A client asks about herbal treatments for depression. The nurse should identify which of the following as commonly used?

Choice A reason: Ginseng is primarily used for energy enhancement and cognitive support. Its antidepressant effects are not well established. Choice B reason: Ginkgo biloba is used for memory and cognitive function. It has limited evidence for treating depression. Choice C reason: Black cohosh is typically used for menopausal symptoms and has no significant role in depression treatment. Choice D reason: St. John’s Wort is widely studied and used for mild to moderate depression. It has demonstrated efficacy comparable to SSRIs in some clinical trials.