Structured Diagnostic Evaluation at Peachtree Psychology's Roswell Office
Depression Evaluation for Adults Near Atlanta
Structured clinical assessment with Dr. Alex Crenshaw at Peachtree Psychology's Roswell office — to identify what's driving your symptoms and what treatment fits.
Depression doesn't always look like sadness. It can look like exhaustion. Irritability. Numbness. Difficulty caring about things you used to care about. Going through the motions while feeling increasingly disconnected from your own life.
It can also look like anxiety, or like ADHD, or like the kind of low-grade flatness that people learn to call their personality rather than a condition.
Depression is one of the most common and most treatable psychological conditions — but it's also one of the most misunderstood. It's not one thing. It exists on a spectrum, takes many forms, and frequently overlaps with other conditions that require their own targeted treatment. Getting better starts with understanding what you're actually dealing with.
Dr. Alex Crenshaw offers depression evaluations for adults at Peachtree Psychology's Roswell office. These are structured clinical assessments designed to identify what's driving your symptoms, rule out overlapping conditions, and give you a clear treatment direction. Learn more about our psychological testing and diagnostic evaluations.
Depression Isn't Always What People Expect
The clinical picture of depression is broader than most people realize. In adults, depression commonly presents as:
Many adults have carried these symptoms for years — sometimes decades — without ever receiving a formal evaluation or an accurate diagnosis. They've been in therapy, tried medication, read the books. Something still isn't working. Often, the missing piece is diagnostic clarity.
Why an Evaluation Changes the Treatment Picture
Depression is not a single condition with a single treatment. A formal evaluation examines what type of depression is present, what's maintaining it, and what's likely to actually help.
Major Depressive Disorder has specific evidence-based protocols including Behavioral Activation, CBT, and medication. Persistent Depressive Disorder (dysthymia) — a lower-grade, chronic form — often requires a different approach and is frequently undertreated because it looks like personality rather than illness. Depression with significant anxiety requires a sequenced treatment approach. Bipolar depression is commonly misdiagnosed as unipolar depression, and treating it with standard antidepressants without mood stabilization can destabilize rather than help.
Beyond type, depression frequently co-occurs with anxiety, ADHD, trauma, and OCD — and each of those overlapping conditions affects how depression should be treated. A formal evaluation examines the full picture, not just the presenting complaint. When anxiety is a primary concern, see our Anxiety Assessment page.
What the Depression Evaluation Includes
Depression evaluations use the Standalone Diagnostic Evaluation process, focused on identifying the specific type and presentation of depression, ruling out overlapping conditions, and determining the most effective treatment path.
Investment
$700
Initial phone screening to review your concerns and confirm this evaluation is the right fit
Brief screening survey, when appropriate, completed before your appointment
60-minute clinical interview covering your symptoms, history, and how depression is affecting your daily life — energy, motivation, relationships, sleep, and functioning
60-minute feedback session reviewing findings and treatment recommendations
Written clinical report documenting the evaluation, diagnosis, and specific next steps
The interview examines the full clinical picture — including mood history, anxiety symptoms, trauma history, attention and concentration difficulties, and any prior treatment history — so the recommendations are built on an accurate foundation, not just a checklist.
This evaluation is offered on a self-pay basis. A superbill is available upon request for potential out-of-network reimbursement.
What You'll Walk Away With
A written clinical report with a clear diagnostic picture and specific treatment recommendations. Not a general recommendation to pursue therapy, but a concrete direction — what type of therapy, targeting what specifically, and whether a medication consultation is indicated.
The 60-minute feedback session gives you space to understand the findings, ask questions, and leave with a plan you can actually act on.
About Dr. Alex Crenshaw
Dr. Crenshaw is a licensed psychologist with a PhD in Clinical Psychology from the University of Utah. He completed his predoctoral internship at the Charleston Consortium and a postdoctoral fellowship at Toronto Metropolitan University. He is also an Assistant Professor of Psychology at Kennesaw State University.
His clinical approach integrates the best available evidence for treating depression and its common co-occurring conditions, including CBT, Behavioral Activation, ACT, and DBT. He works with adults across a range of complex presentations, including depression, anxiety, OCD, PTSD, and ADHD. He is a member of the Association for Behavioral and Cognitive Therapies, the Society for a Science of Clinical Psychology, and the Society for the Improvement of Psychological Science.
Frequently Asked Questions
How do I know if what I'm experiencing is depression or just burnout? ▼
They can look very similar — fatigue, reduced motivation, emotional flatness, difficulty engaging. The clinical distinction matters because they're maintained differently and respond to different interventions. A formal evaluation is the most reliable way to understand which you're dealing with, and whether both are present.
Can depression and anxiety be evaluated at the same time? ▼
Yes, and this is common. Depression and anxiety frequently co-occur, and the evaluation examines both. The written report will address all significant findings and make recommendations for how treatment should be sequenced.
I've been in therapy for depression before and didn't get better. Does that mean I don't have depression? ▼
Not necessarily. It may mean the type of depression wasn't accurately identified, the treatment wasn't well-matched to your presentation, or a co-occurring condition was missed. A fresh evaluation with a thorough diagnostic process can clarify what previous treatment may have overlooked.
Is this evaluation appropriate if I'm currently on medication for depression? ▼
Yes. A clinical evaluation can complement — and often inform — your medication management. The written report can be shared with your prescriber to support more targeted treatment decisions.
Does insurance cover this? ▼
This evaluation is self-pay. A superbill is available for potential out-of-network reimbursement. Contact your insurance provider to ask about out-of-network psychological testing benefits.
Do I need a referral? ▼
No referral is required. You can contact Peachtree Psychology directly to schedule an initial phone screening.
Are you currently accepting new clients? ▼
Yes. Dr. Crenshaw is currently accepting new clients at the Roswell office.
Depression Evaluation for Adults Across North Atlanta
Peachtree Psychology's Roswell office serves adults seeking depression evaluation and diagnostic clarity throughout the Atlanta metro, including Roswell, Alpharetta, Sandy Springs, Johns Creek, Dunwoody, Buckhead, East Cobb, Marietta, and surrounding communities.
Roswell Office
Peachtree Psychology
555 Sun Valley Drive, Suite M-2
Roswell, GA 30076
Learn about the Roswell office →Serving adults throughout the Atlanta metro, including Roswell, Alpharetta, Sandy Springs, Johns Creek, Dunwoody, Buckhead, East Cobb, Marietta, and surrounding communities.
Ready for a Clearer Picture?
If you've been dealing with depression — or something that feels like depression but hasn't responded the way you expected — a formal evaluation can tell you what's actually driving it and what's most likely to help. Dr. Crenshaw's assessment process is thorough, evidence-based, and designed to give you a real direction forward.