- About Depression
Understanding Depression
Depression is not simply feeling sad or down. It is a complex mood disorder that affects your emotional, physical, and mental health. It can persist for weeks, months, or even years if left untreated. Symptoms often include persistent feelings of hopelessness, loss of interest in once-enjoyed activities, fatigue, changes in sleep and appetite, difficulty concentrating, and in severe cases, thoughts of self-harm or suicide.
At Excel Psychiatry, we provide comprehensive depression diagnosis services to accurately identify the type and severity of your condition. Understanding your symptoms fully allows us to develop the most effective treatment plan, ensuring you receive the care that best suits your individual needs.
At Excel Psychiatry, we understand how debilitating depression can be, impacting your ability to enjoy life, maintain relationships, and perform daily activities. Our compassionate, board-certified depression psychiatrist in McKinney provides personalized, evidence-based treatment plans designed to address the unique challenges of each patient.
Whether you are struggling with major depressive disorder, chronic depression, or treatment-resistant depression, we combine medical expertise with empathetic care to help you reclaim your mental well-being. Our multidisciplinary approach includes medication management, therapy referrals, and cutting-edge treatments, all tailored to your needs.

Types of Depression We Treat
Depression manifests in several forms, each requiring a tailored approach:
1
Major Depressive Disorder (MDD)
MDD is characterized by persistent and intense feelings of sadness and despair lasting at least two weeks. It often severely disrupts daily functioning and may require a combination of medication, therapy, and advanced interventions.
2
Chronic Depression (Dysthymia)
Chronic depression involves a milder but long-lasting form of depression, with symptoms persisting for two years or more. Patients may feel fatigued and lack joy for extended periods, often unaware that their mood is clinically significant.
3
Treatment-Resistant Depression
This type refers to depression that has not responded to two or more antidepressant treatments. At Excel Psychiatry, we specialize in managing treatment-resistant depression through innovative therapies like TMS therapy and Spravato® treatment, offering hope when other treatments fail.
4
Bipolar and Manic Depression
Bipolar disorder involves mood swings that include depressive episodes alternating with mania or hypomania. Our experts provide comprehensive care for bipolar and depression psychiatry in McKinney, addressing both phases with precision.
5
Severe Depression
Severe depression can be life-threatening and requires immediate and intensive treatment. We ensure close monitoring and personalized interventions for patients facing severe symptoms, combining medication, therapy, and sometimes hospitalization.
How We Treat Depression at Excel Psychiatry?
Our treatment philosophy centers on a personalized and comprehensive approach. For many, the journey to wellness includes depression medication management, where our psychiatrist carefully selects the best medications for major depressive disorder tailored to your symptoms and medical history. Additionally, therapy plays a vital role. We provide referrals to trusted therapists specializing in therapy for depression, including cognitive-behavioral therapy (CBT) and other evidence-based modalities.

For patients with treatment-resistant depression or those seeking alternatives to medication, we offer innovative treatments such as TMS therapy, a non-invasive brain stimulation technique, and Spravato® nasal spray, an FDA-approved treatment for resistant depression. These therapies have helped many patients who have struggled to find relief with traditional approaches.
Our team continuously monitors your progress, adjusting treatment as needed to optimize outcomes and ensure lasting remission.
What Clients Say About Us!
We’d love to hear your thoughts! Click below to leave a review of our services.
EXCELLENT rating
Based on 11 reviewsTrustindex verifies that the original source of the review is Google. Jonathan Kaminar and staff are absolutely wonderful here. The convenience of virtual visits has been super beneficial for me having young kiddos, and still being able to get some help. I’m very grateful I found this place. From scheduling to in person or virtual visits everything has been great. I also found a lot of comfort in being able to message someone here outside of regular business hours and promptly getting a response. for somebody with anxiety and depression. This was extremely helpful. Val Keen2023-10-12Trustindex verifies that the original source of the review is Google. I don’t usually leave a review but I am extremely grateful for their excellent service that I feel like this might help someone decide to start care with this great group of clinicians. They are extremely prompt and professional with their responses, from the beginning to the end of our relationship my care has been smooth. I had a small difficulty logging initially but they helped me through it and made no fuss about it. After that the follow ups were a breeze. The links were sent to me via texts and I was able to directly video chat with my provider w/o issues. And I recently moved to a different state, and they were so helpful in transferring my documents over to my new doctor without interruption in my care. In our fragmented and unnecessarily complicated health care system, this is a fresh of breath air. Alias Pseudonym2023-09-25Trustindex verifies that the original source of the review is Google. Dr. Zia and her staff are amazing. They truly go the extra mile to make you feel comfortable! J K2023-03-21Trustindex verifies that the original source of the review is Google. The staff are great! They have been so kind while I’m going through treatment Maddie Dyer2022-11-11Trustindex verifies that the original source of the review is Google. Dr Zia is a very empathic and learned doctor. Had a chance to meet her with a close relative of mine, the way she handled the problem is really commendable. Staff was also very cooperative and forth coming. Highly recommended health facility. As I am a doctor myself so really impressed by the set up. 👍 uzma urooj2022-11-04Trustindex verifies that the original source of the review is Google. Dr. Zia and her team are wonderfully caring people. They will go above and beyond to help you recover from whatever is ailing you. They are genuine, compassionate and caring, plus they are on the cutting edge of technology when it comes to services that help their clients. I've dealt with treatment resistant depression for decades and Dr. Zia and her staff helped me. Billie Jean Templeton2022-09-06Trustindex verifies that the original source of the review is Google. Excel team is not like any other doctor's office where you have to wait for hours to even get in touch with the Dr. Dr . Zia uses a portal through which you can communicate with them and get matters resolved quickly. I love that their team is so efficient in everything that they do and i love the portal they use because it is so much easier and efficient. Dr. Zia evaluations have shown tremendous positive effect on my mental as well as emotional health. She also provides advanced treatment for depression and anxiety. Thank you excel psychiatry :) Afnan Shah2022-08-31Trustindex verifies that the original source of the review is Google. Dr. Zia and team are amazing. They have amazing communication and accommodate you as per your needs. Dr. Zia also offers in office TMS treatment which is an advance level of care for depression and anxiety and it definitely works. I know many people have their doubts and don’t know about TMS but let me tell you it works, just have to take that first step and everything seems to fall in place. They are really easy to talk to and will help you out in every way they can and sometimes go out of their way to help and care for your needs. I would definitely recommend excel psychiatry because the whole team is wonderful. ishrat merchant2022-08-31
Getting Started: Depression Evaluation and Diagnosis
Your journey begins with a thorough depression diagnosis performed by our expert psychiatrist. This involves a detailed clinical interview, review of medical history, symptom assessment, and possibly standardized depression rating scales. We aim to understand not just the symptoms but how depression affects your life.
Accurate diagnosis is essential, especially to differentiate between types of depression and related disorders like bipolar disorder. Following diagnosis, we work with you to create a customized treatment plan focused on your goals and preferences.

Accepted Insurances
We are accepting all the major insurances including
We do not accept Amerigroup Medicare or Medicaid for Patient appointments. We only accept Amerigroup Medicare for TMS and Spravato referrals .









Please verify deductibles and/or co-pays with your insurance company. Insurance often covers some or all of the appointment fees, but please note that this is not a guarantee. In cases of deductibles or coverage denials, patients have to pay the appointment fees.
Frequently Asked Questions
What is the difference between major depressive disorder and general depression?
Major depressive disorder (MDD) is a clinically diagnosed mood disorder with specific diagnostic criteria and persistent symptoms lasting at least two weeks. General depression may refer to transient feelings of sadness or mild depressive symptoms.
Can depression be cured?
While there is no single “cure,” many patients achieve long-term remission with effective treatment. Ongoing management, therapy, medication, and lifestyle changes contribute to lasting recovery.
How effective is TMS therapy for depression?
TMS therapy is FDA-approved and clinically proven to benefit patients with treatment-resistant depression who haven’t responded well to medications. It’s a safe, non-invasive option with minimal side effects.
What is Spravato, and how does it help with depression?
Spravato® is a nasal spray treatment approved for treatment-resistant depression. It works differently from traditional antidepressants and can provide rapid symptom relief under medical supervision.
Can I treat depression without medication?
Yes, some patients benefit from therapy alone or alternative treatments like CBT, lifestyle changes, and advanced therapies. Our team will help you determine the best plan based on your needs.
How do I know if I need a psychiatrist or therapist for my depression?
Psychiatrists can provide medical evaluations, prescribe medication, and manage complex cases, while therapists focus on counseling and psychotherapy. We offer coordinated care to meet all your needs.
Is Depression impacting your life? Wait no longer!
Contact Excel Psychiatry to schedule your consultation with a trusted depression psychiatrist in McKinney. Together, we’ll create a personalized treatment plan to guide you toward lasting relief and improved mental health..