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More Therapists Nearby

Photo of Sarah Von Colditz - Shoreline Counseling, LLC, LCSW, Clinical Social Work/Therapist
Shoreline Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Seaside, OR 97138
We specialize in ADHD, medical issues, grief and loss, PTSD, trauma, gender and sexual identity, anxiety and depression.
Use website link for our HIPAA secure contact form. We are currently seeing clients via telehealth and in person in Astoria, Oregon. At Shoreline Counseling we know you bring a unique understanding of your own world and the world around you. No person on this planet has gone through the same experiences that you have. Therapy begins by opening the layers of understanding around yourself and others. The goals is to focus on your individual experiences to get you to a better internal space. Most work is done through identifying thoughts, feelings or behaviors and processing how experiences in your past influence your current life.
We specialize in ADHD, medical issues, grief and loss, PTSD, trauma, gender and sexual identity, anxiety and depression.
Use website link for our HIPAA secure contact form. We are currently seeing clients via telehealth and in person in Astoria, Oregon. At Shoreline Counseling we know you bring a unique understanding of your own world and the world around you. No person on this planet has gone through the same experiences that you have. Therapy begins by opening the layers of understanding around yourself and others. The goals is to focus on your individual experiences to get you to a better internal space. Most work is done through identifying thoughts, feelings or behaviors and processing how experiences in your past influence your current life.
(503) 917-3292 View (503) 917-3292

Online Therapists

Photo of Megan Coggins, LPC, PMH-C, Licensed Professional Counselor
Megan Coggins
Licensed Professional Counselor, LPC, PMH-C
Verified Verified
4 Endorsed
Clackamas, OR 97015
Waitlist for new clients
Are you a new parent or have you been a parent for awhile and you feel alone, depressed, anxious, or unsure of yourself? I understand. If you or your spouse is pregnant and experiencing stress, feeling anxious or keyed up, feeling like you're never enough, I’m here for you. I utilize an attachment perspective that can help you understand how early childhood attachments may be impacting current relationships and how to create healthy attachments with those you love in your life. There is hope to find the peace, healthy coping skills, relationship skills, and personal growth needed to live a happier and more whole life.
Are you a new parent or have you been a parent for awhile and you feel alone, depressed, anxious, or unsure of yourself? I understand. If you or your spouse is pregnant and experiencing stress, feeling anxious or keyed up, feeling like you're never enough, I’m here for you. I utilize an attachment perspective that can help you understand how early childhood attachments may be impacting current relationships and how to create healthy attachments with those you love in your life. There is hope to find the peace, healthy coping skills, relationship skills, and personal growth needed to live a happier and more whole life.
(503) 854-5901 x700 View (503) 854-5901 x700
Photo of Holly Pomme - Gathered & Wise, MSW, LCSW, PMH-C, Clinical Social Work/Therapist
Gathered & Wise
Clinical Social Work/Therapist, MSW, LCSW, PMH-C
Verified Verified
4 Endorsed
Stayton, OR 97383
Now accepting new clients for individual and couples therapy! We are a group practice of experienced therapists that specialize in pregnancy and postpartum mood and anxiety disorders, birth trauma, pregnancy and infant loss, infertility, loss of self, adjustment to parenthood, and other issues related to the early years of parenting and getting to know yourself in this new stage of life. While we specialize in perinatal clients, we also work with clients experiencing generalized anxiety, depression, grief and loss, life adjustments, stress, and those needing to improve their self worth, communication, and assertiveness.
Now accepting new clients for individual and couples therapy! We are a group practice of experienced therapists that specialize in pregnancy and postpartum mood and anxiety disorders, birth trauma, pregnancy and infant loss, infertility, loss of self, adjustment to parenthood, and other issues related to the early years of parenting and getting to know yourself in this new stage of life. While we specialize in perinatal clients, we also work with clients experiencing generalized anxiety, depression, grief and loss, life adjustments, stress, and those needing to improve their self worth, communication, and assertiveness.
(541) 368-4380 View (541) 368-4380
Photo of Sergiy Barsukov - Inter-Cultural Center for Psychology, PsyD, Psychologist
Inter-Cultural Center for Psychology
Psychologist, PsyD
Verified Verified
Salem, OR 97302
ISSUES & SPECIALITES: Anxiety Conditions, Generalized Anxiety, Separation Anxiety, OCD, Social & School Phobia, Posttraumatic Stress Disorder/Trauma Mood Conditions, Depression, Bipolar, Family, Marriage, Parent-Child difficulty Work conflict, Grief/loss Life transitions, Childhood conditions, Psychosis, Issues of acculturation, Spirituality, Etc.
We are a practice group of licensed psychologists that provide mental health services in English, Russian, and Ukrainian. We provide individual, couple, family, and group therapy, for ages 4 years old and up.
ISSUES & SPECIALITES: Anxiety Conditions, Generalized Anxiety, Separation Anxiety, OCD, Social & School Phobia, Posttraumatic Stress Disorder/Trauma Mood Conditions, Depression, Bipolar, Family, Marriage, Parent-Child difficulty Work conflict, Grief/loss Life transitions, Childhood conditions, Psychosis, Issues of acculturation, Spirituality, Etc.
We are a practice group of licensed psychologists that provide mental health services in English, Russian, and Ukrainian. We provide individual, couple, family, and group therapy, for ages 4 years old and up.
(503) 877-1329 View (503) 877-1329
Photo of Beverley Duke-Young, LMFT, CADCIII, Marriage & Family Therapist
Beverley Duke-Young
Marriage & Family Therapist, LMFT, CADCIII
Verified Verified
Portland, OR 97217  (Online Only)
Also, dealing with recurrent depression and anxiety; managing work-life balance; healing old traumas; and handling stress; along with exploring family of origin issues is all a part of the therapy I do.
Self-actualization is so important to feel one's life has meaning and purpose, so helping you get to or BACK to that point is what I find so fulfilling in my practice! The goal of NW Counseling Service is to help you grow and become all that you are capable of and assist you in developing and mastering those skills. I work with adults, individuals, and couples, who are experiencing issues of communication.
Also, dealing with recurrent depression and anxiety; managing work-life balance; healing old traumas; and handling stress; along with exploring family of origin issues is all a part of the therapy I do.
Self-actualization is so important to feel one's life has meaning and purpose, so helping you get to or BACK to that point is what I find so fulfilling in my practice! The goal of NW Counseling Service is to help you grow and become all that you are capable of and assist you in developing and mastering those skills. I work with adults, individuals, and couples, who are experiencing issues of communication.
(971) 266-2458 View (971) 266-2458
Photo of Maya B. Klein, PhD, Psychologist
Maya B. Klein
Psychologist, PhD
Verified Verified
2 Endorsed
Tigard, OR 97223
In my practice, I specialize in helping individuals identify and change life patterns that lead to frustration and disappointment. I provide support for a wide range of challenges, including anxiety, depression, experiences of abuse and trauma, issues with shame and self-esteem, life transitions, and complex relationship problems. Addressing these issues in a safe, therapeutic environment can help you build self-esteem, improve your relationships, and rediscover enthusiasm for both work and personal life.
In my practice, I specialize in helping individuals identify and change life patterns that lead to frustration and disappointment. I provide support for a wide range of challenges, including anxiety, depression, experiences of abuse and trauma, issues with shame and self-esteem, life transitions, and complex relationship problems. Addressing these issues in a safe, therapeutic environment can help you build self-esteem, improve your relationships, and rediscover enthusiasm for both work and personal life.
(619) 457-4885 View (619) 457-4885
Photo of Pepita L Payne, PsyD, Psychologist
Pepita L Payne
Psychologist, PsyD
Verified Verified
Portland, OR 97212
People come to therapy for many different reasons. Perhaps you wish to know yourself better or to understand what is happening in your relationships. Sometimes depression or anxiety become unmanageable. Emotional pain and suffering are normal aspects of life but it is possible to achieve a more balanced and resilient emotional state and more fulfilling relationships.
People come to therapy for many different reasons. Perhaps you wish to know yourself better or to understand what is happening in your relationships. Sometimes depression or anxiety become unmanageable. Emotional pain and suffering are normal aspects of life but it is possible to achieve a more balanced and resilient emotional state and more fulfilling relationships.
(971) 351-3392 View (971) 351-3392
Photo of Michael Stattel, MA, LPC, Licensed Professional Counselor
Michael Stattel
Licensed Professional Counselor, MA, LPC
Verified Verified
Corvallis, OR 97330
I provide a mind-body centered approach to mental health. Mind-body work restores joy, vitality, physical well being and intimacy with others by freeing up emotional blocks in a safe and supportive manner. Grief, depression, anxiety, stress, and couples conflict are also addressed. This approach is especially effective in releasing psychological traumas which underly physical symptoms. I have over twenty-five years of experience helping individuals, couples and teens to achieve healing. My background of study includes extensive work with many of the most highly regarded leaders in the field of mind-body psychology.
I provide a mind-body centered approach to mental health. Mind-body work restores joy, vitality, physical well being and intimacy with others by freeing up emotional blocks in a safe and supportive manner. Grief, depression, anxiety, stress, and couples conflict are also addressed. This approach is especially effective in releasing psychological traumas which underly physical symptoms. I have over twenty-five years of experience helping individuals, couples and teens to achieve healing. My background of study includes extensive work with many of the most highly regarded leaders in the field of mind-body psychology.
(541) 753-4760 View (541) 753-4760
Photo of Kar Pomerantz, LCSW, Clinical Social Work/Therapist
Kar Pomerantz
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Portland, OR 97210  (Online Only)
My practice commonly includes the treatment of depression, anxiety (symptoms of panic or general anxiety), the effects of trauma, repetitive self-destructive patterns, grief and loss (recent or longstanding), low self-confidence, stress management, body image issues, and creative blocks.
People's stories are one of the most valuable things we have in life. If you want to have a meaningful relationship with someone, you need to be able to understand your own story. Helping individuals to develop and enhance their personal stories is at the crux of my work as a therapist. We all have public and private lives, and I believe the power of developing the stories behind these separate selves is how people vividly change their lives.
My practice commonly includes the treatment of depression, anxiety (symptoms of panic or general anxiety), the effects of trauma, repetitive self-destructive patterns, grief and loss (recent or longstanding), low self-confidence, stress management, body image issues, and creative blocks.
People's stories are one of the most valuable things we have in life. If you want to have a meaningful relationship with someone, you need to be able to understand your own story. Helping individuals to develop and enhance their personal stories is at the crux of my work as a therapist. We all have public and private lives, and I believe the power of developing the stories behind these separate selves is how people vividly change their lives.
(503) 980-3128 View (503) 980-3128
Photo of Elizabeth Fisher, MA, LMFT, PhD, Marriage & Family Therapist
Elizabeth Fisher
Marriage & Family Therapist, MA, LMFT, PhD
Verified Verified
1 Endorsed
Portland, OR 97219
Attachment disorders may surface as relationship instability, clinginess, relationship avoidance, jealousy, anxiety, depression, aggression, and/or a generally high level of reactivity.
Have you been through a difficult experience? I specialize in emotional and relational disorders arising from trauma, sexual abuse, attachment disruptions, and less-than-optimal early childhood experiences. These types of experiences can create life-long distress and difficulty with relationships. Finding the right therapist is an important first step in healing from trauma. My orientation integrates modern neuroscience with relational psychotherapy. In addition to traditional methods, I utilize expressive approaches such as sandtray, play therapy, psychodrama, movement, and art therapy in my practice. I will tailor your sessions to meet your unique needs and ways of expressing yourself.
Attachment disorders may surface as relationship instability, clinginess, relationship avoidance, jealousy, anxiety, depression, aggression, and/or a generally high level of reactivity.
Have you been through a difficult experience? I specialize in emotional and relational disorders arising from trauma, sexual abuse, attachment disruptions, and less-than-optimal early childhood experiences. These types of experiences can create life-long distress and difficulty with relationships. Finding the right therapist is an important first step in healing from trauma. My orientation integrates modern neuroscience with relational psychotherapy. In addition to traditional methods, I utilize expressive approaches such as sandtray, play therapy, psychodrama, movement, and art therapy in my practice. I will tailor your sessions to meet your unique needs and ways of expressing yourself.
(541) 526-7218 View (541) 526-7218
Photo of Megan Nieto, QMHA, Pre-Licensed Professional
Megan Nieto
Pre-Licensed Professional, QMHA
Verified Verified
Oregon City, OR 97045
I have experience working with adolescents and adults with anxiety, depression, and life transitions.
Hello! My name is Megan, and I am a counslor-in-training at Oregon City Counseling while pursuing my Masters in Clinical Social Work through Rutgers University. While in my undergrad, I played Division 1 basketball through Cal State Fullerton and Portland State University. Through that experience, I became passionate about athletes mental health and their transition out of their respective sports. Outside of session, you can find me working on my crochet project, reading a good book or attempting to bake or cook a new recipe. I currently have two cats who run my house and may grace telehealth sessions with their presence!
I have experience working with adolescents and adults with anxiety, depression, and life transitions.
Hello! My name is Megan, and I am a counslor-in-training at Oregon City Counseling while pursuing my Masters in Clinical Social Work through Rutgers University. While in my undergrad, I played Division 1 basketball through Cal State Fullerton and Portland State University. Through that experience, I became passionate about athletes mental health and their transition out of their respective sports. Outside of session, you can find me working on my crochet project, reading a good book or attempting to bake or cook a new recipe. I currently have two cats who run my house and may grace telehealth sessions with their presence!
(971) 571-5695 View (971) 571-5695
Photo of Tera Hoffman, PhD, Psychologist
Tera Hoffman
Psychologist, PhD
Verified Verified
1 Endorsed
Portland, OR 97210
I have experience working with a diverse clientele and specialize in the following areas: anxiety, depression, women's mental health, pregnancy-related issues and family-building efforts, relationships, adult ADHD, grief and loss and career development.
I believe that each of us has an inner wisdom that can guide us through life's most difficult challenges. At times our inner voice is strong and clear, whereas at other times it is faint and obscure. Psychotherapy can help us discover and clarify who we are, what we need, the direction we want to go and the form we want our lives to take. I assist my clients in clarifying their thoughts, feelings, perceptions and values, ultimately resulting in positive changes in their relationships and lives.
I have experience working with a diverse clientele and specialize in the following areas: anxiety, depression, women's mental health, pregnancy-related issues and family-building efforts, relationships, adult ADHD, grief and loss and career development.
I believe that each of us has an inner wisdom that can guide us through life's most difficult challenges. At times our inner voice is strong and clear, whereas at other times it is faint and obscure. Psychotherapy can help us discover and clarify who we are, what we need, the direction we want to go and the form we want our lives to take. I assist my clients in clarifying their thoughts, feelings, perceptions and values, ultimately resulting in positive changes in their relationships and lives.
(971) 302-4331 View (971) 302-4331
Photo of Megan Quigley, MSW, LCSW, Clinical Social Work/Therapist
Megan Quigley
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
10 Endorsed
Portland, OR 97210
I help women, just like you, who are overwhelmed by anxiety and depression to find a renewed sense of home, joy, and peace.
Fast heartbeat, stomach in knots. Worry has become your constant companion. Right now, everything feels as if it's covered in a veil of "what-if's." The hopelessness and depression are growing. In the midst of it all, it can seem as if there's no way out, that these emotions will last forever. You're so tired of life feeling dreary, tiresome and hopeless. The anxiety and sadness have gone on for far too long. It's a lonely and isolating place to be. You can't help but wonder, "How long can I go on this way?!" There is hope. Therapy can help anyone, including you! Armed with the right tools, you can overcome fear and sadness.
I help women, just like you, who are overwhelmed by anxiety and depression to find a renewed sense of home, joy, and peace.
Fast heartbeat, stomach in knots. Worry has become your constant companion. Right now, everything feels as if it's covered in a veil of "what-if's." The hopelessness and depression are growing. In the midst of it all, it can seem as if there's no way out, that these emotions will last forever. You're so tired of life feeling dreary, tiresome and hopeless. The anxiety and sadness have gone on for far too long. It's a lonely and isolating place to be. You can't help but wonder, "How long can I go on this way?!" There is hope. Therapy can help anyone, including you! Armed with the right tools, you can overcome fear and sadness.
(971) 351-2597 View (971) 351-2597
Photo of Jonicia June Shelton - Talks With June, MA, CSWA, QMHP
Talks With June
Clinical Social Work Associate, MA, CSWA, QMHP
Verified Verified
Portland, OR 97230  (Online Only)
I have experience in treating Anxiety Disorders, Depression, and trauma.
"What's wrong with me" "I'm tired of this" "No one understands me" "Will things stay like this forever", are these some of the thoughts that run through your head? If so I am here to help you understand and assist you in getting a better understanding of what is going on in your life. For some of us life can bring some significant challenges, stressors or transitions that just have "you stuck" in unproductive patterns in relationships, work, school or just life in general. I am a Clinical Social Worker who wants to help people transform personal challenges into life-enhancing opportunities.
I have experience in treating Anxiety Disorders, Depression, and trauma.
"What's wrong with me" "I'm tired of this" "No one understands me" "Will things stay like this forever", are these some of the thoughts that run through your head? If so I am here to help you understand and assist you in getting a better understanding of what is going on in your life. For some of us life can bring some significant challenges, stressors or transitions that just have "you stuck" in unproductive patterns in relationships, work, school or just life in general. I am a Clinical Social Worker who wants to help people transform personal challenges into life-enhancing opportunities.
(503) 928-6512 View (503) 928-6512
Photo of Peggy Van Duyne, LPC, LMHC, Licensed Psychoanalyst
Peggy Van Duyne
Licensed Psychoanalyst, LPC, LMHC
Verified Verified
Portland, OR 97286  (Online Only)
Waitlist for new clients
I am an Insight oriented, GLBTQIA friendly and anti-racist practitioner. I focus on long-term change and improved well-being while working towards "here and now" self-compassion, self-care and behavioral changes to achieve lasting change. I strive to promote advocacy, social justice and inherent self worth with each client. I work with clients concerned with substance use/abuse, self-esteem, depression, anxiety, life transitions, trauma and emotional regulation concerns among other areas of concern. You may see more about my areas of focus in my profile.
I am an Insight oriented, GLBTQIA friendly and anti-racist practitioner. I focus on long-term change and improved well-being while working towards "here and now" self-compassion, self-care and behavioral changes to achieve lasting change. I strive to promote advocacy, social justice and inherent self worth with each client. I work with clients concerned with substance use/abuse, self-esteem, depression, anxiety, life transitions, trauma and emotional regulation concerns among other areas of concern. You may see more about my areas of focus in my profile.
(503) 451-6538 View (503) 451-6538
Photo of Rita L Kokkoris, LPC, LMHC, MBTCOU, CADAII, Licensed Professional Counselor
Rita L Kokkoris
Licensed Professional Counselor, LPC, LMHC, MBTCOU, CADAII
Verified Verified
Albany, OR 97322
Currently Not Accepting New Clients - I counsel individuals to assist them in working through life's challenges, whether it be anxiety, depression, trauma or relational and communication concerns. My modalities of treatment include Cognitive Behavioral Therapy, Dialectical Behavioral Therapy and Person Centered Therapy. These are evidenced based treatments that teach clients mindfulness, regulate emotions, build distress tolerance and interpersonal skills.
Currently Not Accepting New Clients - I counsel individuals to assist them in working through life's challenges, whether it be anxiety, depression, trauma or relational and communication concerns. My modalities of treatment include Cognitive Behavioral Therapy, Dialectical Behavioral Therapy and Person Centered Therapy. These are evidenced based treatments that teach clients mindfulness, regulate emotions, build distress tolerance and interpersonal skills.
(458) 237-4077 View (458) 237-4077
Photo of Nancy F Nasser-Marsh, LCSW, Clinical Social Work/Therapist
Nancy F Nasser-Marsh
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97232
I have two specialties, working with children and parents through adoption issues and working with children whose parents are experiencing separation and divorce. As a certified adoption specialist, I help adoptive parents and adopted children navigate through the developmental stages adoption brings. I also assist birth parents and adult adoptees through the complexities of search and reunion issues so they can complete their stories and find healing.
I have two specialties, working with children and parents through adoption issues and working with children whose parents are experiencing separation and divorce. As a certified adoption specialist, I help adoptive parents and adopted children navigate through the developmental stages adoption brings. I also assist birth parents and adult adoptees through the complexities of search and reunion issues so they can complete their stories and find healing.
(971) 270-0961 View (971) 270-0961
Photo of Jill Monsen, MS, Licensed Professional Counselor
Jill Monsen
Licensed Professional Counselor, MS
Verified Verified
Portland, OR 97212
I am open to new clients! We often face challenges in our lives and relationships that test our resilience, confidence, and faith. If you are considering counseling, chances are you are experiencing significant stress, or feeling a desire to make some changes. I provide an encouraging, nonjudgmental space to explore your feelings and experiences.
I am open to new clients! We often face challenges in our lives and relationships that test our resilience, confidence, and faith. If you are considering counseling, chances are you are experiencing significant stress, or feeling a desire to make some changes. I provide an encouraging, nonjudgmental space to explore your feelings and experiences.
(503) 715-0910 x106 View (503) 715-0910 x106
Photo of Dianna K Bowlen - A Season for Change Counseling & Hypnosis, LCSW, Clinical Social Work/Therapist
A Season for Change Counseling & Hypnosis
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97206  (Online Only)
With compassion and listening, I will work with you to identify your underlying issues, help you to clarify your core beliefs, and help you to release limiting beliefs and behavioral patterns. My goal is to support you, to deepen your capacity for self-reflection, acceptance, and life purpose. I will honor your strengths while helping you to work through life transitions. I work with individuals, couples, and families. I can integrate whatever style of therapy you are interested in (e.g. talk, education, interactive, area specific). I use John Gottman's therapy for couples counseling. I offer sliding scale or insurance billing.
With compassion and listening, I will work with you to identify your underlying issues, help you to clarify your core beliefs, and help you to release limiting beliefs and behavioral patterns. My goal is to support you, to deepen your capacity for self-reflection, acceptance, and life purpose. I will honor your strengths while helping you to work through life transitions. I work with individuals, couples, and families. I can integrate whatever style of therapy you are interested in (e.g. talk, education, interactive, area specific). I use John Gottman's therapy for couples counseling. I offer sliding scale or insurance billing.
(503) 755-7853 View (503) 755-7853
Photo of Melinda Reynolds-Pena, MA, LPC, NCC, Licensed Professional Counselor
Melinda Reynolds-Pena
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
4 Endorsed
Lake Oswego, OR 97035
I believe that people can change and often need assistance during the process. I believe that relationships are worth investing in and couples can learn to relate to each other more effectively. I believe sometimes people become stuck trying to do the right thing, or figure out what is the right thing. I believe people often need encouragement to push past where they are stuck. I believe we all can benefit and learn from hearing a different perspective.
I believe that people can change and often need assistance during the process. I believe that relationships are worth investing in and couples can learn to relate to each other more effectively. I believe sometimes people become stuck trying to do the right thing, or figure out what is the right thing. I believe people often need encouragement to push past where they are stuck. I believe we all can benefit and learn from hearing a different perspective.
(503) 446-3183 View (503) 446-3183

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Depression Therapists

What is the goal of therapy for depression?

Therapy for depression has several major goals. One is to relieve the mental pain of depression, which distorts feeling and thinking so that sufferers cannot see beyond their current state of mind or envision feeling better. Another is to give people the mental tools to recognize and correct the kinds of distorted thinking that turn a problem into a catastrophe and lead to despair. Therapy also teaches people how to process negative emotions in constructive ways, so they have more control over their own emotional reactivity. And it helps people regain the ability to see themselves positively, the motivation to do things, and the capacity for pleasure.

What happens in therapy for depression?

Perhaps most important, no matter the type of therapy, patients form an alliance with the therapist; that connection is therapeutic in itself, plus it becomes an instrument of change. Patients learn to identify and to challenge their own erroneous beliefs and thoughts that amplify the effects of negative experiences. They learn to identify situations in which they are especially vulnerable. And they learn new patterns of thinking and behaving. They may be given “homework” assignments in which they practice their developing skills. In addition, good therapists regularly monitor patients to assess whether and how much the condition is improving.

What therapy types help with depression?

Several types of short-term therapy have been found effective, each targeting one or more areas of dysfunction. Cognitive behavioral therapy (CBT) helps clients challenge their negative thoughts and beliefs, learn new behavioral strategies, and curb reactivity to distressing situations. Behavioral activation (BA) is a form of therapy often used in conjunction with CBT; it focuses on engagement in rewarding activity as a pathway to changing negative feelings and disturbed mood. Another widely used approach is interpersonal therapy (IPT), which targets the social difficulties that both give rise to and get exacerbated by depression. Therapists may combine approaches as needed.

Can therapy for depression be done online?

Studies have found that online therapy can be highly effective for treating depression, although it may be more challenging to build a good therapist-patient alliance on screen than in person—at least at first. However, online therapy can offer considerable advantages. Accessibility and convenience are tops among them. Some people actually find it easier to talk about problems online than in person. While online therapy typically limits visibility of facial expression and body gestures that give important nonverbal cues to a patient’s state of mind, it can give therapists a glimpse into a patient’s world and life, providing information that can be highly useful in guiding therapy.

How effective is therapy for depression?

Many studies show that therapy is highly effective provided that patients complete the prescribed course of therapy, commonly 16 to 20 sessions. Over the long term, it is more effective than medication and the effects are more enduring. As a result, psychotherapy has the power not just to relieve current suffering but to prevent future episodes of the disorder. Therapy reverses the dysfunction in neural circuitry that disposes individuals to a negative view of themselves, the world, and their future and they acquire coping techniques, problem-solving skills, and understanding of their own vulnerabilities that are useful over the course of a lifetime.