Telehealth therapy · Anywhere in Florida
Therapy for Depression
For when everything feels heavier than it should
- Florida LCSW, license SW27230
- Secure video sessions
- In network through Headway
Start here
Depression can make everything smaller
Depression does not always look like crying.
Sometimes it looks like sleeping twelve hours and still feeling tired.
Sometimes it is irritability.
Sometimes everything feels flat.
Sometimes you keep doing everything you are supposed to do while quietly wondering why none of it feels meaningful anymore.
Depression can change your energy, concentration, motivation, sleep, appetite, relationships, confidence, and ability to experience pleasure.
It can also shrink your world.
You stop answering texts because responding feels like work.
You stop doing things because they do not sound enjoyable.
Tasks pile up.
Then you feel worse about the fact that tasks are piling up.
Depression is very good at creating problems and then criticizing you for having them.
What it can look like
Sound familiar?
Depression is more than feeling sad. For a lot of people it feels like running on empty: getting out of bed takes everything, the things you used to love feel flat, and you wonder why you cannot just snap out of it. You are not lazy, and you are not broken. Depression is common, and it is treatable.
- Feeling down, empty, or numb most days
- Losing interest in things you used to enjoy
- Sleeping too much or too little
- Low energy, trouble focusing, or feeling slowed down
- Changes in appetite
- Pulling away from friends and family
- A harsh inner critic, guilt, or hopelessness
Why it sticks around
The motivation trap
One of depression’s better tricks is convincing you that you have to feel motivated before you can do anything.
Sometimes treatment works in the opposite direction.
We start with something small enough to be realistic with the energy you actually have.
Not imaginary ideal you.
You, today.
Behavior can influence mood just as mood influences behavior.
That does not mean “go for a walk and your depression will disappear.”
It means rebuilding activity, connection, mastery, routine, and meaning can be part of helping the system move again.
Rumination feels productive until it isn't
There is a difference between thinking about a problem and repeatedly circling it.
- Why am I like this?
- Why did I do that?
- What is wrong with me?
- What if everything stays this way?
The mind can spend hours analyzing without getting any closer to a useful answer.
Part of therapy may involve noticing when reflection has become rumination and learning how to move from repetitive analysis toward problem solving, acceptance, or action.
How therapy can help
What therapy may include
We go at a pace that fits your energy. Early on, that might mean small, doable steps that bring back a little structure and momentum. Over time, we look at the thoughts and patterns that keep depression going and build new ways to respond.
If grief, burnout, or a big change is part of the picture, the life transitions page covers that too. If depression comes with bipolar disorder or other severe mood symptoms, see serious mental illness.
Therapy may include
- Understanding what has changed
- Identifying patterns between mood, thoughts, behavior, sleep, and relationships
- Breaking overwhelming problems into manageable pieces
- Behavioral activation
- Working with harsh self-criticism
- Addressing hopeless predictions
- Rebuilding routine
- Increasing meaningful activity and connection
- Processing grief, loss, or major changes
- Recognizing warning signs before symptoms become overwhelming
- Coordinating with psychiatric providers when appropriate
If you are thinking about suicide
You are not alone, and help is available right now. Call or text 988 to reach the 988 Suicide and Crisis Lifeline, any time, day or night. If you are in immediate danger, call 911 or go to the nearest emergency room. This website and my phone line are not monitored around the clock.
Before you book
Common questions
A few things people often ask. There are more answers on the FAQ page.
Then we talk about that.
Homework should not become another opportunity to feel like you failed something.
We can figure out what got in the way and make the task smaller, different, or more relevant.
Absolutely.
Therapy and medication are not competing teams.
Many people use both, and I have extensive experience working alongside psychiatrists and psychiatric nurse practitioners.
I do not prescribe medication.
You do not need to arrive with an explanation.
Figuring out what is happening is part of the work.
Ready when you are
You can book a time on my Headway profile, where you can also check your insurance coverage. Questions first? Call 754.400.0824 or send me a message. The Insurance page has the plans I accept.
Want to nerd out on the research?
You absolutely do not need to read research papers to come to therapy. But if you are the kind of person who wants to know where this stuff comes from, here are a few good places to start.
- Depression National Institute of Mental Health
- Clinical Practice Guideline for the Treatment of Depression American Psychological Association
- 988 Suicide and Crisis Lifeline 988lifeline.org
This website is not for emergencies. If you are in crisis, call or text 988, or call 911.