When do I need to get treatment for depression?

I'm a college student who is struggling with the decision on when to see a doctor for treatment with my depression symptoms. I believe that I need to get treated for depression, but I'm just as scared about not getting treatment as I am about starting antidepressant drugs in my current lifestyle. As far as I can tell, I'm exhibiting the classic symptoms of depression, and have been for a while — frequent crying fits, days where I lose all motivation, and sometimes, even thoughts of suicide. But I drink frequently, almost every weekend, and use marijuana occasionally, and I am quite unsettled by the possible interactions between antidepressants and these other substances. In my day to day life I do very well — I hold a good GPA, have good relationships and a good social life, function well most of the time, and stay in shape for sports. I don't intend to change my lifestyle significantly to make room for depression treatment. But when do I need to get help? I don't want to force an unnecessary change on myself, but I don't want to put myself in danger from depression, or even worse, from the drug interactions between antidepressants and alcohol or weed. What is the tipping point?


Student Resource

Alice! Health Promotion (Morningside)

Alice! Health Promotion works to create and sustain a healthy University community in which students can achieve their personal and academic goals. Students may engage with Alice! directly through one-on-one health education visits, participating in workshops and trainings, and partnering to prioritize health and well-being within the campus community.


Student Resource

50 Haven Athletic Center (CUIMC)

The 50 Haven Athletic Center at the Medical Center campus is a facility open to members of the uptown campus community looking to be active. The center currently makes cardiovascular (cardio) training and strength training equipment available for members' use. There is also an accessible pool and sauna available.


Student Resource

Nicotine Cessation (Morningside)

Columbia students can meet with a tobacco cessation specialist, who will provide individual support and help students understand the process of quitting along with developing a personal plan to stop using tobacco. They may also provide options for nicotine replacements or other medical support.


Student Resource

Medical Services (Morningside)

Medical Services provides routine and urgent medical care, travel medicine, immunizations, sexual and reproductive health services, LGBTQ health care, and confidential HIV testing, among other services. 


Student Resource

Sexual Violence Response (CUIMC & Morningside)

Sexual Violence Response & Rape Crisis/Anti-Violence Support Center works to promote behaviors that foster positive, healthy, and consensual relationships, and supports survivors of violence through advocacy, connection to resources, community education, training, and engagement. 


Student Resource

Physical Education & Recreation (Morningside)

The Physical Education & Recreation Program of Columbia University at The Dodge Fitness Center meets the educational, recreational, and wellness needs and interests of the University community.