A physician of Major Depressive Disorder
Dr. Husted treats major depression with measurement-based care: a PHQ-9 at every visit, two or three written functional goals set at the first evaluation, and a plan that changes when the numbers do not move on schedule. He favors an adequate trial of a single antidepressant over frequent switching, pairs medication with psychotherapy, and raises interventional options once two adequate trials have failed. Return to work, exercise and family life, not just a lower score, is how he judges success.
Full guide to major depressive disorder at Stedfast Psychiatry
Treatment-Resistant Depression
For depression that has not responded to two or more adequate antidepressant trials, Dr. Husted first re-examines the diagnosis, including bipolar spectrum illness, sleep apnea and medical causes, and reviews whether each prior trial reached an adequate dose and duration. He then discusses FDA-cleared Deep TMS and FDA-approved Spravato alongside further medication strategies. He leads both interventional programs at Stedfast Psychiatry, assesses candidacy personally, and gives patients the trial response and remission rates rather than a sales pitch.
Full guide to treatment-resistant depression at Stedfast Psychiatry
Generalized Anxiety Disorder
Dr. Husted treats generalized anxiety disorder with first-line SSRIs or SNRIs given at adequate doses for eight to twelve weeks, tracked with the GAD-7 and the functional goals set at the first visit, and combined with cognitive behavioral therapy in nearly every case. He screens for caffeine, alcohol, cannabis, stimulants and sleep problems that sustain anxiety, reconsiders the diagnosis when a first medication fails, and avoids long-term benzodiazepines because of tolerance, dependence and cognitive effects.
Full guide to generalized anxiety disorder at Stedfast Psychiatry
Panic Disorder
Dr. Husted starts SSRIs at low doses and titrates slowly in panic disorder to avoid the early activation that leads patients to abandon treatment in the first two weeks. He may use a short, time-limited bridge medication with a stop date, refers for cognitive behavioral therapy with interoceptive exposure, and screens for thyroid disease, cardiac arrhythmia and stimulant use. Success is measured by the return of avoided activities such as driving, flying and travel, not by symptom scores alone.
Obsessive-Compulsive Disorder
Dr. Husted co-authored research on OCD neurocircuitry, the treatment of refractory OCD and the effect of comorbid tics on SSRI response during his training at the University of Florida. In adults he uses higher SSRI doses over longer trials than are typical for depression, treats referral to exposure and response prevention therapy as part of the prescription rather than an afterthought, asks about tics and age of onset, and sets a clinically meaningful response criterion before each medication trial begins.
Full guide to obsessive-compulsive disorder at Stedfast Psychiatry
Bipolar Disorder
Dr. Husted screens every patient referred for depression or anxiety for bipolar spectrum illness before an antidepressant is started or continued, because a missed diagnosis can make treatment worse. He manages bipolar disorder in adults with mood stabilizers and careful laboratory and medication monitoring, coordinates with therapists and primary care physicians, and tracks sleep and functioning between visits as early warning signs. Any question of bipolar disorder in the practice is reviewed by a physician.
Post-Traumatic Stress Disorder
Dr. Husted asks about trauma in every anxiety evaluation because post-traumatic stress disorder often presents as generalized anxiety, insomnia or irritability until someone asks the right question. He treats adults with PTSD using evidence-based medication, coordinated with trauma-focused psychotherapy delivered by a therapist he stays in contact with, and tracks sleep, avoidance and daily functioning as the measures of progress. He is cautious with benzodiazepines in PTSD, where the evidence does not support them.
Full guide to post-traumatic stress disorder at Stedfast Psychiatry
Insomnia
Dr. Husted treats insomnia as both a symptom and a driver of depression and anxiety, and sleep is one of the functional goals he tracks in most patients. He screens for sleep apnea, caffeine, alcohol and screen habits before prescribing, favors cognitive behavioral therapy for insomnia over long-term sedatives, and uses medication selectively with a defined endpoint. Insomnia that persists after mood and anxiety improve is treated directly rather than left to resolve on its own.
Late-Life Depression
A member of the American Association for Geriatric Psychiatry, Dr. Husted treats depression in older adults with attention to medical comorbidity, drug interactions, fall risk and cognitive change, which complicate what might otherwise look like a routine case. He avoids benzodiazepines, reviews the full medication list at every visit, screens for early cognitive decline, and considers Deep TMS for older patients who tolerate medication poorly. Family members are welcome at visits when the patient agrees.
Burnout and Work Stress
Dr. Husted distinguishes burnout from major depression and anxiety disorders at the first evaluation, because the treatments differ. Where a depressive or anxiety disorder is present he treats it with the same measurement-based approach he uses for every patient. Where the problem is occupational, he focuses on sleep, functional goals and referral for therapy rather than medication, and says so plainly. Return to effective, sustainable work is the measure he tracks at each follow-up.
Full guide to burnout and work stress at Stedfast Psychiatry
Educational content; a diagnosis requires an evaluation. If you are in crisis, call or text 988.
Social Anxiety Disorder
Dr. Husted treats social anxiety disorder with SSRIs or SNRIs at adequate dose and duration combined with cognitive behavioral therapy, which has strong evidence for this condition and addresses the avoidance that medication alone leaves in place. He tracks functional goals such as presentations, meetings, dating and social events rather than symptom scores alone, avoids reliance on as-needed sedatives, and screens for the depression and alcohol use that frequently accompany long-standing social anxiety.
Full guide to social anxiety disorder at Stedfast Psychiatry