Elephant Rock Counseling
Licensed Professional Counselor, MEd, LPC
Verified Verified
4 Endorsed
Kirkwood, MO 63122
Welcome to Elephant Rock Counseling - we have recently added an experienced female therapists who still has some availability for NEW CLIENTS. The majority of our therapists work with Adults & Adolescents - we can assist with important life goals and help you find more adaptive coping skills working through challenging obstacles that usually lead one to therapy. Areas of speciality include: Motivational Interviewing for Addiction, Behavioral Activation for Depression, Acceptance and Commitment Trauma Focused Therapy for Anxiety, and Dialectical Behavior Therapy (DBT) for Suicidal & Self-Harm Behaviors.
Welcome to Elephant Rock Counseling - we have recently added an experienced female therapists who still has some availability for NEW CLIENTS. The majority of our therapists work with Adults & Adolescents - we can assist with important life goals and help you find more adaptive coping skills working through challenging obstacles that usually lead one to therapy. Areas of speciality include: Motivational Interviewing for Addiction, Behavioral Activation for Depression, Acceptance and Commitment Trauma Focused Therapy for Anxiety, and Dialectical Behavior Therapy (DBT) for Suicidal & Self-Harm Behaviors.
(314) 626-8509 View (314) 626-8509
Photo of Becky Heck, Licensed Professional Counselor in Kirkwood, MO
Becky Heck
Licensed Professional Counselor, LPC, LCPC
Verified Verified
1 Endorsed
Kirkwood, MO 63122  (Online Only)
Sometimes we all feel a little bit broken, we can get so caught up in what's going wrong or what's not working. Sometimes life get's hard, too much stress at home or work, relationship issues, grief and loss, addiction, depression, anxiety or feeling like we have just lost our way. No matter what is going on, you have taken that first step and you have come to the right place.
Sometimes we all feel a little bit broken, we can get so caught up in what's going wrong or what's not working. Sometimes life get's hard, too much stress at home or work, relationship issues, grief and loss, addiction, depression, anxiety or feeling like we have just lost our way. No matter what is going on, you have taken that first step and you have come to the right place.
(314) 926-9854 View (314) 926-9854
Photo of Lainie Barron, Licensed Professional Counselor in Kirkwood, MO
Lainie Barron
Licensed Professional Counselor, MA, LPC , LCPC
Verified Verified
2 Endorsed
Kirkwood, MO 63122
Waitlist for new clients
I help clients who are struggling with anxiety, depression, substance use, trauma/PTSD, life stressors, as well as codependency concerns.
Hello there! Often taking the first step to decide to go to therapy is a big decision and I am here to help you and walk beside you in your path towards working to address your concerns. I work with adolescents and adults with concerns ranging from current life issues, relationship issues, or ongoing lifelong issues. I offer openness and collaboration to those I work with and see therapy as a collaborative effort between the client and therapist.
I help clients who are struggling with anxiety, depression, substance use, trauma/PTSD, life stressors, as well as codependency concerns.
Hello there! Often taking the first step to decide to go to therapy is a big decision and I am here to help you and walk beside you in your path towards working to address your concerns. I work with adolescents and adults with concerns ranging from current life issues, relationship issues, or ongoing lifelong issues. I offer openness and collaboration to those I work with and see therapy as a collaborative effort between the client and therapist.
(314) 451-7055 View (314) 451-7055
Photo of Michael A Midiri III, Clinical Social Work/Therapist in Kirkwood, MO
Michael A Midiri III
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Kirkwood, MO 63122
I work with a variety of issues which include stress, anxiety, depression, grief, trauma and behavioral or relationship issues.
Sometimes life gets uncomfortable, and there may be days where it feels like you expend all of your energy just getting through the day. I will work with you to not only ‘look back’ at the choices, events or biological factors that may have caused the current distress or situation, but also gently guide you to a place of personal change and healing.
I work with a variety of issues which include stress, anxiety, depression, grief, trauma and behavioral or relationship issues.
Sometimes life gets uncomfortable, and there may be days where it feels like you expend all of your energy just getting through the day. I will work with you to not only ‘look back’ at the choices, events or biological factors that may have caused the current distress or situation, but also gently guide you to a place of personal change and healing.
(314) 350-5916 View (314) 350-5916
Photo of Solutions for Wellbeing, LLC, Licensed Professional Counselor in Kirkwood, MO
Solutions for Wellbeing, LLC
Licensed Professional Counselor, MA, LPC, CCDP-D, MARS
Verified Verified
Kirkwood, MO 63122  (Online Only)
I have over 15 years of experience working with clients who experience anxiety, depression, major-life set-backs, stress-related concerns, and substance use concerns.
Our lives can get very busy--making it hard to find time for counseling. I provide counseling via Telehealth and offer convenient evening and weekend time slots. Life can sometimes “knock our socks off”—I focus on helping clients get back on track and thriving again. Together, we develop a step-by-step plan to identify the problem, explore possible solutions, and develop strategies to move forward. We will explore the things that are getting in the way of you feeling your best self.
I have over 15 years of experience working with clients who experience anxiety, depression, major-life set-backs, stress-related concerns, and substance use concerns.
Our lives can get very busy--making it hard to find time for counseling. I provide counseling via Telehealth and offer convenient evening and weekend time slots. Life can sometimes “knock our socks off”—I focus on helping clients get back on track and thriving again. Together, we develop a step-by-step plan to identify the problem, explore possible solutions, and develop strategies to move forward. We will explore the things that are getting in the way of you feeling your best self.
(314) 690-9876 View (314) 690-9876
Photo of Dr. Cherie Baetz-Davis, Psychologist in Kirkwood, MO
Dr. Cherie Baetz-Davis
Psychologist, PhD
Verified Verified
1 Endorsed
Kirkwood, MO 63122
Specialties: Physical/Sexual Abuse Survivors, Depression/Postpartum Depression, Anxiety, Self-Injury, Binge Eating, Family/Couples, LGBTQ+ Issues, Stress, OCD, Multicultural Issues, Codependency/Assertiveness, Relationships, and Work-Related Issues.
If you need a warm, supportive space where you can feel safe to explore, learn, and make changes, you've come to the right place! I work with people from diverse backgrounds in a compassionate manner focusing on improving communication, recovering from past trauma, and developing effective strategies for stress/coping. I am directive at times and will challenge you to take on new perspectives and try out new behaviors, but at a pace that is comfortable to you. I use cognitive-behavioral techniques, role-playing, goal setting, exposure/response prevention, assertiveness training, internal family systems, and others.
Specialties: Physical/Sexual Abuse Survivors, Depression/Postpartum Depression, Anxiety, Self-Injury, Binge Eating, Family/Couples, LGBTQ+ Issues, Stress, OCD, Multicultural Issues, Codependency/Assertiveness, Relationships, and Work-Related Issues.
If you need a warm, supportive space where you can feel safe to explore, learn, and make changes, you've come to the right place! I work with people from diverse backgrounds in a compassionate manner focusing on improving communication, recovering from past trauma, and developing effective strategies for stress/coping. I am directive at times and will challenge you to take on new perspectives and try out new behaviors, but at a pace that is comfortable to you. I use cognitive-behavioral techniques, role-playing, goal setting, exposure/response prevention, assertiveness training, internal family systems, and others.
(314) 720-6036 View (314) 720-6036
Photo of Darice Dodd, Licensed Professional Counselor in Kirkwood, MO
Darice Dodd
Licensed Professional Counselor, EdS, LPC, LPC-S
Verified Verified
Kirkwood, MO 63122  (Online Only)
I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, trauma, ADHD, grief and loss, anger management, etc.
My counseling style is eclectic, meaning I incorporate a variety of therapeutic modalities to create the ideal treatment to meet the client’s needs. I strive to provide a safe, supportive, non-judgemental, and empathic therapeutic environment. I believe that everyone is uniquely different and may not respond to a one size fits all therapeutic modality. I believe in treating everyone with respect and compassion. I will tailor our dialog and treatment plan to meet your unique and specific goals and desires. I tend to work with clients from a strength-based, positive, and affirming perspective.
I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, trauma, ADHD, grief and loss, anger management, etc.
My counseling style is eclectic, meaning I incorporate a variety of therapeutic modalities to create the ideal treatment to meet the client’s needs. I strive to provide a safe, supportive, non-judgemental, and empathic therapeutic environment. I believe that everyone is uniquely different and may not respond to a one size fits all therapeutic modality. I believe in treating everyone with respect and compassion. I will tailor our dialog and treatment plan to meet your unique and specific goals and desires. I tend to work with clients from a strength-based, positive, and affirming perspective.
(678) 661-6475 View (678) 661-6475
Photo of Katie Stiehl Frauenfelder, Counselor in Kirkwood, MO
Katie Stiehl Frauenfelder
Counselor, MA, LPC, CPT
Verified Verified
1 Endorsed
Kirkwood, MO 63122
Waitlist for new clients
My areas of expertise include eating disorders and compulsive exercise, depression, anxiety, OCD, BFRB, postpartum issues, and a variety of mood disorders.
Do you struggle with balance? No, not the standing on one foot while juggling type of balance, but the type that includes finding the “gray area”. I’m either a success, or I am a failure. My life is going perfectly, or it’s a disaster. If I don’t have it all figured out, I should just throw in the towel. Sound familiar? Whether it includes food/body image/exercise, parenting, work, or social life, I promise balance exists, you just might need a little help finding it. This is where I come in.
My areas of expertise include eating disorders and compulsive exercise, depression, anxiety, OCD, BFRB, postpartum issues, and a variety of mood disorders.
Do you struggle with balance? No, not the standing on one foot while juggling type of balance, but the type that includes finding the “gray area”. I’m either a success, or I am a failure. My life is going perfectly, or it’s a disaster. If I don’t have it all figured out, I should just throw in the towel. Sound familiar? Whether it includes food/body image/exercise, parenting, work, or social life, I promise balance exists, you just might need a little help finding it. This is where I come in.
(314) 582-9226 View (314) 582-9226
Photo of Hilary Kelly, Clinical Social Work/Therapist in Kirkwood, MO
Hilary Kelly
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Kirkwood, MO 63122
It takes courage to walk in and sit down with someone to share your story. An honest story that includes stress, anxieties, sadness, grief, and emotional suffering. My intention as a therapist is to create a safe and inclusive space for clients. This space allows individuals to open up and be present with the emotions, thoughts, and feelings that make up the human experience. I currently specialize in working with adults struggling with depression, anxiety, grief and loss, life transitions, and relationship issues.
It takes courage to walk in and sit down with someone to share your story. An honest story that includes stress, anxieties, sadness, grief, and emotional suffering. My intention as a therapist is to create a safe and inclusive space for clients. This space allows individuals to open up and be present with the emotions, thoughts, and feelings that make up the human experience. I currently specialize in working with adults struggling with depression, anxiety, grief and loss, life transitions, and relationship issues.
(314) 804-2286 View (314) 804-2286
Photo of Heiser Counseling and Healing Arts, Licensed Professional Counselor in Kirkwood, MO
Heiser Counseling and Healing Arts
Licensed Professional Counselor, ATR, LPC
Verified Verified
1 Endorsed
Kirkwood, MO 63122
Other models used to treat trauma and related disorders (performance, relationship, depression, anxiety, substance use, mood disorders) include psycho-education, IFS, CBT and MI.
I enjoy helping people become self-aware, accepting, heal and improve their quality of life and relationships. I use a variety of approaches, including client centered, strengthbased, focused on goals set with client. I enjoy helping people grow, and become self and spiritually aware. I work with children, (6 -19), and adults dealing with PTSD, trauma, anxiety, attachments issues, relationships, addictions, and mortality. I enjoy working with individuals, partners, couples and families. I believe in the power of focused healing, increased awareness, acceptence, hope and love.
Other models used to treat trauma and related disorders (performance, relationship, depression, anxiety, substance use, mood disorders) include psycho-education, IFS, CBT and MI.
I enjoy helping people become self-aware, accepting, heal and improve their quality of life and relationships. I use a variety of approaches, including client centered, strengthbased, focused on goals set with client. I enjoy helping people grow, and become self and spiritually aware. I work with children, (6 -19), and adults dealing with PTSD, trauma, anxiety, attachments issues, relationships, addictions, and mortality. I enjoy working with individuals, partners, couples and families. I believe in the power of focused healing, increased awareness, acceptence, hope and love.
(618) 712-0291 View (618) 712-0291
Photo of Joy Gillespie, Clinical Social Work/Therapist in Kirkwood, MO
Joy Gillespie
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Kirkwood, MO 63122  (Online Only)
My clients describe me as someone they feel safe and comfortable with, someone they feel they can trust, and someone that genuinely cares for them. Some of my clients describe themselves as perfectionists or high achievers; others identify as "people pleasers" struggling with setting healthy boundaries. Many of my clients have unhealed childhood wounds, and struggle with anxiety, depression or interpersonal relationship issues. It is my passion to help my clients figure out why they feel or react the way they do so that they can feel "good enough" about themselves on the inside and build healthier relationship with others.
My clients describe me as someone they feel safe and comfortable with, someone they feel they can trust, and someone that genuinely cares for them. Some of my clients describe themselves as perfectionists or high achievers; others identify as "people pleasers" struggling with setting healthy boundaries. Many of my clients have unhealed childhood wounds, and struggle with anxiety, depression or interpersonal relationship issues. It is my passion to help my clients figure out why they feel or react the way they do so that they can feel "good enough" about themselves on the inside and build healthier relationship with others.
(314) 501-7828 View (314) 501-7828
Photo of Angie Narsh, Licensed Professional Counselor in Kirkwood, MO
Angie Narsh
Licensed Professional Counselor, MAC
Verified Verified
Kirkwood, MO 63122
These cover wide-ranging issues: work-related, life transitions, depression/anxiety, family/relationships, teen/adolescent, grief, trauma, addiction, bipolar, and schizophrenia.
Using gentleness mixed with honesty, I will call you forward to better.Not to shame, but to healing.Freedom, passion, vibrance, thriving and not simply surviving. It's possible.There's hope.I believe we hold power over our own healing.I merely come alongside those who have decided to make that brave journey.From the very beginning, the most consistent feedback is of feeling safe and truly understood.I believe in "working myself out of a job", achieved by doing good work and encouraging clients to test and stretch their growth.They do this out on their own, knowing they can return for new layers of work.
These cover wide-ranging issues: work-related, life transitions, depression/anxiety, family/relationships, teen/adolescent, grief, trauma, addiction, bipolar, and schizophrenia.
Using gentleness mixed with honesty, I will call you forward to better.Not to shame, but to healing.Freedom, passion, vibrance, thriving and not simply surviving. It's possible.There's hope.I believe we hold power over our own healing.I merely come alongside those who have decided to make that brave journey.From the very beginning, the most consistent feedback is of feeling safe and truly understood.I believe in "working myself out of a job", achieved by doing good work and encouraging clients to test and stretch their growth.They do this out on their own, knowing they can return for new layers of work.
(314) 742-8947 View (314) 742-8947
Photo of Stacy Mansker, Licensed Professional Counselor in Kirkwood, MO
Stacy Mansker
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Kirkwood, MO 63122
The choice to seek counseling is the first step to a more fulfilling future for you and/or your child. I use a personalized, strength-based approach focusing on clients' positive virtues. I encourage the development of skills of each client to reach their full potential. I understand the importance of addressing the academic and social-emotional needs of adolescents and young adults in a safe environment. I assist clients in identifying potential roadblocks in daily function and happiness, including professional/ academic stress, anxiety, & depression.
The choice to seek counseling is the first step to a more fulfilling future for you and/or your child. I use a personalized, strength-based approach focusing on clients' positive virtues. I encourage the development of skills of each client to reach their full potential. I understand the importance of addressing the academic and social-emotional needs of adolescents and young adults in a safe environment. I assist clients in identifying potential roadblocks in daily function and happiness, including professional/ academic stress, anxiety, & depression.
(314) 310-1230 View (314) 310-1230
Photo of Therese J Booth, Psychologist in Kirkwood, MO
Therese J Booth
Psychologist, EdD
Verified Verified
Kirkwood, MO 63122
I often work with people to manage issues in their lives that have become difficult and distressing, such as separation/divorce, career/job changes, grief/loss, relocation, becoming a parent, and retirement. Some clients experience symptoms of anxiety or depression and we focus on realistic, practical strategies to reduce their intensity and impact. My approach involves closely assessing how these issues impact daily life, how relationships are affected, what support has or hasn't been available and then develop a plan for working toward changes and greater satisfaction in life.
I often work with people to manage issues in their lives that have become difficult and distressing, such as separation/divorce, career/job changes, grief/loss, relocation, becoming a parent, and retirement. Some clients experience symptoms of anxiety or depression and we focus on realistic, practical strategies to reduce their intensity and impact. My approach involves closely assessing how these issues impact daily life, how relationships are affected, what support has or hasn't been available and then develop a plan for working toward changes and greater satisfaction in life.
(314) 610-3232 View (314) 610-3232
Photo of Pam Weber, Clinical Social Work/Therapist in Kirkwood, MO
Pam Weber
Clinical Social Work/Therapist, LCSW, ACHT
Verified Verified
1 Endorsed
Kirkwood, MO 63122
Individual counseling * Couples counseling * Family counseling * Adolescent counseling * Counseling for older adults and their caregivers * Addiction recovery * Weight Loss * Pam provides compassion, respect, and a heartfelt understanding for people facing life issues. Pam is knowledgeable in the areas of relationship; family dynamics; grief and loss; ADD, bipolar, anxiety, and depression; people struggling with addiction and recovery, and those who love them. The guiding principle behind Pam's work is to assist people in building more meaningful relationships with the most important people in their lives; including themselves.
Individual counseling * Couples counseling * Family counseling * Adolescent counseling * Counseling for older adults and their caregivers * Addiction recovery * Weight Loss * Pam provides compassion, respect, and a heartfelt understanding for people facing life issues. Pam is knowledgeable in the areas of relationship; family dynamics; grief and loss; ADD, bipolar, anxiety, and depression; people struggling with addiction and recovery, and those who love them. The guiding principle behind Pam's work is to assist people in building more meaningful relationships with the most important people in their lives; including themselves.
(314) 485-9974 View (314) 485-9974
Photo of Ana Dilber, Licensed Professional Counselor in Kirkwood, MO
Ana Dilber
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Kirkwood, MO 63122  (Online Only)
I have guided people through their symptoms of PTSD, anxiety, PMDD, PCOS, depression, medical health challenges, and many more diagnoses.
If you want a blunt and no sugar coating therapist look no further! Of course, I am honest with the intent of being kind and caring. The goal is to make the client a priority and implement self-care. Therapy is an investment and considered prevention for your own self-care needs. I have over 12 years experience, and worked in medical settings before that. I have experience in the medical health environment with a range of health issues from sufferers of heart attacks, stroke, women's & men's issues, and chronic illnesses. I implement an eclectic approach featuring CBT.
I have guided people through their symptoms of PTSD, anxiety, PMDD, PCOS, depression, medical health challenges, and many more diagnoses.
If you want a blunt and no sugar coating therapist look no further! Of course, I am honest with the intent of being kind and caring. The goal is to make the client a priority and implement self-care. Therapy is an investment and considered prevention for your own self-care needs. I have over 12 years experience, and worked in medical settings before that. I have experience in the medical health environment with a range of health issues from sufferers of heart attacks, stroke, women's & men's issues, and chronic illnesses. I implement an eclectic approach featuring CBT.
(314) 712-4205 View (314) 712-4205
Photo of Laura Ranalletta, Clinical Social Work/Therapist in Kirkwood, MO
Laura Ranalletta
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
Kirkwood, MO 63122
Accepting New Clients Summer '22 - I believe that we're all doing the best we can, and also: we can all be doing better! Whether you're dealing with anxiety, depression, relationship issues, or a life circumstance which is difficult to navigate, I'm here to help. Chances are you are feeling alone, confused, or dissatisfied with your life at this moment. Maybe you're ready for deep healing from the past. Maybe you're looking for ways to cope with the present. Maybe you want to better understand yourself and your emotions. Maybe you're just looking to talk with a neutral third party about daily stressors. Wherever you're at, welcome!
Accepting New Clients Summer '22 - I believe that we're all doing the best we can, and also: we can all be doing better! Whether you're dealing with anxiety, depression, relationship issues, or a life circumstance which is difficult to navigate, I'm here to help. Chances are you are feeling alone, confused, or dissatisfied with your life at this moment. Maybe you're ready for deep healing from the past. Maybe you're looking for ways to cope with the present. Maybe you want to better understand yourself and your emotions. Maybe you're just looking to talk with a neutral third party about daily stressors. Wherever you're at, welcome!
(636) 278-9585 View (636) 278-9585
Photo of Elizabeth Pope, Licensed Professional Counselor in Kirkwood, MO
Elizabeth Pope
Licensed Professional Counselor, LPC
Verified Verified
Kirkwood, MO 63122  (Online Only)
Helping adults with life transitions, self-esteem, stress, anxiety, depression, and ADHD is work I enjoy.
Hello! I’m Betsey. My work is focused on helping women who are Missouri residents via telehealth. I love working with neurodivergent women! (I’m an ADHDer myself). My goal is to help you gain tools and insight that could make life’s challenges more manageable. I do this by providing a supportive space and with a warm and direct style. I also use humor in my work (when appropriate) believing that laughter is good medicine.
Helping adults with life transitions, self-esteem, stress, anxiety, depression, and ADHD is work I enjoy.
Hello! I’m Betsey. My work is focused on helping women who are Missouri residents via telehealth. I love working with neurodivergent women! (I’m an ADHDer myself). My goal is to help you gain tools and insight that could make life’s challenges more manageable. I do this by providing a supportive space and with a warm and direct style. I also use humor in my work (when appropriate) believing that laughter is good medicine.
(314) 526-2772 View (314) 526-2772
Photo of Empowered Movement, Licensed Professional Counselor in Kirkwood, MO
Empowered Movement
Licensed Professional Counselor, LPC, NCC
Verified Verified
3 Endorsed
Kirkwood, MO 63122  (Online Only)
Life is beautiful but often/sometimes challenging. Some days we feel confident and happy while other days we may feel alone or overwhelmed. The clients I work with are seeking new tools, skills, techniques and interventions to help them feel better, more in control and empowered on a daily basis. I work with adolescents, young adults, adults and elders experiencing life transitions, anxiety, depression, trauma, relationship issues, low self-esteem and more. Everyone deserves to have a safe space, with unconditional support that allows them to be authentically themselves, always.
Life is beautiful but often/sometimes challenging. Some days we feel confident and happy while other days we may feel alone or overwhelmed. The clients I work with are seeking new tools, skills, techniques and interventions to help them feel better, more in control and empowered on a daily basis. I work with adolescents, young adults, adults and elders experiencing life transitions, anxiety, depression, trauma, relationship issues, low self-esteem and more. Everyone deserves to have a safe space, with unconditional support that allows them to be authentically themselves, always.
(314) 701-8184 View (314) 701-8184
Photo of Nicole M. Stewart, Clinical Social Work/Therapist in Kirkwood, MO
Nicole M. Stewart
Clinical Social Work/Therapist, MSW, LCSW, RYT, Reiki
Verified Verified
3 Endorsed
Kirkwood, MO 63122
Are you experiencing a difficult transition? Or maybe haven't felt like yourself in a while? If you're looking for somewhere to be heard without judgement, I have experience helping people from diverse backgrounds going through a variety of issues relating to health, relationships, work, crisis, and life transitions. I use several somatic/body-based and mindfulness strategies, drawing from my background as a psychotherapist, Registered Yoga teacher and Reiki Master. I strive to create a safe and open environment where people can reconnect with themselves and those relationships that matter most to them.
Are you experiencing a difficult transition? Or maybe haven't felt like yourself in a while? If you're looking for somewhere to be heard without judgement, I have experience helping people from diverse backgrounds going through a variety of issues relating to health, relationships, work, crisis, and life transitions. I use several somatic/body-based and mindfulness strategies, drawing from my background as a psychotherapist, Registered Yoga teacher and Reiki Master. I strive to create a safe and open environment where people can reconnect with themselves and those relationships that matter most to them.
(314) 230-9530 View (314) 230-9530
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.