Depression Therapy
When the Volume on Your Own Life Got Turned Down
Depression is the primary focus of my practice. It rarely arrives as sadness. More often it looks like a flat week you cannot account for, and a growing distance between the person you are and the person you remember being.
What It Tends to Look Like
- Mornings that feel physically heavy before anything has happened.
- Doing the bare minimum well and calling it fine, because nobody has noticed.
- Things you used to enjoy now feel like effort with no payoff.
- Sleeping far too much or lying awake at 3 a.m. with a running tally of your failures.
- Irritability that surprises you, aimed at the people closest to you.
- A quiet, persistent narration that you are a burden or behind everyone else.
Functioning is not the same as being okay. Many of the people I see are still meeting every deadline. That is exactly why nobody has asked them how they are.
How We Work on It
Cognitive behavioral therapy is the spine of this work. Depression runs on a small number of thoughts repeated until they sound like facts. We catch them, write them down, and test them against what actually happened this week.
Alongside that, we rebuild small amounts of movement and contact — not a wellness overhaul, just the two or three things that reliably move your baseline. I will give you honest feedback along the way, and I will tell you when I think you are being harder on yourself than the facts support.
Therapy does not guarantee an outcome. What I can tell you is that most people find the loop loosens once it is out of their head and into the room.
Hope is not a mood you are ordered into. It is built out of evidence, one small week at a time.
A Note on Hope
Spero means “I hope” — and hope here is a practice, not a mood you are ordered into.
I believe a positive mindset can change your perspective on any situation. I also know that being told to think positively when you are depressed is useless. So we build it the slow way: evidence, small wins you can actually point to, and a record of them for the weeks you cannot remember any.
If Things Are Worse Than That Right Now
If you are thinking about ending your life, please do not wait for an opening in a therapy schedule. Call or text 988 to reach the Suicide and Crisis Lifeline, free and available 24/7, or call 911 if you are in immediate danger. Then come back and book a consultation — ongoing counseling works best alongside that support, not instead of it.
Some weeks the work is small and steady. That still counts as moving.
A Flat Year Is Not the Rest of Your Life
Start with a free consultation. Tell me what the last few months have looked like and I will tell you honestly what I think would help.