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Online Therapists

Photo of LaVonne L Russell, Certified Alcohol and Drug Counsellor in Sparta, NC
LaVonne L Russell
Certified Alcohol and Drug Counsellor, MS, LCASA
Verified Verified
Clemmons, NC 27012
Do you find yourself being sad, mad, irritable, scared or just no longer joyful? Stress and emotional pain certainly impact performance, interpersonal relationship, physical and mental health. Chronic stress and emotional pain can lead to symptoms of depression, anxiety, grief, behavior complications and misguided coping through substances. This contributes to conflict with friends and family. Situations you once could manage become overwhelming.
Do you find yourself being sad, mad, irritable, scared or just no longer joyful? Stress and emotional pain certainly impact performance, interpersonal relationship, physical and mental health. Chronic stress and emotional pain can lead to symptoms of depression, anxiety, grief, behavior complications and misguided coping through substances. This contributes to conflict with friends and family. Situations you once could manage become overwhelming.
(336) 920-8906 View (336) 920-8906
Photo of Deanna Cuccinello, Licensed Clinical Mental Health Counselor in Sparta, NC
Deanna Cuccinello
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
Mooresville, NC 28117
I specialize in working with adults struggling with depression, anxiety, PTSD, adjustment disorders, anger management, codependency, recovery from past abuse, life transitions, perfectionism, and relationship concerns.
Life’s challenges can be overwhelming, and sometimes we need help. Perhaps you're experiencing a life transition or feel disconnected and find it hard to manage your emotions. Our thoughts, feelings and behaviors influence every area of our lives, often negatively impacting our relationships, our work and self-care. Seeking support is a significant first step in honoring your need for growth and change. I offer a safe place to be heard and understood and collaboratively we will identify therapeutic goals. I affirm clients from all backgrounds, gender expression/identity, sexual orientation, race, culture, and ability status.
I specialize in working with adults struggling with depression, anxiety, PTSD, adjustment disorders, anger management, codependency, recovery from past abuse, life transitions, perfectionism, and relationship concerns.
Life’s challenges can be overwhelming, and sometimes we need help. Perhaps you're experiencing a life transition or feel disconnected and find it hard to manage your emotions. Our thoughts, feelings and behaviors influence every area of our lives, often negatively impacting our relationships, our work and self-care. Seeking support is a significant first step in honoring your need for growth and change. I offer a safe place to be heard and understood and collaboratively we will identify therapeutic goals. I affirm clients from all backgrounds, gender expression/identity, sexual orientation, race, culture, and ability status.
(980) 949-0853 View (980) 949-0853
Photo of Robert Milan, Clinical Social Work/Therapist in Sparta, NC
Robert Milan
Clinical Social Work/Therapist, LCSW
Verified Verified
Greensboro, NC 27403
In my 30 years of clinical experience I have been able to help people from all walks of life find relief from a wide variety of psychological and behavioral problems. My areas of speciality include: anxiety disorders, including obsessive compulsive disorder (using CBT & exposure/response prevention), trichotillomania, compulsive skin picking, other OC spectrum disorders, panic disorder, phobias, generalized anxiety disorder, PTSD, and social phobias; mood disorders, including depression and bipolar disorder; sexual addiction; situational problems. I have been trained in a variety of therapeutic modalities, incuding cognitive behavioral therapy, humanistic therapies, EMDR, and mindfulness approaches to therapy.
In my 30 years of clinical experience I have been able to help people from all walks of life find relief from a wide variety of psychological and behavioral problems. My areas of speciality include: anxiety disorders, including obsessive compulsive disorder (using CBT & exposure/response prevention), trichotillomania, compulsive skin picking, other OC spectrum disorders, panic disorder, phobias, generalized anxiety disorder, PTSD, and social phobias; mood disorders, including depression and bipolar disorder; sexual addiction; situational problems. I have been trained in a variety of therapeutic modalities, incuding cognitive behavioral therapy, humanistic therapies, EMDR, and mindfulness approaches to therapy.
(336) 310-5648 View (336) 310-5648
Photo of Hannelore K Bragg, Psychological Associate in Sparta, NC
Hannelore K Bragg
Psychological Associate, MS, SSP
Verified Verified
Charlotte, NC 28203
When the intensity of painful feelings, the persistent chatter and/or stories in our minds become paralyzing; when worry or rumination interferes with sleep or functioning; when the depression and/or anxieties constrict life; when disempowerment and feeling overwhelmed drain energies and self-esteem; when feeling stuck, miserable and/or afraid is too familiar; when fears and uncertainties rob you of a vital life, it is important to know that you may expect from me radical acceptance, full attention, compassionate listening, active participation, extensive knowledge plus experience, to assist, support and facilitate the creative journey for renewed passion for life.
When the intensity of painful feelings, the persistent chatter and/or stories in our minds become paralyzing; when worry or rumination interferes with sleep or functioning; when the depression and/or anxieties constrict life; when disempowerment and feeling overwhelmed drain energies and self-esteem; when feeling stuck, miserable and/or afraid is too familiar; when fears and uncertainties rob you of a vital life, it is important to know that you may expect from me radical acceptance, full attention, compassionate listening, active participation, extensive knowledge plus experience, to assist, support and facilitate the creative journey for renewed passion for life.
(828) 333-7553 View (828) 333-7553
Photo of Tricia M Fisher, Clinical Social Work/Therapist in Sparta, NC
Tricia M Fisher
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Charlotte, NC 28204
I am interested in your story and feel privileged to provide a caring presence for adults and couples who are seeking liberation from patterns of thinking and behaving that have led to suffering. I believe all people have inherent strengths, and that our work together can lead to new ways of understanding that will result in a life lived more fully. Perhaps you are interested in pre-marital counseling, are ready to consider issues in your relationships, or address and treat anxiety, depression, or post-traumatic stress. If so, I would like to help you.
I am interested in your story and feel privileged to provide a caring presence for adults and couples who are seeking liberation from patterns of thinking and behaving that have led to suffering. I believe all people have inherent strengths, and that our work together can lead to new ways of understanding that will result in a life lived more fully. Perhaps you are interested in pre-marital counseling, are ready to consider issues in your relationships, or address and treat anxiety, depression, or post-traumatic stress. If so, I would like to help you.
(704) 508-9410 View (704) 508-9410
Photo of John Taylor Houchens, Licensed Professional Counselor in Sparta, NC
John Taylor Houchens
Licensed Professional Counselor, MS, LPC
Verified Verified
4 Endorsed
Asheville, NC 28804
My website - www.taylorhouchens.com - I specialize in working with boys, teenagers, men, women, and families. If this is you, it is my goal to help you overcome the barriers and problems in your life that are keeping you from experiencing the freedom you are desiring. Often times, these problems are the result of trauma from childhood that is still unresolved. Perhaps you're experiencing anxiety, depression, grief, sexual abuse, PTSD, addiction (sexual, drug/alcohol, work), lack of self confidence, family issues, relationship difficulties, negative coping habits, physical or auto-immune disorders, or more. If so, I can help.
My website - www.taylorhouchens.com - I specialize in working with boys, teenagers, men, women, and families. If this is you, it is my goal to help you overcome the barriers and problems in your life that are keeping you from experiencing the freedom you are desiring. Often times, these problems are the result of trauma from childhood that is still unresolved. Perhaps you're experiencing anxiety, depression, grief, sexual abuse, PTSD, addiction (sexual, drug/alcohol, work), lack of self confidence, family issues, relationship difficulties, negative coping habits, physical or auto-immune disorders, or more. If so, I can help.
(828) 622-4184 View (828) 622-4184
Photo of Donna P. Dunlap, Licensed Professional Counselor in Sparta, NC
Donna P. Dunlap
Licensed Professional Counselor, MSCP, LCMHCS
Verified Verified
5 Endorsed
Winston Salem, NC 27103
Areas of expertise: women's issues, adolescent issues, sexual & other trauma, anxiety/OCD/phobias, and mood disorders (depression/bipolar).
You've just taken the first step in a journey to the New Life you deserve. The thought of finding a counselor you trust, feel safe and comfortable with can be a little scary, but so is the alternative: living with frustration, pain, fear and confusion...with no end in sight. I'm always amazed at the courage of my clients as they move from a painful existence to one of hope & joy and with confidence that they have the tools needed to create the life they want. Don't wait another day. Your New Life is waiting!
Areas of expertise: women's issues, adolescent issues, sexual & other trauma, anxiety/OCD/phobias, and mood disorders (depression/bipolar).
You've just taken the first step in a journey to the New Life you deserve. The thought of finding a counselor you trust, feel safe and comfortable with can be a little scary, but so is the alternative: living with frustration, pain, fear and confusion...with no end in sight. I'm always amazed at the courage of my clients as they move from a painful existence to one of hope & joy and with confidence that they have the tools needed to create the life they want. Don't wait another day. Your New Life is waiting!
(336) 447-7610 View (336) 447-7610
Photo of Carole F Bombardier, Clinical Social Work/Therapist in Sparta, NC
Carole F Bombardier
Clinical Social Work/Therapist, LCSW, MSW, CHT, HCHI
Verified Verified
6 Endorsed
Huntersville, NC 28078
I specialize in women's issues including pregnancy, infertility, prenatal and postpartum depression/anxiety, weight issues, chronic pain from Fibromyalgia, PMS, and other chronic diseases.
It is my passion to help people help themselves using a holistic approach to address the whole person. Sometimes we get so caught up in the details of life that we have difficulty seeing the big picture. Counseling can help you get more out of life, help you reach your goals and work through challenges and move forward to create and live the life you desire. Stress, anxiety, phobias, depression and life transitions are just some of the issues that I typically address within my practice.
I specialize in women's issues including pregnancy, infertility, prenatal and postpartum depression/anxiety, weight issues, chronic pain from Fibromyalgia, PMS, and other chronic diseases.
It is my passion to help people help themselves using a holistic approach to address the whole person. Sometimes we get so caught up in the details of life that we have difficulty seeing the big picture. Counseling can help you get more out of life, help you reach your goals and work through challenges and move forward to create and live the life you desire. Stress, anxiety, phobias, depression and life transitions are just some of the issues that I typically address within my practice.
(704) 266-6691 View (704) 266-6691
Photo of Zachary Rothwell in Sparta, NC
Zachary Rothwell
PMHNP
Verified Verified
Charlotte, NC 28211
I work with adults struggling with relationship issues, addiction, depression, anxiety, and PTSD. Many of my clients are high performers who have become successful despite a difficult childhood. If you are curious how therapy can help you reduce your suffering, improve your relationships, and help you heal from past traumas, I encourage you to reach out for a free consultation. I use elements of EMDR therapy in my approach. I am kink allied and sex positive. I invite you to come as you are. I will respect, support, and encourage you during our time in therapy.
I work with adults struggling with relationship issues, addiction, depression, anxiety, and PTSD. Many of my clients are high performers who have become successful despite a difficult childhood. If you are curious how therapy can help you reduce your suffering, improve your relationships, and help you heal from past traumas, I encourage you to reach out for a free consultation. I use elements of EMDR therapy in my approach. I am kink allied and sex positive. I invite you to come as you are. I will respect, support, and encourage you during our time in therapy.
(332) 244-3936 View (332) 244-3936
Open Hearts Healing Minds Corporation
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CCS, NCC
Verified Verified
Winston Salem, NC 27105
We specialize in substance use and recovery, trauma, attachment issues, grief/loss, anxiety, depression, life transitions, self-esteem, academic struggles, improving family life, anger management, interpersonal issues, women's issues, LGBTQ+, and improving communication.
We believe in the client being the expert on what they need and the power of the therapeutic relationship. We believe in partnering with the client to foster healing, introspection, and growth. We are enthusiastically committed to helping people holistically—integrating mind, body, and spirit. We will work together to develop your short and long-term goals and to continue this collaboration throughout our work together. We utilize an eclectic approach to meet the therapeutic needs of each client. We serve adolescents (15-17), adults (18+), couples, and families. We bring an array of experience to ensure your needs are met.
We specialize in substance use and recovery, trauma, attachment issues, grief/loss, anxiety, depression, life transitions, self-esteem, academic struggles, improving family life, anger management, interpersonal issues, women's issues, LGBTQ+, and improving communication.
We believe in the client being the expert on what they need and the power of the therapeutic relationship. We believe in partnering with the client to foster healing, introspection, and growth. We are enthusiastically committed to helping people holistically—integrating mind, body, and spirit. We will work together to develop your short and long-term goals and to continue this collaboration throughout our work together. We utilize an eclectic approach to meet the therapeutic needs of each client. We serve adolescents (15-17), adults (18+), couples, and families. We bring an array of experience to ensure your needs are met.
(336) 568-8101 View (336) 568-8101
Photo of Montgomery Counseling Group, Clinical Social Work/Therapist in Sparta, NC
Montgomery Counseling Group
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Charlotte, NC 28209
I work primarily with those who are battling depression, anxiety, and post-traumatic stress disorder (PTSD). If this is you, you are not alone. Estimates of those who fight this battle every day are as high as 40 million or 18.1% of adults annually.
I work primarily with those who are battling depression, anxiety, and post-traumatic stress disorder (PTSD). If this is you, you are not alone. Estimates of those who fight this battle every day are as high as 40 million or 18.1% of adults annually.
(980) 208-1322 View (980) 208-1322
Photo of Elizabeth Hudson, Psychological Associate in Sparta, NC
Elizabeth Hudson
Psychological Associate, MA, LPA, HSP-PA, MHt
Verified Verified
Charlotte, NC 28204
I work with clients struggling with a variety of issues including anxiety, depression, relationship issues and stress management.
Everyone's journey is unique and quite personal. I strive to honor your journey and the path that you are on. I am merely a guide helping you along the way. I seek to develop a trusting, authentic relationship in which you can explore, grow, improve relationships and make desired life changes. Clients often come into my office feeling overwhelmed and not sure exactly where to start. I take a holistic approach in helping you navigate life through optimal emotional health and wellness. This means that I often use a blend of therapy modalities to meet your needs.
I work with clients struggling with a variety of issues including anxiety, depression, relationship issues and stress management.
Everyone's journey is unique and quite personal. I strive to honor your journey and the path that you are on. I am merely a guide helping you along the way. I seek to develop a trusting, authentic relationship in which you can explore, grow, improve relationships and make desired life changes. Clients often come into my office feeling overwhelmed and not sure exactly where to start. I take a holistic approach in helping you navigate life through optimal emotional health and wellness. This means that I often use a blend of therapy modalities to meet your needs.
(704) 603-6312 View (704) 603-6312
Photo of Nadine Rosen, Licensed Clinical Mental Health Counselor in Sparta, NC
Nadine Rosen
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
Charlotte, NC 28210
I treat older adolescents, and adults who present with a variety of challenges including depression and anxiety, Bipolar Disorder, self-esteem issues, grief and loss,insomnia, trauma, relationship issues, stress and anger management, and ADD/ADHD.
I am a Licensed Clinical Mental Health Counselor, a Nationally Certified Counselor, and a Certified Clinical Hypnotherapist, who has been practicing Individual, Couple, Family and Group Therapy since 1993. I am dedicated to providing a safe and confidential therapeutic atmosphere in which I can help my client's and their families reach their goals, heal themselves, and achieve their potential. I take an eclectic and practical approach to counseling and use a variety of therapeutic techniques customized for the client so that they can be successful.
I treat older adolescents, and adults who present with a variety of challenges including depression and anxiety, Bipolar Disorder, self-esteem issues, grief and loss,insomnia, trauma, relationship issues, stress and anger management, and ADD/ADHD.
I am a Licensed Clinical Mental Health Counselor, a Nationally Certified Counselor, and a Certified Clinical Hypnotherapist, who has been practicing Individual, Couple, Family and Group Therapy since 1993. I am dedicated to providing a safe and confidential therapeutic atmosphere in which I can help my client's and their families reach their goals, heal themselves, and achieve their potential. I take an eclectic and practical approach to counseling and use a variety of therapeutic techniques customized for the client so that they can be successful.
(704) 966-7998 View (704) 966-7998
Photo of Michael V. Kirch, Psychologist in Sparta, NC
Michael V. Kirch
Psychologist, PhD
Verified Verified
High Point, NC 27262
Is your life held back by feeling overwhelmed, depressed, worried, stressed, poor sleep, bad habits, grief or mood-related problems? It would be a privilege to help you in a confidential, safe environment where we can work together to improve your quality of life one meaningful new perspective at a time. Let me help you return to your old, reliable self and even better! Providing a unique combination of approaches including psychotherapy, hypnosis, life-coaching, mindfulness practices, and informed mentoring.
Is your life held back by feeling overwhelmed, depressed, worried, stressed, poor sleep, bad habits, grief or mood-related problems? It would be a privilege to help you in a confidential, safe environment where we can work together to improve your quality of life one meaningful new perspective at a time. Let me help you return to your old, reliable self and even better! Providing a unique combination of approaches including psychotherapy, hypnosis, life-coaching, mindfulness practices, and informed mentoring.
(336) 895-1446 View (336) 895-1446
Photo of Neuronnection Counseling, PLLC, Counselor in Sparta, NC
Neuronnection Counseling, PLLC
Counselor, LPC, EMDR II
Verified Verified
Mint Hill, NC 28227
We specialize in traumas, PTSD, C-PTSD, grief, anxiety, depression, mood disorders, relapse prevention, Borderline Personality disorder (BPD), acculturation and adjustment to life change issues.
At Neuroconnection Counseling, our mission is simple: help you heal from pain and trauma, grieve the losses you have experienced, develop effective skills to manage emotions, and grow into your full potential and talents. We are a trauma-informed practice, offering you an integrative approach, with an emphasis on techniques that tap into your brain's innate capacity for healing, such as EMDR and Brainspotting. We believe in creating a safe place for you to heal, that supports your dignity and uniqueness, allows you to explore and grow at your own pace.
We specialize in traumas, PTSD, C-PTSD, grief, anxiety, depression, mood disorders, relapse prevention, Borderline Personality disorder (BPD), acculturation and adjustment to life change issues.
At Neuroconnection Counseling, our mission is simple: help you heal from pain and trauma, grieve the losses you have experienced, develop effective skills to manage emotions, and grow into your full potential and talents. We are a trauma-informed practice, offering you an integrative approach, with an emphasis on techniques that tap into your brain's innate capacity for healing, such as EMDR and Brainspotting. We believe in creating a safe place for you to heal, that supports your dignity and uniqueness, allows you to explore and grow at your own pace.
(980) 291-4993 View (980) 291-4993
Photo of Pamela B Brewer, Clinical Social Work/Therapist in Sparta, NC
Pamela B Brewer
Clinical Social Work/Therapist, MSW, PhD, LCSW-C, LICSW, DCSW
Not Verified Not Verified
Burlington, NC 27215  (Online Only)
& couples on a range of issues including trauma, depression and relationships.
Are you interested in understanding more about yourself, your decisions, your strengths, your challenges? Your options? Life is always with its ups and downs - but you do not have to navigate it alone - You can learn more about my practice @ www.DrPamelaBrewerOnline.com
& couples on a range of issues including trauma, depression and relationships.
Are you interested in understanding more about yourself, your decisions, your strengths, your challenges? Your options? Life is always with its ups and downs - but you do not have to navigate it alone - You can learn more about my practice @ www.DrPamelaBrewerOnline.com
(301) 686-7168 View (301) 686-7168
Photo of Ken Pataky, Licensed Clinical Mental Health Counselor in Sparta, NC
Ken Pataky
Licensed Clinical Mental Health Counselor, MS, LCMHC, EMDR-C, CIMHP, CLC/CHC
Verified Verified
2 Endorsed
Jamestown, NC 27282
Congratulations for taking a positive step to move forward with your life! Are you courageous, ready for change, tired of the same problems keeping you from happiness and need support about where to go from here? Are you struggling with anxiety, unresolved trauma/grief, depression, negative thoughts, sleeplessness, meaninglessness? Are you finding yourself in dead-end relationships or jobs? Do you struggle with chronic pain or other chronic health issues that you just can't resolve? Have you tried working with others who haven't helped? As a holistic psychotherapist, life & health coach, I can provide an effective alternative.
Congratulations for taking a positive step to move forward with your life! Are you courageous, ready for change, tired of the same problems keeping you from happiness and need support about where to go from here? Are you struggling with anxiety, unresolved trauma/grief, depression, negative thoughts, sleeplessness, meaninglessness? Are you finding yourself in dead-end relationships or jobs? Do you struggle with chronic pain or other chronic health issues that you just can't resolve? Have you tried working with others who haven't helped? As a holistic psychotherapist, life & health coach, I can provide an effective alternative.
(336) 554-7429 View (336) 554-7429
Photo of Russ Keeney, Licensed Professional Counselor in Sparta, NC
Russ Keeney
Licensed Professional Counselor, MA, LCMHC, NCC
Verified Verified
2 Endorsed
Cramerton, NC 28032
I am experienced in treating issues such as: anger management, anxiety/depression, impulse control, relational issues, trauma/PTSD, and ongoing life adjustments.
I have been practicing counseling in NC for the last 18 years and have experience with couples, adolescents, and adults. My goal in counseling is to help you discover your ability to self-regulate your emotions in a safe and nurturing atmosphere. I invite people to look inward to integrate their own individual values in order to become whole in body, mind, and spirit. Along life's journey, we all need occasional assistance to help deal with the stressors of life and to reclaim the fullness that life can offer. I am committed to assisting you to find that place.
I am experienced in treating issues such as: anger management, anxiety/depression, impulse control, relational issues, trauma/PTSD, and ongoing life adjustments.
I have been practicing counseling in NC for the last 18 years and have experience with couples, adolescents, and adults. My goal in counseling is to help you discover your ability to self-regulate your emotions in a safe and nurturing atmosphere. I invite people to look inward to integrate their own individual values in order to become whole in body, mind, and spirit. Along life's journey, we all need occasional assistance to help deal with the stressors of life and to reclaim the fullness that life can offer. I am committed to assisting you to find that place.
(704) 230-4082 View (704) 230-4082
Photo of Carla McNeil, Clinical Social Work/Therapist in Sparta, NC
Carla McNeil
Clinical Social Work/Therapist, LCSW
Verified Verified
Greensboro, NC 27405  (Online Only)
Are you dealing with depression? Is anxiety keeping you from reaching your full potential? Is anger getting in the way of relationships? Are you in the need for an unbiased third party for couples counseling? I also specialize in acute trauma and ADHD. I work with children, adolescents and adults. Life is all about change whether we want it or not. Life can be difficult at many phases. I will assist you in discovering your strengths and supports and how to use them to solve problems in your life. Are you ready to focus on the solution?
Are you dealing with depression? Is anxiety keeping you from reaching your full potential? Is anger getting in the way of relationships? Are you in the need for an unbiased third party for couples counseling? I also specialize in acute trauma and ADHD. I work with children, adolescents and adults. Life is all about change whether we want it or not. Life can be difficult at many phases. I will assist you in discovering your strengths and supports and how to use them to solve problems in your life. Are you ready to focus on the solution?
(336) 221-3298 View (336) 221-3298
Photo of Jodie Tuchman, Clinical Social Work/Therapist in Sparta, NC
Jodie Tuchman
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
2 Endorsed
Concord, NC 28025
For women with ADHD, life can be overwhelming leading to feelings of anxiety, depression, and burnout. You may feel like you are constantly struggling to keep up or “be perfect” and worry about meeting your responsibilities at work and home. You may have tried for years to describe the challenges you face because of living with ADHD and feel defeated because others do not seem to understand or take your concerns seriously. With the right support, women with ADHD can feel empowered and in control of their lives. You can finally feel safe letting others see the "real you" and stop hiding parts of yourself.
For women with ADHD, life can be overwhelming leading to feelings of anxiety, depression, and burnout. You may feel like you are constantly struggling to keep up or “be perfect” and worry about meeting your responsibilities at work and home. You may have tried for years to describe the challenges you face because of living with ADHD and feel defeated because others do not seem to understand or take your concerns seriously. With the right support, women with ADHD can feel empowered and in control of their lives. You can finally feel safe letting others see the "real you" and stop hiding parts of yourself.
(704) 741-9361 View (704) 741-9361
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.