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Signs of Depression

If you're in danger of hurting yourself or someone else, call the National Suicide Prevention Lifeline at 1-800-273-8255, anytime.

How to Tell Sadness from Depression

You've been crying nonstop, and nothing makes you feel better. Or you feel nothing at all and can't muster the energy even to do simple tasks. The stuff you usually enjoy feels like too much to tackle. You may have depression.

Symptoms of Depression
If you've been experiencing any of these signs or symptoms for two weeks or more, you could be suffering from depression:
- Feeling sad, empty, or hopeless
- Excessive worrying or fear
- Increased irritability or anger
- Feeling guilty, worthless, or helpless
- Lacking interest in favorite hobbies and social activities
- Low energy or increased fatigue
- Feeling restless or having trouble sitting still
- Confusion or difficulty concentrating
- Trouble making decisions
- Extreme mood changes
- Changes in sleeping or eating habits
- Changes in sex drive
- Changes in weight or appetite
- Overuse of alcohol or drugs
- Thoughts of death or suicide attempts
- Aches or pains that have no apparent physical cause or that don't get better with treatment
Women might also have symptoms of depression because of hormone changes. If you're experiencing any of the above related to menstruation, pregnancy, delivery, or menopause, it's a good idea to make an appointment with your Primary Care Provider or OB/GYN.
Getting Help

Most people with depression need treatment to get better. You have mental health benefits through your health plan, and visits are covered at the same rate as medical health visits. See the Mental Health Benefits section below for in-network mental health coverage.

You can find an in-network therapist or other mental health provider by calling a Personal Health Guide at 1-866-355-5999, 24 hours a day, seven days a week. You also have access to Blue Cross and Blue Shield of Texas’ (BCBSTX) 24/7 Nurseline. You can call 1-833-968-1770, anytime, day or night, to speak to a nurse.

Your plan includes the interactive Well onTarget^® program. Through this program, you’ll find many resources about mental health, including tips for finding a provider and videos and articles about conditions like depression and anxiety.

Mental Health Benefits

In-Network Outpatient Coverage
	TRS-ActiveCare Primary	TRS-ActiveCare Primary+	TRS-ActiveCare HD	TRS-ActiveCare 2
Outpatient Services	$30 copay per office visit; deductible does not apply	$30 copay per office visit; deductible does not apply	20% coinsurance after deductible	$30 copay per office visit; deductible does not apply
TRS Virtual Health powered by Teladoc	Psychiatrist: $70 Psychologist, Licensed Clinical Social Worker: $70	Psychiatrist: $70 Psychologist, Licensed Clinical Social Worker: $70	Psychiatrist (initial visit): $185 Psychiatrist (ongoing visits): $95 Psychologist, Licensed Clinical Social Worker (initial and ongoing visits): $85	Psychiatrist: $70 Psychologist, Licensed Clinical Social Worker: $70

Certain services must be preauthorized; refer to your Benefits Booklet for details. Benefits listed above are for in-network providers only. TRS-ActiveCare Primary and TRS-ActiveCare Primary+ only offer out-of-network coverage in emergency situations. For details on out-of-network coverage for TRS-ActiveCare HD and TRS-ActiveCare 2, refer to your Benefits Booklet.

You can get more information about visiting an in-network therapist or psychiatrist online or over the phone through Teladoc^®.

In-Network Inpatient Coverage
	TRS-ActiveCare Primary	TRS-ActiveCare Primary+	TRS-ActiveCare HD	TRS-ActiveCare 2
Inpatient Services	30% coinsurance after deductible	20% coinsurance after deductible	20% coinsurance after deductible	$150 copay per day for the first five days plus 20% coinsurance; copay maximum of $2,250/plan year
Important Information	Prior authorization is required for inpatient stays.	Prior authorization is required for inpatient stays.	Certain services must be preauthorized.	Certain services must be preauthorized.