone experiences. However, it’s crucial to remember that depression has several types; experiencing a specific type may have distinctive effects on someone’s physical and emotional health.

Types of Depression in Psychology?

In psychology, depression is classified into the following types.

Physical Depression

Major Depressive Disorder

Major depressive disorder signs include feelings of sadness or unworthiness most days. It also involves some other symptoms, such as loss of interest or loss of appetite. Moreover, your sleep cycle is highly affected by depression because the racing thoughts or persistent worry make it difficult for you to sleep. This is known as the most severe and common type of depression.

Persistent Depressive Disorder (PDD)

Persistent depressive disorder is also known as dysthymia. It shows symptoms for a long time. While the symptoms are less intense than MDD, they are persistent and interrupt daily life. People experiencing PDD always feel down or not right, and sometimes go undiagnosed because of its enduring nature and less severe symptoms. It can be treated with the right combination of psychotherapy and lifestyle changes. You can make a meaningful difference in your symptoms with the long-term support from a psychologist or psychiatrist.

Disruptive Mood Dysregulation Disorder (DMDD)

Disruptive mood dysregulation disorder has signs like intense anger outbursts in children. Usually, its symptoms start appearing at age 10. It disrupts children’s daily life at home, school, and with friends. Although it is normal for children to feel moody, the signs of DMDD are more severe and long-lasting. The anger outbursts are mostly very intense.

Seasonal Affective Disorder (SAD)

It is a type of depression that is related to seasonal change, and it often begins and ends at the same time every year. If you are experiencing SAD, its signs may start in the fall and continue into the winter months, which can transform your mood.

Moreover, these symptoms often reduce or are removed during the summer or springtime. SAD can be treated with a combination of medications and psychotherapy.

Prenatal Depression and Postpartum Depression

Prenatal depression is a type of depression that happens in women during pregnancy. On the other hand, postpartum depression occurs within four weeks after delivering a baby. It is a type of major depressive disorder with severe and intense symptoms.

Atypical Depression

It is also known as major depressive disorder, but the symptoms are very slight to typical depression. The only difference is that you will feel a temporary mood improvement in response to positive events. Other symptoms may include sensitivity to rejection or increased appetite.

Depressive Disorder Due to Other Medical Condition

Several medical conditions can create certain changes in your body which results in depression. These medical conditions include heart disease, hypothyroidism, cancer, and Parkinson’s disease. When you treat these conditions, the depression will also improve.

Understanding the specific type, the next step is seeking professional help and support. Delaying getting treatment lets symptoms become unmanageable, affecting every domain of life, including academic, professional, and social.

When to Seek Professional Support

It is normal to feel down some days, but if you feel consistently down and feel sad, then this is an alarming situation. Sometimes you are unable to identify what depression does to you and let it disrupt your daily life. If you or anyone in your life is suffering from chronic depression, you need to reach out for professional help. Get a consultation with your mental health care provider.

It is necessary because persistent side effects of depression can lead to hopelessness or even suicide.

How to Treat Depression?

The most effective treatment for depression is Psychotherapy. In some cases, mental health care providers use a combination of medication and psychotherapy.

Psychotherapy

Psychotherapy can effectively treat all types of depression. It is a group of various treatment therapies. The main purpose of this treatment plan is to let a person recognize and change their negative emotions and behaviors.

Your mental health care provider will hold psychotherapy sessions with a licensed mental health psychiatrist. Additionally, it provides support, education, and guidance to the person struggling with depression.

Various psychotherapies can help you to reduce depression symptoms.

Cognitive Behavioral Therapy (CBT)

CBT is the most common and effective therapy to treat depression. Your mental health provider will help you to closely recognize your thoughts and intense emotions. When you understand your thoughts and actions, it works like a coping mechanism for depression to make you feel better. You can replace your negative thought patterns and behaviors with positive ones through CBT. Your professional psychiatrists will help you to enhance the ability to bear frustration without being aggressive.

Dialectical Behavior Therapy

Dialectical Behavior Therapy is based on CBT. It works best for individuals who experience highly intense emotions. DBT helps individuals with depression by helping them learn to manage their emotions. You can avoid extreme or prolonged aggression outbursts through DBT.

Parent Training

If your child is experiencing depression, then the mental health provider will recommend a combination of therapy and training for parents. It teaches parents to respond in a better way to the child’s negative behavior. Moreover, this training also teaches the significance of being consistent with your child and using positive techniques to reduce unwanted behavior.

Conclusion

Feeling worried over small things in life is sometimes normal, but if you persistently feel sad, worried, or depressed, then this is not something to ignore. Depression can impact your mental health and overall well-being negatively. You need to get a mental health consultation before the depression worsens and disrupts your daily life activities. You can initiate a discussion with your loved ones to see whether they are silently suffering from mental, physical, and emotional distress.

Moreover, you need to discuss with them ways of getting the necessary help. The treatment will involve the use of psychotherapy, cognitive behavior therapy (CBT), or medications. CBT may be found useful in the treatment of various kinds of depression, such as major depressive disorder, persistent depressive disorder, and more.

Orange Coast Psychiatry is the leading mental health provider in California, with experts in mental health. We offer personalized treatment plans for each patient according to their mental health conditions. Experts in mental health can conduct several tests, including physical examination and psychiatric assessment, to create the right treatment plan. Our team of professionals will help you to live a happy and healthy life again. You can book your appointment through both in-person and telepsychiatry.

Frequently Asked Questions

The most common depression type is Major Depressive Disorder (MDD). It includes chronic sadness, fatigue, loss of interest, and a disruptive sleep schedule. MDD can disturb your daily life, but the right treatment can effectively reduce the symptoms.

Can any individual have more than one type of depression at the same time?
Yes, it is possible; often, people experience more than one depression type at once. For example, someone with major depressive disorder might also experience persistent depressive disorder. But it can be treated with the proper treatment and coping techniques.

Yes, depression is a mental health disorder that can impact your daily life and activities. But fortunately, it is treatable and the right treatment works effectively, such as Cognitive Behavioral Therapy.

Yes, several behavioral therapies work well to reduce signs of depression without medication. Your psychiatrist will recommend helping you through cognitive behavioral therapy and dialectical behavioral therapy. In some cases, due to the severity of symptoms, they can suggest a combination of medications and therapies.

Although there may be some improvement in milder forms of depression, it is still suggested to seek professional help to prevent the condition from deteriorating further. The earlier the treatment, the better.

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Frequently Asked Questions

The most common depression type is Major Depressive Disorder (MDD). It includes chronic sadness, fatigue, loss of interest, and a disruptive sleep schedule. MDD can disturb your daily life, but the right treatment can effectively reduce the symptoms.

Can any individual have more than one type of depression at the same time?
Yes, it is possible; often, people experience more than one depression type at once. For example, someone with major depressive disorder might also experience persistent depressive disorder. But it can be treated with the proper treatment and coping techniques.

Yes, depression is a mental health disorder that can impact your daily life and activities. But fortunately, it is treatable and the right treatment works effectively, such as Cognitive Behavioral Therapy.

Yes, several behavioral therapies work well to reduce signs of depression without medication. Your psychiatrist will recommend helping you through cognitive behavioral therapy and dialectical behavioral therapy. In some cases, due to the severity of symptoms, they can suggest a combination of medications and therapies.

Although there may be some improvement in milder forms of depression, it is still suggested to seek professional help to prevent the condition from deteriorating further. The earlier the treatment, the better.

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Dennis Ly Psychiatric Mental Health Nurse Practitioner-BC

Dennis Ly

Psychiatric Mental Health Nurse Practitioner-BC

Dennis Ly is a Board-Certified Psychiatric-Mental Health Nurse Practitioner dedicated to delivering compassionate, evidence-based, and holistic care. With eight years of nursing experience in emergency medicine, Dennis gained extensive experience working with patients in acute crisis, including those with psychiatric and behavioral health needs. These experiences fostered his passion for mental health and shaped his ability to remain calm, empathetic, and collaborative when supporting patients during their most vulnerable moments.

He earned his Master of Science in Nursing from Capella University and completed his Post-Master’s PMHNP certificate at National University, where he received advanced training in psychiatric assessment, psychopharmacology, and therapeutic interventions for children, adults, and geriatric patients. His clinical focus includes the treatment of anxiety, depression, bipolar disorder, schizophrenia, and ADHD.

In addition to medication management, Dennis integrates therapeutic modalities such as cognitive behavioral therapy (CBT), motivational interviewing, and patient-centered therapy into his practice, tailoring care to each individual’s goals and values. He approaches treatment with a holistic and collaborative philosophy, meeting patients where they are and empowering them to build resilience through personalized care.

Outside of work, Dennis enjoys exercising, eating sushi and Korean BBQ, and traveling.

Leemarie Lewis

Psychiatric-Mental Health Nurse Practitioner-BC

Leemarie Lewis is a Board-Certified Psychiatric Mental Health Nurse Practitioner with over six years of experience in emergency medicine, community health, and psychiatric care. She earned her Master of Science in Nursing from West Coast University, where she completed focused training in psychiatric assessment, psychopharmacology, and evidence-based therapeutic modalities across the lifespan. Her clinical interests include the treatment of anxiety, mood disorders, ADHD, OCD, trauma-related conditions, and substance use disorders.
She began her healthcare career at UCLA Health as a nursing assistant, where she frequently served as a one-to-one observer for patients in acute psychiatric crisis. This experience sparked her deep interest in mental health. She went on to provide care for unhoused individuals in Los Angeles, supporting both physical and psychiatric needs while advocating for underserved populations. Much of her clinical background was spent as an emergency department nurse at a Level 1 trauma and county facility, where she gained valuable experience managing complex psychiatric and medical emergencies with empathy and precision.
Leemarie is committed to delivering equitable, inclusive, and culturally responsive care. She emphasizes the importance of creating a collaborative, patient-centered environment where individuals feel heard, supported, and empowered in their mental health journey. She integrates preventive care, patient education, and individualized treatment planning into her practice.
Outside of work, Leemarie enjoys staying active, practicing self-care, and spending time with family and friends. She also loves traveling and trying new experiences that bring joy and balance to her life.

Vivienne Peng

Psychiatric-Mental Health Nurse Practitioner-BC (Fluent in Mandarin Chinese)

Vivienne Peng is a board certified Psychiatric-Mental Health Nurse Practitioner with over 10 years of nursing experience working in the mental health field. Fluent in both English and Mandarin Chinese, she brings a culturally responsive, person-centered care that honors each individual’s unique background and walks of life.

Vivienne’s clinical expertise spans crisis de-escalation, therapeutic communication, and evidence-based treatment modalities. She draws on a mix of techniques such as psychotherapy-based interventions, integrative care models, medication management, psychoeducation, and complimentary approaches in her care. She has worked with individuals ages 6 and above across a variety of settings. She supports individuals with mental health challenges including depression, anxiety, mood disorders, PTSD, Schizophrenia, and more. She is committed to provide compassionate, empathetic, individual-focused care, always meeting individuals where they are with respect, authenticity, and clinical skills.
Vivienne’s Practice emphasizes on creating a safe and judgement free environment where individuals feel supported and empowered on their mental health journey towards healing and growth. Drawing from the foundation of nursing, trauma-informed, and holistic care, Vivienne collaborates with individuals to develop personalized treatment plans grounded in current research, best practices, and the individual’s own goals and values.

Outside of work, Vivienne enjoys traveling, discovering new restaurants, watching movies and visiting museums. She genuinely enjoys meeting new people and feels inspired everyday by the strength and resilience of those she serves.

Dr. Grawert

Psychiatrist

Dr. Lauren Grawert is a double board-certified psychiatrist with the American Board of Psychiatry and Neurology and Addition Psychiatry. She is an integral part of the team of Supervising Psychiatrists for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast Psychiatry.
In previous roles, Dr. Lauren Grawert was the founder of LHG Telemedicine LLC, as well as Chief of Psychiatry (Northern Virginia) for the Mid-Atlantic Permanente Medical Group; she has also worked in private practice specializing in general psychiatry, substance use disorders, and medically assisted treatment (MAT). Dr. Grawert has served as an expert for the San Diego Community Response to Drug Overdose Task Force; the Addiction subcommittee leader for Kaiser Permanente National Mental Health & Addiction Leadership Organization; and a Professor of Psychiatry at Penn State College of Medicine. She received her medical and psychiatric training at Medical University of South Carolina.
Dr. Grawert is also experienced with a variety of behavioral healthcare models through both private practice and leadership roles at Kaiser Permanente and other organizations.

Jackson Tea

MSN, PMHNP-BC

Administrative Director and Psychiatric Mental Health Nurse Practitioner

Jackson Tea, MSN, PMHNP-BC, serves as the Administrative Director and a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) at Orange Coast Psychiatry. Dedicated to breaking the stigma surrounding mental health, Jackson is passionate about providing compassionate, evidence-based care that empowers individuals to take charge of their mental well-being. His expertise includes comprehensive psychiatric assessments, personalized medication management, and behavioral health interventions designed to help patients achieve the best possible outcomes in their mental health journey.
Jackson’s approach to care is rooted in the belief that mental health is just as vital as physical health. He focuses on creating a supportive, judgment-free environment where patients feel heard, valued, and understood. By offering individualized treatment plans tailored to each person’s unique needs and goals, Jackson helps clients overcome obstacles such as anxiety, depression, mood disorders, and other mental health challenges.
He holds a Post-Master’s Certificate as a Psychiatric Mental Health Nurse Practitioner from National University, a Master of Science in Nursing in Nursing Administration from the University of Phoenix, and a Bachelor of Science in Nursing from California State University, Los Angeles, where he earned Dean’s List honors. As a member of the Sigma Theta Tau Honor Society of Nursing, Jackson remains committed to advancing mental health awareness and promoting high standards of care in the field.
In his role at Orange Coast Psychiatry, Jackson leads clinical operations while ensuring regulatory compliance and delivering high-quality care. His core competencies include psychiatric assessment, evidence-based interventions, crisis management, clinical leadership, and risk mitigation. Above all, Jackson strives to make mental health care accessible and effective for everyone, supporting individuals in making meaningful progress, improving their quality of life, and achieving lasting well-being.

May Faustino

Psychiatric-Mental Health Nurse Practitioner-BC

May Faustino, PMHNP-BC, is a compassionate and highly skilled psychiatric provider with over four years of nursing experience, including three years specializing in psychiatric care. She holds a Master of Science in Nursing from West Coast University, where she received extensive training in managing the psychiatric needs of pediatric, adult, and geriatric populations, as well as providing therapy and counseling services.
May has worked in diverse mental health settings, including forensic psychiatry at the Department of State Hospitals and behavioral health services at Aliso Ridge Behavioral Health. Her clinical expertise spans psychiatric assessments, medication management, and trauma-informed care, with a strong focus on treating anxiety, depression, and trauma-related disorders.
Bilingual in English and Tagalog, May is dedicated to serving diverse patient populations with a culturally sensitive approach. She is trained in evidence-based therapeutic modalities such as cognitive behavioral therapy (CBT) and motivational interviewing and is well-versed in trauma-informed care and suicide prevention strategies.
May is passionate about promoting resilience and recovery through preventive mental health care and individualized, holistic treatment plans. Her commitment to excellence is reflected in her memberships in the American Psychiatric Nurses Association and Sigma Theta Tau International Honor Society of Nursing.
In her personal time, May enjoys fostering mindfulness and well-being through activities she loves, such as spending time with her husband and their two beloved cats, Pippy and Eva.

Dr. Montgomery

M.D. – Psychiatrist

Dr. Torri Montgomery, M.D., is a board-certified psychiatrist with the American Board of Psychiatry and Neurology, with a subspecialty board certification in forensic psychiatry. Dr. Montgomery is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
Dr. Montgomery earned her Bachelor of Science (Magna Cum Laude) from Arizona State University and her Doctor of Medicine (M.D.) from The University of Arizona, College of Medicine. She completed her psychiatry residency at Los Angeles County Harbor-UCLA Medical Center. During her psychiatry residency, Dr. Montgomery completed a year-long certification in Electro-Convulsive Therapy (ECT), earned a certificate from the Drug Enforcement Agency (DEA) to prescribe medication for the treatment of substance use disorders, and worked in a Medication Assisted Treatment (MAT) clinic for substance use disorders. Additionally, she was appointed Chief Resident and received an Excellence in Teaching award.
After psychiatry residency, she completed her Forensic Psychiatry Fellowship at the University of Southern California, Keck School of Medicine. After completing her fellowship, Dr. Montgomery has worked in public psychiatry for the Los Angeles County Department of Health Services. She teaches, consults, and treats individuals with depressive disorders, anxiety disorders, trauma-related disorders, and serious mental illness (SMI), such as schizophrenia spectrum and bipolar disorders. Her experience includes outpatient, inpatient, emergency, consult liaison, addiction, dual-diagnosis, and forensic psychiatry. She is an expert evaluator on the Superior Court of California Panel of Expert Psychiatrists and Psychologists. Dr. Montgomery is an attending physician for the Harbor-UCLA Department of Psychiatry and serves as a psychiatrist with Orange Coast psychiatry.

Dr. Ravi

M.D. – Psychiatrist

Dr. Dave Ravi, M.D., is a Board Certified Psychiatrist with additional qualifications in geriatric psychiatry. Dr. Ravi is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
Dr. Ravi graduated from Virginia Commonwealth University (B.S., Magna Cum Laude), VCU School of Medicine (M.D.), Dartmouth Hitchcock Medical Center (Residency in Psychiatry), and John. A. Burns School of Medicine (Fellowship in Geriatric Psychiatry). He currently is a clinical assistant professor of psychiatry at John A. Burns School of Medicine in Honolulu, HI and serves as a psychiatrist with Orange Coast psychiatry.
Dr. Ravi is a dedicated community psychiatrist with extensive experience in public, correctional, inpatient and outpatient settings, and an experienced tele-psychiatrist. He consults on topics in general psychiatry, including quality improvement, treatment planning, and crisis management, and in correctional psychiatry, including recovery-oriented treatment for individuals with serious mental illness and dual diagnosis. His current and future interests focus on understanding the various approaches in managing the suffering and disturbance of complex psychiatric disorders, particularly in the use, misuse, overuse, and misrepresentation of psychotropic medications.

Dr. Irwin

M.D. , Ph.D – Psychiatrist

Dr. Scott Irwin, M.D., Ph.D., is Board Certified Psychiatrist. Dr. Irwin is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
His career mostly focuses on improving outcomes for those with cancer or other progressive, potentially life-limiting illnesses, and their families, through leading-edge clinical services, ongoing research, as well as program development, improvement, and implementation.
He is widely published, has been recognized at many levels for his research, teaching, consulting, and clinical endeavors, and has received research funding from the NCI, NIMH, the National Palliative Care Research Center, the Archstone Foundation, and industry.
Dr. Irwin earned his Bachelor of Science from the University of California, Los Angeles, and both his MD and PhD (neuroscience) at the University of Illinois, Urbana-Champaign. He successfully completed his psychiatry residency at UC San Diego as chief resident of Outpatient Psychiatric Services, as well as a two-year elective in hospice and palliative care at San Diego Hospice and The Institute for Palliative Medicine. He is a diplomate of the American Board of Psychiatry and Neurology, with subspecialty certification in psychosomatic medicine.

Richard Samedra.

Psychiatric-Mental Health Nurse Practitioner-BC

Richard Samedra, PMHNP-BC, is a Board Certified Psychiatric-Mental Health Nurse Practitioner. He brings over 12 years of experience in the mental health field, working with clients facing a wide range of acute and chronic mental health conditions. His journey began as a Licensed Vocational Nurse and Charge Nurse at Westminster Therapeutic Residential Treatment, where he supported clients dealing with anxiety, depression, schizophrenia, bipolar disorder, and substance use disorders. Richard’s dedication was centered on helping these individuals improve their mental health and transition to a lower level of care, whether that meant returning to their families, a board and care facility, or a sober-living environment.
Motivated by a growing passion for mental health care, Richard pursued his Registered Nurse (RN) education at Saddleback Community College and later transitioned to La Palma Intercommunity Hospital Behavioral Health. In this role, he specialized in geriatric psychiatry, working with older adults experiencing conditions such as Parkinson’s disease, dementia, depression, and anxiety. This experience solidified his commitment to mental health, leading him to work at Bellflower Community Hospital, where he provided care for patients experiencing severe psychiatric crises, including suicidal ideation, manic and depressive episodes, substance use disorders, and exacerbated schizophrenia symptoms.
Inspired by the impactful work of PMHNPs at Bellflower, Richard enrolled in the Psychiatric-Mental Health Nurse Practitioner program at Azusa Pacific University. To broaden his expertise, he worked full-time at College Hospital Costa Mesa while completing his studies. There, he gained comprehensive experience across various units, including adolescent, acute men’s and women’s, stabilization, and detox/med-surg. Now, as a PMHNP, Richard is committed to leveraging his diverse background and knowledge to provide compassionate, comprehensive care to those in need.
Richard currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where he is supervised by Dr. Montgomery.

Shaheena Gazipura

Psychiatric-Mental Health Nurse Practitioner-BC

Shaheena Gazipura is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over 9 years of dedicated experience in both inpatient and outpatient mental health care. She earned her Master of Science in Nursing from Western University of Health Sciences in Pomona, California.
Shaheena began her career working on an adult psychiatric inpatient unit before transitioning to the geriatric psychiatric inpatient unit at USC Verdugo Hills Hospital. In addition to her clinical work, Shaheena also serves as a Nursing Clinical Instructor, guiding the next generation of nurses through their mental health rotations at a large community college.
Shaheena is a passionate advocate for mental health, believing that it is a fundamental pillar of overall well-being. She is committed to reducing the stigma surrounding mental illness and strives to provide comprehensive, compassionate care that honors each individual’s unique experiences and challenges. Her goal is to create a supportive, nonjudgmental environment where patients feel empowered to work alongside her in achieving their mental health goals.
Outside of her professional life, Shaheena enjoys exploring new culinary experiences, staying active through exercise, and planning her next travel adventures.
Shaheena currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where she is supervised by Dr. Barrios.

Clint Nacar

Psychiatric-Mental Health Nurse Practitioner -BC

Clint Nacar, PMHNP-BC is a Board Certified Psychiatric-Mental Health Nurse Practitioner. Mr. Nacar graduated from Charles R. Drew University of Medicine and Science. Currently Mr. Nacar works in an inpatient psychiatry unit at a leading academic medical center in Los Angeles, Renewed Mental Health Group, and Orange Coast Psychiatry
Mr. Nacar brings over 7+ years of experience with the mental health population. He works to help patients take control of their mental health through patient education, psychotherapy and medication management. Mr. Nacar’s areas of focus include: Depression, Anxiety, Adjustment Disorder, Bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), and Post-Traumatic Stress Disorder (PTSD). Mr. Nacar treats children ages 6+, adolescents, and adults, offering both in-person services and telehealth at Renewed Mental Health Group.
With the collaboration of each patient, Mr. Nacar strives to develop individualized plans of care addressing each patient’s unique situation and concerns. He also encourages each patient to take charge of their mental health through a holistic approach while also employing the latest evidence based practices in treatment.

Clint is one of our most experienced Psychiatric-Mental Health Nurse Practitioners at Orange Coast Psychiatry and is 103NP Licensed in the State of California.

Cristian Cuevas

Psychiatric-Mental Health Nurse Practitioner-BC (Fluent in Spanish)

Cristian Cuevas, PMHNP-BC, is a highly skilled board-certified psychiatric mental health nurse practitioner with over seven years of experience in inpatient psychiatry and mental health.
A California State University Long Beach graduate, Cristian also earned recognition as a board-certified psychiatric mental health registered nurse. With a wealth of expertise in adult psychiatric care across the lifespan, Cristian has successfully diagnosed and treated a diverse range of mental health disorders.
Additionally, his specialized experience in child and adolescent inpatient populations further enhances his ability to provide comprehensive and compassionate mental health care.
Cristian Cuevas is the Lead Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry and is supervised by Dr Barrios.

Nicole Leonce

Doctor of Nursing Practice & Psychiatric Mental Health Nurse Practitioner-BC

Nicole Leonce is a Board-Certified Psychiatric-Mental Health Nurse Practitioner with over five years of experience in psychiatry and a strong medical background. She earned her Doctor of Nursing Practice degree from the University of San Francisco and is a proud member of the Sigma Theta Tau International Honor Society of Nursing. Nicole has a special emphasis in Trauma-Informed Care and is deeply committed to providing compassionate, patient-centered, and culturally responsive treatment.

Her clinical expertise includes the diagnosis and management of depression, anxiety, bipolar disorder, trauma-related conditions, ADHD, OCD, substance use disorders, and mood disturbances. She also provides care for individuals navigating grief, life transitions, and relationship stressors. Nicole integrates evidence-based approaches such as psychodynamic therapy, motivational interviewing, and solution-focused techniques, along with medication management, to help her clients achieve balance and emotional well-being.

Nicole believes that every patient’s story deserves to be heard and validated. She strives to create a safe and supportive environment where individuals feel empowered to explore their challenges and reach their full potential.

Outside of her practice, Nicole enjoys reading, traveling, exploring museums, cooking, and dining with friends and family. She also loves spending time with her miniature poodle, Nico.

Dr Barrios

Board-Certified Child and Adolescent Psychiatrist

Dr. Carlos Barrios is a Board-Certified Child and Adolescent Psychiatrist with over two decades of experience in mental health care. His expertise in telepsychiatry has allowed him to serve patients across California and beyond. In his practice, Dr Barrios integrates metabolic and functional methodologies, focusing on guiding patients toward medication independence and emphasizing the connection between physical and mental health.
Outside of his professional life, Dr Barrios is passionate about kettlebell training, which helps him maintain my physical and mental wellness. He cherishes visiting his family in Guatemala, to reconnecting with his cultural roots and rejuvenating his spirit. Dr Barrios is also deeply involved in transcendental meditation and rucking, practices that not only provide him with tranquility but also keep him grounded and connected to nature. These hobbies reflect his commitment to a holistic approach to health, both personally and professionally.