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Online Therapists

Photo of Kathryn Short - Reedy River Counseling Associates
Reedy River Counseling Associates
Verified Verified
1 Endorsed
Greenville, SC 29609
Our mission is to provide integrated counseling and nutrition services with a wholehearted approach to help people overcome disordered eating, eating disorders, depression, anxiety, and other clinical issues. Our hope is to empower each of our clients to thrive as they were created.
Our mission is to provide integrated counseling and nutrition services with a wholehearted approach to help people overcome disordered eating, eating disorders, depression, anxiety, and other clinical issues. Our hope is to empower each of our clients to thrive as they were created.
(864) 606-3461 View (864) 606-3461
Photo of Kristi Gilland, MEd, LPC/S, MAC, LAC/S, CS, Licensed Professional Counselor
Kristi Gilland
Licensed Professional Counselor, MEd, LPC/S, MAC, LAC/S, CS
Verified Verified
Easley, SC 29642
I am however not limited and have success with anxiety, adjustment, depression, and more.
Licensed to practice in SC, GA and the US Virgin Islands. The world is changing and life can be hard. As a Licensed Professional Counselor and Addiction Counselor with 23 years of experience working with all populations and ages, I am well skilled in a variety of techniques and modalities. The most important skill I hold however is knowing that you are the expert of your own life and that you don't have to be alone. I will work with you as a guide, listening ear, and partner to find solutions that work best for you.
I am however not limited and have success with anxiety, adjustment, depression, and more.
Licensed to practice in SC, GA and the US Virgin Islands. The world is changing and life can be hard. As a Licensed Professional Counselor and Addiction Counselor with 23 years of experience working with all populations and ages, I am well skilled in a variety of techniques and modalities. The most important skill I hold however is knowing that you are the expert of your own life and that you don't have to be alone. I will work with you as a guide, listening ear, and partner to find solutions that work best for you.
(864) 641-3170 View (864) 641-3170
Photo of Mary Lee, MA, LCMHC, LPCA, Counselor
Mary Lee
Counselor, MA, LCMHC, LPCA
Verified Verified
Fort Mill, SC 29708  (Online Only)
I have a special interest in anxiety, depression, difficult life transitions, special needs, NICU experience, and Asian-American experiences.
Life is full of challenges, and whether that looks like losing your job, having frequent problems with your partner, struggling with uncomfortable feelings, dealing with a traumatic experience, or feeling stuck between a rock and hard place, you are not alone. When there are challenges in your life, it can be hard to actually live your life. It can be hard make healthy decisions to move forward in reaching your goals. You know that you need some sort of change in your life, but you just don’t know how to get there yet. You want clarity, peace, and growth to move forward. You want to be your best self, and live your best life.
I have a special interest in anxiety, depression, difficult life transitions, special needs, NICU experience, and Asian-American experiences.
Life is full of challenges, and whether that looks like losing your job, having frequent problems with your partner, struggling with uncomfortable feelings, dealing with a traumatic experience, or feeling stuck between a rock and hard place, you are not alone. When there are challenges in your life, it can be hard to actually live your life. It can be hard make healthy decisions to move forward in reaching your goals. You know that you need some sort of change in your life, but you just don’t know how to get there yet. You want clarity, peace, and growth to move forward. You want to be your best self, and live your best life.
(803) 266-1962 View (803) 266-1962
Photo of Hannah Tate-Smith, LMFT, MMFT, YT200hr, Marriage & Family Therapist
Hannah Tate-Smith
Marriage & Family Therapist, LMFT, MMFT, YT200hr
Verified Verified
3 Endorsed
Greenville, SC 29601
I’m a yoga-certified therapist who has worked with teens & adults experiencing depression, anxiety, and suicidal thoughts.
You're googling for a therapist because you just don't know what else to do to help your teenager or you're in your 20s/30s and questioning a lot of decisions you’ve made. You’re full of worry, constant thinking, sleepless nights, or you just want to shut out everyone. For families, I work with teens who feel depressed (for some it looks like anger) and parents who feel like their child is “closing off the world.” For adults, I work with millennials that are unsure about their substance use, unhappy with their relationships, or experiencing depressive symptoms.
I’m a yoga-certified therapist who has worked with teens & adults experiencing depression, anxiety, and suicidal thoughts.
You're googling for a therapist because you just don't know what else to do to help your teenager or you're in your 20s/30s and questioning a lot of decisions you’ve made. You’re full of worry, constant thinking, sleepless nights, or you just want to shut out everyone. For families, I work with teens who feel depressed (for some it looks like anger) and parents who feel like their child is “closing off the world.” For adults, I work with millennials that are unsure about their substance use, unhappy with their relationships, or experiencing depressive symptoms.
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Photo of James William Pruett, PhD, DMin, LMFT/S, LCMHC/S, LCPT/PC, Marriage & Family Therapist
James William Pruett
Marriage & Family Therapist, PhD, DMin, LMFT/S, LCMHC/S, LCPT/PC
Verified Verified
2 Endorsed
Spartanburg, SC 29307
Since 1970 I have walked with many persons, couples and families who need supportive, fresh ears and eyes, a compassionate heart, wise experience and holistic perspective regarding life's challenges, transitions, burdens, growth points and life choices. I learn each one's story is unique and may offer the opportunity for new meaning and purpose. I seek to know and connect with each one I am honored and often blessed to serve at the core of who she or he is and not lose sight of that one's uniqueness midst the presenting depression, anxiety, grief, infidelity, identity clarification, trauma, worry, miscommunication and addiction.
Since 1970 I have walked with many persons, couples and families who need supportive, fresh ears and eyes, a compassionate heart, wise experience and holistic perspective regarding life's challenges, transitions, burdens, growth points and life choices. I learn each one's story is unique and may offer the opportunity for new meaning and purpose. I seek to know and connect with each one I am honored and often blessed to serve at the core of who she or he is and not lose sight of that one's uniqueness midst the presenting depression, anxiety, grief, infidelity, identity clarification, trauma, worry, miscommunication and addiction.
(980) 399-5118 View (980) 399-5118
Photo of Kelly Orner Toney, LMSW, LISW-CP, CEDS-S, Clinical Social Work/Therapist
Kelly Orner Toney
Clinical Social Work/Therapist, LMSW, LISW-CP, CEDS-S
Verified Verified
Spartanburg, SC 29316  (Online Only)
Eating Disorders, Dual Diagnosis, Anxiety, Trauma, Anorexia, Bulimia, Binge Eating Disorders, Body Image & Muscle Dysmorphia, Avoidant/Restrictive Food Intake Disorders (ARFID),(OSFED), Athlete Triad, Over-Exercising, Excercise-Resistance, Self Esteem, Emotional Eating, Diet Cycling, ADHD, Depression, Bipolar.
Aloha Center is a group of passionate therapists and coaches, who are experts in eating disorder care. We work with adolescents, adults & families to fully recover from discorded eating or an eating disorder. We offer individual, family, & group counseling, and peer groups & recovery coaching. We are some of the few specialists providing Family-Based Treatment (FBT) considered the gold standard for eating disorders. Our approach uses evidenced-based treatment like CBT, DBT, mindfulness, and embodiment. Services can be accessed in person at our Columbia, SC office, or via telehealth online in SC and NC.
Eating Disorders, Dual Diagnosis, Anxiety, Trauma, Anorexia, Bulimia, Binge Eating Disorders, Body Image & Muscle Dysmorphia, Avoidant/Restrictive Food Intake Disorders (ARFID),(OSFED), Athlete Triad, Over-Exercising, Excercise-Resistance, Self Esteem, Emotional Eating, Diet Cycling, ADHD, Depression, Bipolar.
Aloha Center is a group of passionate therapists and coaches, who are experts in eating disorder care. We work with adolescents, adults & families to fully recover from discorded eating or an eating disorder. We offer individual, family, & group counseling, and peer groups & recovery coaching. We are some of the few specialists providing Family-Based Treatment (FBT) considered the gold standard for eating disorders. Our approach uses evidenced-based treatment like CBT, DBT, mindfulness, and embodiment. Services can be accessed in person at our Columbia, SC office, or via telehealth online in SC and NC.
(864) 808-3439 View (864) 808-3439
Photo of Jennifer Anne Mobley, MA, LPC SC, LPC AZ, ATR-BC, NCC, Licensed Professional Counselor
Jennifer Anne Mobley
Licensed Professional Counselor, MA, LPC SC, LPC AZ, ATR-BC, NCC
Verified Verified
Columbia, SC 29205
These approaches are also used to treat addiction, anxiety, depression, grief, and chronic illnesses and pain.
At its roots, the word “psychotherapy” translates to “healing of the soul”. As a Deep Brain Reorienting therapist and an EMDR certified trauma therapist, I embody this to treat PTSD, CPTSD and am privileged to walk alongside others on their healing journies.I am a Licensed Professional Counselor in the states of South Carolina and in Arizona, and I am a Board-Certified Registered Art Therapist. I have passion and commitment to supporting people in building capacity for resilience and growth. I have trained extensively in Somatic and Attachment-Focused EMDR (certified from EMDRIA), DBR, and in Ericksonian Clinical Hypnosis.
These approaches are also used to treat addiction, anxiety, depression, grief, and chronic illnesses and pain.
At its roots, the word “psychotherapy” translates to “healing of the soul”. As a Deep Brain Reorienting therapist and an EMDR certified trauma therapist, I embody this to treat PTSD, CPTSD and am privileged to walk alongside others on their healing journies.I am a Licensed Professional Counselor in the states of South Carolina and in Arizona, and I am a Board-Certified Registered Art Therapist. I have passion and commitment to supporting people in building capacity for resilience and growth. I have trained extensively in Somatic and Attachment-Focused EMDR (certified from EMDRIA), DBR, and in Ericksonian Clinical Hypnosis.
(803) 759-8788 View (803) 759-8788
Photo of Stephen Joseph Scoff, LISW-CP, Clinical Social Work/Therapist
Stephen Joseph Scoff
Clinical Social Work/Therapist, LISW-CP
Verified Verified
Lexington, SC 29072  (Online Only)
Over 20 years of clinical experience has provided me with opportunities to help others overcome depression, obsessive and compulsive behaviors, life stage transitions, career disruptions, separation/divorce, and other difficult social/emotional challenges.
Therapy is a powerful tool for restoring wellness and bringing about fulfilling and lasting change. Whether it's anxiety, unhealthy habits, relationship struggles, grief, trauma, or the overwhelming nature of our lives today, our therapeutic alliance will increase your awareness and help you develop skills and capacities for better handling adversity.
Over 20 years of clinical experience has provided me with opportunities to help others overcome depression, obsessive and compulsive behaviors, life stage transitions, career disruptions, separation/divorce, and other difficult social/emotional challenges.
Therapy is a powerful tool for restoring wellness and bringing about fulfilling and lasting change. Whether it's anxiety, unhealthy habits, relationship struggles, grief, trauma, or the overwhelming nature of our lives today, our therapeutic alliance will increase your awareness and help you develop skills and capacities for better handling adversity.
(803) 268-3620 View (803) 268-3620
Photo of Michael Jameson, LPC, Licensed Professional Counselor
Michael Jameson
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Spartanburg, SC 29302
Waitlist for new clients
I specialize in treating anxiety, depression, anger issues, ADHD, and oppositional behaviors through individual and family sessions for people of all ages.
I specialize in treating anxiety, depression, anger issues, ADHD, and oppositional behaviors through individual and family sessions for people of all ages.
(864) 920-2630 View (864) 920-2630
Photo of Darius Poitier, LCSW, LISW-CP, MBA, Clinical Social Work/Therapist
Darius Poitier
Clinical Social Work/Therapist, LCSW, LISW-CP, MBA
Verified Verified
1 Endorsed
Columbia, SC 29210
Are you having difficulty navigating your life currently? Are you experiencing anxiety and/or depression? Are you struggling to figure out the next steps in your life? Are you unhappy in your current relationship? Are struggling with the "new" normal? Are you asking yourself, why is this happening to me? Do you ask yourself "Now what" ? Having self-esteem issues? Are you struggling with anger management? If you answer yes to any of these questions I am the therapist for you. I am an experienced therapist who has assisted many clients in overcoming mental, emotional, and relational distress.
Are you having difficulty navigating your life currently? Are you experiencing anxiety and/or depression? Are you struggling to figure out the next steps in your life? Are you unhappy in your current relationship? Are struggling with the "new" normal? Are you asking yourself, why is this happening to me? Do you ask yourself "Now what" ? Having self-esteem issues? Are you struggling with anger management? If you answer yes to any of these questions I am the therapist for you. I am an experienced therapist who has assisted many clients in overcoming mental, emotional, and relational distress.
(803) 212-0392 View (803) 212-0392
Photo of Katherine Herring, LPC, Licensed Professional Counselor
Katherine Herring
Licensed Professional Counselor, LPC
Verified Verified
Columbia, SC 29204
Waitlist for new clients
I specialize in helping folks work through anxiety, depression, trauma, PTSD, C-PTSD, ADHD, family issues and relationship and sexual issues, as well as supporting LGBTQ+ identified folks.
As your therapist, I hope to help you experience long lasting relief and healing. Through our work together, you will learn to develop a relationship with your thoughts and emotions rather than trying to control or push them away, how to change the way you cope with and handle stressors, and how to unpack how your life experiences, family dynamics, and relationships have affected your sense of self, emotional health and ability to feel as though you have choice in your life.
I specialize in helping folks work through anxiety, depression, trauma, PTSD, C-PTSD, ADHD, family issues and relationship and sexual issues, as well as supporting LGBTQ+ identified folks.
As your therapist, I hope to help you experience long lasting relief and healing. Through our work together, you will learn to develop a relationship with your thoughts and emotions rather than trying to control or push them away, how to change the way you cope with and handle stressors, and how to unpack how your life experiences, family dynamics, and relationships have affected your sense of self, emotional health and ability to feel as though you have choice in your life.
(803) 592-6063 View (803) 592-6063
Photo of Josh Freeman, MA, NCC, LPC, Licensed Professional Counselor
Josh Freeman
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Lexington, SC 29073
My passion is to work with individuals that are struggling/dealing with issues relating to depression, anxiety, relationships, love, bonding, LGBTQ+ identity and sexuality, gender identity, transgender transitions, and anything that relates to communication and love.
Whether you need a safe place to process trauma you've experienced, vent about your stressors and the frustrations in life, or need help with your relationships, I would love to accompany you on your personal journey. We can work together to develop skills to improve your life and meet your goals. Currently accepting new adult individuals over the age of 18, and couples and other relationships/love-related clients. My office is located inside of Belladonna’s. I provide tarot readings and spiritual counseling per the request of the client, but is not a requirement. Please email to setup a consultation!
My passion is to work with individuals that are struggling/dealing with issues relating to depression, anxiety, relationships, love, bonding, LGBTQ+ identity and sexuality, gender identity, transgender transitions, and anything that relates to communication and love.
Whether you need a safe place to process trauma you've experienced, vent about your stressors and the frustrations in life, or need help with your relationships, I would love to accompany you on your personal journey. We can work together to develop skills to improve your life and meet your goals. Currently accepting new adult individuals over the age of 18, and couples and other relationships/love-related clients. My office is located inside of Belladonna’s. I provide tarot readings and spiritual counseling per the request of the client, but is not a requirement. Please email to setup a consultation!
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Photo of Betsy Claire Neely - Be Well Counseling, Ed S, LPC, FMCHC, Licensed Professional Counselor
Be Well Counseling
Licensed Professional Counselor, Ed S, LPC, FMCHC
Verified Verified
1 Endorsed
Spartanburg, SC 29302
At Be Well Counseling, I use a strengths-based and integrative cognitive-behavioral approach to empower individuals who are struggling with anxiety, depression, life stressors, life transitions, grief, trauma, and self-esteem to seek healing.
Whether you are looking for a way to lessen your emotional pain or maybe you are struggling with your current mood or your lower energy level, I would be honored to partner with you on your journey towards a well life. As a Licensed Professional Counselor with 12 plus years of experience, I have seen individuals actively move into mind and body wellness time and time again.
At Be Well Counseling, I use a strengths-based and integrative cognitive-behavioral approach to empower individuals who are struggling with anxiety, depression, life stressors, life transitions, grief, trauma, and self-esteem to seek healing.
Whether you are looking for a way to lessen your emotional pain or maybe you are struggling with your current mood or your lower energy level, I would be honored to partner with you on your journey towards a well life. As a Licensed Professional Counselor with 12 plus years of experience, I have seen individuals actively move into mind and body wellness time and time again.
(864) 479-4712 View (864) 479-4712
Photo of Kim Engel-Hughes, MA, NCC, LPC, LCMHC, LPCS-C, Licensed Professional Counselor
Kim Engel-Hughes
Licensed Professional Counselor, MA, NCC, LPC, LCMHC, LPCS-C
Verified Verified
2 Endorsed
Fort Mill, SC 29708
My treatment specialties include anxiety, life transitions, grief and loss, trauma, depression, and personal growth.
Are you struggling to cope with stress or a major life transition? Have you experienced trauma, loss, or grief? Are you searching for more meaningful work or relationships? While it’s common to have obstacles and challenges, you don’t have to figure it out all on your own.
My treatment specialties include anxiety, life transitions, grief and loss, trauma, depression, and personal growth.
Are you struggling to cope with stress or a major life transition? Have you experienced trauma, loss, or grief? Are you searching for more meaningful work or relationships? While it’s common to have obstacles and challenges, you don’t have to figure it out all on your own.
(803) 373-1816 View (803) 373-1816
Photo of Candace Smith Jackson, MEd, LPC, Licensed Professional Counselor
Candace Smith Jackson
Licensed Professional Counselor, MEd, LPC
Verified Verified
2 Endorsed
Greenville, SC 29607
Being human is complex and brings a plethora of emotions your way. There are highs, lows, twists, and turns. At times the emotion we experience is overwhelming and the natural urge is to resist the feeling, to push it all away. The struggle to resist painful emotions, thoughts, memories, etc. is exhausting. It is through acceptance that a person can begin healing, coping, and growing into their best self. I have experience working with PTSD, Anxiety, Depression, Borderline Personality Disorder, etc., allowing me to help others learn new ways of addressing unwanted emotions, thoughts, and behaviors.
Being human is complex and brings a plethora of emotions your way. There are highs, lows, twists, and turns. At times the emotion we experience is overwhelming and the natural urge is to resist the feeling, to push it all away. The struggle to resist painful emotions, thoughts, memories, etc. is exhausting. It is through acceptance that a person can begin healing, coping, and growing into their best self. I have experience working with PTSD, Anxiety, Depression, Borderline Personality Disorder, etc., allowing me to help others learn new ways of addressing unwanted emotions, thoughts, and behaviors.
(864) 432-6178 View (864) 432-6178
Photo of Aaron Dorsett, LMFT, Marriage & Family Therapist
Aaron Dorsett
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Spartanburg, SC 29307
If you are looking for an accepting, affirming queer therapist to help work through trans issues, anxiety, and/or depression I encourage you to reach out.
Have you ever looked in the mirror, saw the person staring back at you and realized that you don't know what that person is? Or that you just don't like them? Have you ever felt like you were living in a body that wasn't yours? Have you felt the anxiety that comes from being in a public space, unsure of how others will perceive you or if you are even safe, or the hopeless fear that you might never be truly happy with yourself? Finding a safe space and an affirming therapist to talk about and process these feelings with can be extremely difficult. I'm proud of you for taking that first step and hopeful that I can help.
If you are looking for an accepting, affirming queer therapist to help work through trans issues, anxiety, and/or depression I encourage you to reach out.
Have you ever looked in the mirror, saw the person staring back at you and realized that you don't know what that person is? Or that you just don't like them? Have you ever felt like you were living in a body that wasn't yours? Have you felt the anxiety that comes from being in a public space, unsure of how others will perceive you or if you are even safe, or the hopeless fear that you might never be truly happy with yourself? Finding a safe space and an affirming therapist to talk about and process these feelings with can be extremely difficult. I'm proud of you for taking that first step and hopeful that I can help.
(864) 661-5471 View (864) 661-5471
Photo of Michelle Hyatt - Hyatt Counseling, LLC, MA, LPC, CIMHP, Licensed Professional Counselor
Hyatt Counseling, LLC
Licensed Professional Counselor, MA, LPC, CIMHP
Verified Verified
1 Endorsed
Fort Mill, SC 29715
Feeling stuck and overwhelmed by traditional talk therapy? You are not alone. Hello, my name is Michelle and I am a Holistic Psychotherapist licensed in North and South Carolina. My approach to therapy is holistic and addresses all aspects of who you are as a person.  Holistic Psychotherapy gets to the root of what is driving the issue and helps foster the mind/body/spirit connection. I have an extensive background in treating issues related to trauma, chronic physical issues, anxiety, depression, and legalism in regards to Religion. There is HOPE.
Feeling stuck and overwhelmed by traditional talk therapy? You are not alone. Hello, my name is Michelle and I am a Holistic Psychotherapist licensed in North and South Carolina. My approach to therapy is holistic and addresses all aspects of who you are as a person.  Holistic Psychotherapy gets to the root of what is driving the issue and helps foster the mind/body/spirit connection. I have an extensive background in treating issues related to trauma, chronic physical issues, anxiety, depression, and legalism in regards to Religion. There is HOPE.
(803) 258-6277 View (803) 258-6277
Photo of Michele Burnette - Psychology Services Center, PhD, Psychologist
Psychology Services Center
Psychologist, PhD
Verified Verified
2 Endorsed
Columbia, SC 29201
The Psychology Services Center (PSC) provides comprehensive quality mental health care including assessment and therapy services for adults, children, adolescents, families, and couples. We have a history of helping clients learn to cope with stress, depression, or anxiety, address their children's behavioral or learning difficulties, or improve communication and trust in their relationships. Across all of these treatment areas, our center values providing quality, outcome-oriented services that are based on the latest science, offered within a caring and collaborative atmosphere.
The Psychology Services Center (PSC) provides comprehensive quality mental health care including assessment and therapy services for adults, children, adolescents, families, and couples. We have a history of helping clients learn to cope with stress, depression, or anxiety, address their children's behavioral or learning difficulties, or improve communication and trust in their relationships. Across all of these treatment areas, our center values providing quality, outcome-oriented services that are based on the latest science, offered within a caring and collaborative atmosphere.
(803) 932-1458 View (803) 932-1458
Photo of Mitchel John DAWES, LPC, Licensed Professional Counselor
Mitchel John DAWES
Licensed Professional Counselor, LPC
Verified Verified
Spartanburg, SC 29303
For individuals struggling with identity, anxiety, or depression issues, my desire is to come alongside you in a supportive and helpful way.
I am passionate about helping clients struggling with issues related to self, self-identity, and relational distress. These issues typically manifest themselves in symptoms such as anxiety, depression, and relational conflict. It is my goal to partner with my clients to create an environment in which they feel safe, accepted, unjudged, and free to explore themselves and what they are experiencing. I have worked with adolescents ranging in age from 8 to 18 years, young adults, and middle-aged adults. I have experience working with people from a wide array of beliefs, values, and ethnic backgrounds.
For individuals struggling with identity, anxiety, or depression issues, my desire is to come alongside you in a supportive and helpful way.
I am passionate about helping clients struggling with issues related to self, self-identity, and relational distress. These issues typically manifest themselves in symptoms such as anxiety, depression, and relational conflict. It is my goal to partner with my clients to create an environment in which they feel safe, accepted, unjudged, and free to explore themselves and what they are experiencing. I have worked with adolescents ranging in age from 8 to 18 years, young adults, and middle-aged adults. I have experience working with people from a wide array of beliefs, values, and ethnic backgrounds.
(864) 428-7334 View (864) 428-7334
Photo of Bouchra Koussih, PhD, HSPP, Psychologist
Bouchra Koussih
Psychologist, PhD, HSPP
Verified Verified
1 Endorsed
Anderson, SC 29621  (Online Only)
You are feeling stuck, overwhelmed with anxiety, depression, and stress while trying to navigate your day-to-day living. You have experienced an adverse incident in the past that has left you feeling lost, angry and afraid. whether this adverse event was an accident, a loss of a loved one, abuse or sexual trauma, you need someone to help you make sense of your sensations, thoughts and behaviors, become empowered and achieve the positive growth you are looking for
You are feeling stuck, overwhelmed with anxiety, depression, and stress while trying to navigate your day-to-day living. You have experienced an adverse incident in the past that has left you feeling lost, angry and afraid. whether this adverse event was an accident, a loss of a loved one, abuse or sexual trauma, you need someone to help you make sense of your sensations, thoughts and behaviors, become empowered and achieve the positive growth you are looking for
(864) 400-0358 View (864) 400-0358

See more therapy options for Chester County

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.