Understanding Depression

 

Depression is more than just feeling sad—it’s a persistent, often overwhelming state that can affect your thoughts, emotions, energy, and daily life. While it can vary in intensity, depression often shows up alongside other challenges like anxiety, eating disorders, or substance use.

Common signs of depression include:

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• Feeling down or hopeless most of the day, nearly every day

• Losing interest or pleasure in things you usually enjoy

• Changes in appetite or weight without trying

• Feeling slowed down or unusually restless

• Low energy or fatigue that doesn’t seem to go away

• Struggling with focus, memory, or decision-making

• Harsh self-criticism, feelings of guilt, or worthlessness

• Thoughts of death or suicide

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If these feelings last for more than two weeks and begin to interfere with your life, it may be time to reach out for professional help. You don’t have to face this alone—support and treatment can make a real difference.

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Depression vs. Sadness

 

Depression is different from sadness in that sadness is a feeling that is typical given an event such as losing a parent, going through a divorce, or losing your job. Sadness can be very intense but typically lessens in severity with time. When experiencing sadness it may be possible to experience brief moments of happiness through humor or positive situations. In contrast, depression is persistent and does not typically go away with time or through positive interactions. Depression is a state that encompasses more than just a typical feeling of sadness and typically accompanies other physiological and psychological symptoms.

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Treating Depression

 

For most, effective forms of treatment for depression are medication and psychotherapy. Usually a combination of both counseling and medication is the most effective form of treatment for depression. Depending on the severity of your symptoms, you might be able to find substantial help through counseling without the addition of medication.

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In severe cases where counseling and medication does not help to relieve depression, a psychiatrist may suggest alternative forms of treatment such as electroconvulsive therapy (ECT) or Transcranial magnetic stimulation (TMS).

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Only a psychiatrist can make a recommendation for TMS or ECT. Both forms of treatment are reserved for severe and recurrent depression that is not responsive to counseling or medications.

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How We Treat Depression

 

A large part of our method for treating depression involves using Cognitive Behavioral Therapy (CBT). When using CBT we focus on negative thought patterns and beliefs that seem to keep you stuck. Once those have been identified (which is not as easy as you might think) then you will work to change them into more healthy and positive thoughts and beliefs, which is known as cognitive restructuring.

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While attempting to identify negative beliefs that you may have about yourself we may examine family history, childhood relationships, current friendships, and/or current relationships where negative beliefs may have begun to form due to an unhealthy attachment or relationship style.

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Then comes the hard work. Identifying those negative thoughts and beliefs you may have about yourself can be tough, but holding and dealing with the feelings attached to those thoughts and beliefs is even more difficult. It is not easy to sit with your pain, but it is incredibly rewarding when done in a safe place.

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Another component to our therapy is setting up and encouraging a healthy diet and exercise. Some research has shown that exercise is just as effective as medication in treating some forms of depression. So placing an emphasis on diet and exercise is very important. Exercise may be as easy as taking a walk around the block, but getting out and eating right is invaluable in dealing with depression.

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Counseling is a proven form of treatment for depression. If you need help dealing with your depression, schedule an appointment. If you have questions, feel free to contact us!

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Begin Depression Counseling in Midlothian

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If you feel like you could benefit from depression counseling, please contact us. We are also glad to answer any questions you may have about the counseling process. If you have questions, please send us an email using the email at the bottom of the page. We want to make sure all of our clients find the right fit for them. If we are not the right fit, then we are happy to make referrals.