Depression has a way of making the world feel smaller and the problems feel bigger. The things that used to matter stop being important. It can be a struggle just to take care of the little things.

Energy you'd normally spend on people, work, or interests is suddenly all redirected to getting through the day. How you look at yourself or the world has changed overnight.

You're not lazy. You're not a bad person. You might be depressed. So let's work on untangling the threads together.

The inner critic doesn't fight fair. So we have to learn to fight back — together.
Bare winter branches against a pale sky
What we work on
  • The full range of depressive presentations — major depressive episodes, persistent low-grade depression (dysthymia), seasonal patterns, postpartum depression, and the more situational kind that follows loss, transition, or burnout
  • The cost depression is taking on your work, your relationships, and your sense of who you are
  • The thoughts that show up with depression — self-criticism, hopelessness, the sense that nothing will change. The inner critic doesn't fight fair, so we have to learn to fight back
  • The behaviors depression has taken over — sleep, eating, movement, isolation, screen-and-scroll loops — and how to start unsticking them
  • Anything underneath the depression that the symptom is signaling: unprocessed grief, unmet needs, work or relationships that haven't been honest, identity or value questions you've been avoiding
How I work with depression

The first step in treating down or depressed mood is figuring out what we are dealing with. We will balance giving you tangible direction while getting to know the contributing factors.

Some sessions are practical: we might agree on specific steps to get you unstuck. Other sessions are deeper: we look at what your mood is trying to tell you, the relational patterns that show up alongside it, and what would have to be different for you to feel like yourself again.

Both kinds of work matter. Most people need both.

A note on medication: I'm a psychologist, not a psychiatrist, so I don't prescribe medication. If we think medication might be useful as part of your treatment, I'll refer you to a trusted psychiatrist or your primary care physician. Therapy and medication aren't in competition — for many people with moderate to severe depression, they work well together.

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