Photo of Matt Gildehaus, Licensed Professional Counselor in Labadie, MO
Matt Gildehaus
Licensed Professional Counselor, MA, LPC
Verified Verified
Labadie, MO 63055
Are you feeling overwhelmed, frustrated or sad? I understand how tough that can be. After a 23-year marketing career, I made a mid-life career change; deciding what I really felt called to do was helping people with their most significant life challenges. I am ready to assist individuals, couples or families with issues including: stress, anxiety, depression, trauma, abuse and relationship challenges. I am particularly interested in helping people through life transition challenges including: divorce, marriage, job loss, death of a loved one, chronic illness, or challenges related to aging.
Are you feeling overwhelmed, frustrated or sad? I understand how tough that can be. After a 23-year marketing career, I made a mid-life career change; deciding what I really felt called to do was helping people with their most significant life challenges. I am ready to assist individuals, couples or families with issues including: stress, anxiety, depression, trauma, abuse and relationship challenges. I am particularly interested in helping people through life transition challenges including: divorce, marriage, job loss, death of a loved one, chronic illness, or challenges related to aging.
(636) 352-0307 View (636) 352-0307
Photo of Joan Cassilly Petersen : Personal Potentials Inc, Clinical Social Work/Therapist in Labadie, MO
Joan Cassilly Petersen : Personal Potentials Inc
Clinical Social Work/Therapist, LCSW , CEAP
Verified Verified
Labadie, MO 63055
I enjoy helping people face obstacles in their lives and look at opportunities. I focus on assisting clients to develop their own individual action plan. Together we focus on solutions to reaching their goals. I believe it is important to meet your client where they are, and work from there. Everyone moves at their own pace, but people only change as they feel safe. It is very difficult to let go of old problematic behaviors until you have developed new constructive alternative behaviors. Developing your individual toolbox of coping strategies is a challenge all people face. We all have our own issues, they're just different.
I enjoy helping people face obstacles in their lives and look at opportunities. I focus on assisting clients to develop their own individual action plan. Together we focus on solutions to reaching their goals. I believe it is important to meet your client where they are, and work from there. Everyone moves at their own pace, but people only change as they feel safe. It is very difficult to let go of old problematic behaviors until you have developed new constructive alternative behaviors. Developing your individual toolbox of coping strategies is a challenge all people face. We all have our own issues, they're just different.
(636) 428-3553 x1 View (636) 428-3553 x1

More Therapists Nearby

Photo of Dr. Emily Malecky, Clinical Social Work/Therapist in Labadie, MO
Dr. Emily Malecky
Clinical Social Work/Therapist, LCSW
Verified Verified
Washington, MO 63090
Waitlist for new clients
I specialize in anxiety, depression, body-focused repetitive disorders, stress, trauma and personality disorders.
Hello and welcome to therapy! It's time to start your journey into yourself, invest in yourself, and to write your own story. I will be happy to guide you or just be someone to bounce ideas off of. I have a holistic approach matching treatment and strategy to what you want and need. Let's collaborate and take this journey together.
I specialize in anxiety, depression, body-focused repetitive disorders, stress, trauma and personality disorders.
Hello and welcome to therapy! It's time to start your journey into yourself, invest in yourself, and to write your own story. I will be happy to guide you or just be someone to bounce ideas off of. I have a holistic approach matching treatment and strategy to what you want and need. Let's collaborate and take this journey together.
(573) 492-2109 View (573) 492-2109
Photo of Lutheran Family & Children's Services of MO, Clinical Social Work/Therapist in Labadie, MO
Lutheran Family & Children's Services of MO
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Union, MO 63084
We have experience helping with: Anxiety, Trauma, Depression, Grief & Loss, Behavioral Problems, Separation & Divorce, Anger Management, Family Conflict, Family Disruption and Foster Care/Adoption, Self-Harm, and much more.
We know how hard it is to ask for help. It is easy to become overwhelmed by struggles. Life can seem unmanageable. Lutheran Family & Children's Services of Missouri (LFCS) can help you find hope and discover solutions. LFCS provides outpatient therapy throughout the state in one of our convenient locations and provides telehealth through a virtual platform. LFCS has offices in: St. Louis (Olivette), St. Peters, Union, Columbia, Cape Girardeau, and satellite offices throughout the Greater St. Louis Region. Coming soon in Kansas City, Springfield, and Joplin!
We have experience helping with: Anxiety, Trauma, Depression, Grief & Loss, Behavioral Problems, Separation & Divorce, Anger Management, Family Conflict, Family Disruption and Foster Care/Adoption, Self-Harm, and much more.
We know how hard it is to ask for help. It is easy to become overwhelmed by struggles. Life can seem unmanageable. Lutheran Family & Children's Services of Missouri (LFCS) can help you find hope and discover solutions. LFCS provides outpatient therapy throughout the state in one of our convenient locations and provides telehealth through a virtual platform. LFCS has offices in: St. Louis (Olivette), St. Peters, Union, Columbia, Cape Girardeau, and satellite offices throughout the Greater St. Louis Region. Coming soon in Kansas City, Springfield, and Joplin!
(314) 819-9852 View (314) 819-9852
Photo of Kristi L Garner, Marriage & Family Therapist in Labadie, MO
Kristi L Garner
Marriage & Family Therapist, LMFT, LPC
Verified Verified
Washington, MO 63090  (Online Only)
I specialize in counseling couples, families, and individuals through relationship and parenting struggles, anxiety, trauma, grief, and depression. Are you and your partner struggling to get along or having difficulty with parenting your children? Or maybe you just need a break from day-to-day anxiety and worry? I'm here for you and for all your other issues in between.
I specialize in counseling couples, families, and individuals through relationship and parenting struggles, anxiety, trauma, grief, and depression. Are you and your partner struggling to get along or having difficulty with parenting your children? Or maybe you just need a break from day-to-day anxiety and worry? I'm here for you and for all your other issues in between.
(636) 306-4182 View (636) 306-4182
Photo of Kati Cranmer, Licensed Professional Counselor in Labadie, MO
Kati Cranmer
Licensed Professional Counselor, LPC-S, MS, RPT-S
Verified Verified
2 Endorsed
Washington, MO 63090
When you are struggling with the complications that come with PTSD, trauma, depression, grief, anxiety, or behavioral issues for yourself (or your child, it can be so hard to gain perspective. All your life experiences can make it hard to see your way through your current season. You may feel lost, alone, and struggling to know what to do next. Having a warm and inviting environment can help you (and/or your child) feel more grounded and able do the work needed to get through and learn to flourish. Through our therapeutic relationship, I can help you navigate through your struggles in order to live your life in full bloom.
When you are struggling with the complications that come with PTSD, trauma, depression, grief, anxiety, or behavioral issues for yourself (or your child, it can be so hard to gain perspective. All your life experiences can make it hard to see your way through your current season. You may feel lost, alone, and struggling to know what to do next. Having a warm and inviting environment can help you (and/or your child) feel more grounded and able do the work needed to get through and learn to flourish. Through our therapeutic relationship, I can help you navigate through your struggles in order to live your life in full bloom.
(636) 202-0983 View (636) 202-0983
Photo of Sophia Barringhaus Cirone, Licensed Professional Counselor in Labadie, MO
Sophia Barringhaus Cirone
Licensed Professional Counselor, MA, NCC, LPC, MHSP, (MO/TN)
Verified Verified
2 Endorsed
Washington, MO 63090
Adults&Couples: I sit with adults who feel overwhelmed, stuck, and just not like themselves work through the pain of their past, and the difficulties in their inner and outer worlds so that they can feel at home inside themselves. I want my clients to feel like the life they have is completely aligned with who they are, and who they are, they love being. I work with clients that have experienced trauma, find romantic relationships and feeling safe in them difficult, couples feeling stuck in their same patterns and communication, and people who find themselves overwhelmed with their current day to day.
Adults&Couples: I sit with adults who feel overwhelmed, stuck, and just not like themselves work through the pain of their past, and the difficulties in their inner and outer worlds so that they can feel at home inside themselves. I want my clients to feel like the life they have is completely aligned with who they are, and who they are, they love being. I work with clients that have experienced trauma, find romantic relationships and feeling safe in them difficult, couples feeling stuck in their same patterns and communication, and people who find themselves overwhelmed with their current day to day.
(636) 264-8800 View (636) 264-8800
Photo of Doing Better Conscious Parenting, Occupational Therapist in Labadie, MO
Doing Better Conscious Parenting
Occupational Therapist, OTRL
Verified Verified
Washington, MO 63090  (Online Only)
Ashley Patek is an occupational therapist, certified parent and life coach, Empathic Witnessing practitioner, and the founder of Doing Better Conscious Parenting, a nurturing community for parents dedicated to breaking punitive generational cycles. Ashley focuses on the whole-parent, whole-child, and whole-family systems to help them regulate their nervous systems, creating safety within the body and home.
Ashley Patek is an occupational therapist, certified parent and life coach, Empathic Witnessing practitioner, and the founder of Doing Better Conscious Parenting, a nurturing community for parents dedicated to breaking punitive generational cycles. Ashley focuses on the whole-parent, whole-child, and whole-family systems to help them regulate their nervous systems, creating safety within the body and home.
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Online Therapists

Photo of Casey Tyskowski, Licensed Professional Counselor in Labadie, MO
Casey Tyskowski
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Richmond Heights, MO 63117
I have close to a decade of professional experience assisting adults who struggle with stress, anxiety, depression, anger, dysfunctional relationships, difficult life transitions, low self-esteem, addiction and more.
My goal as a therapist is to help my clients feel safe, validated, and supported as we work together to identify challenges and create personalized goals that will lead you to ultimately heal and feel whole again. I understand change can feel overwhelming and I will allow you to move at a pace you are comfortable with.
I have close to a decade of professional experience assisting adults who struggle with stress, anxiety, depression, anger, dysfunctional relationships, difficult life transitions, low self-esteem, addiction and more.
My goal as a therapist is to help my clients feel safe, validated, and supported as we work together to identify challenges and create personalized goals that will lead you to ultimately heal and feel whole again. I understand change can feel overwhelming and I will allow you to move at a pace you are comfortable with.
(314) 742-7574 View (314) 742-7574
Photo of Amy Brown, Clinical Social Work/Therapist in Labadie, MO
Amy Brown
Clinical Social Work/Therapist, MSW, LCSW, RPT-S
Verified Verified
3 Endorsed
Ballwin, MO 63011  (Online Only)
I have expertise in grief/loss, as well as stress related to divorce, custody/visitation, blended families, and co-parenting, abuse/trauma, depression, anxiety and more.
My belief is that no one "needs" counseling, but that everyone deserves it. I have more than 20 years of experience providing individual and family counseling to children, teens, adults, and families. The foundation of my counseling philosophy is that "anyone can overcome anything". I believe strongly that we all have inherent strengths and abilities to overcome life's most difficult challenges.
I have expertise in grief/loss, as well as stress related to divorce, custody/visitation, blended families, and co-parenting, abuse/trauma, depression, anxiety and more.
My belief is that no one "needs" counseling, but that everyone deserves it. I have more than 20 years of experience providing individual and family counseling to children, teens, adults, and families. The foundation of my counseling philosophy is that "anyone can overcome anything". I believe strongly that we all have inherent strengths and abilities to overcome life's most difficult challenges.
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Photo of Dena DiStefano, Clinical Social Work/Therapist in Labadie, MO
Dena DiStefano
Clinical Social Work/Therapist, MSW, LCSW, CCTP, C-DBT
Verified Verified
Saint Louis, MO 63129  (Online Only)
I have extensive experience treating anxiety, depression, school related issues, family conflict, divorce and relational issues.
Everyone is on a continuous journey of self-discovery and personal development. I believe that each of us has the tools inside of us to overcome the many obstacles that life throws our way. My approach to therapy is very open, empathetic, direct and collaborative. We will identify strengths, build upon them while challenging faulty thinking patterns and learn new coping skills, including healthy communication patterns and problem solving while exploring new ideas. We will work together to identify personalized goals and develop a treatment plan to successfully work towards meeting them.
I have extensive experience treating anxiety, depression, school related issues, family conflict, divorce and relational issues.
Everyone is on a continuous journey of self-discovery and personal development. I believe that each of us has the tools inside of us to overcome the many obstacles that life throws our way. My approach to therapy is very open, empathetic, direct and collaborative. We will identify strengths, build upon them while challenging faulty thinking patterns and learn new coping skills, including healthy communication patterns and problem solving while exploring new ideas. We will work together to identify personalized goals and develop a treatment plan to successfully work towards meeting them.
(314) 369-8009 View (314) 369-8009
Photo of Sarah F Coffman, Clinical Social Work/Therapist in Labadie, MO
Sarah F Coffman
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Saint Louis, MO 63143
Specializations: Women, female youth, anxiety, depression, life transitions, relationship conflict, family conflict, trauma, sexual identity, postpartum depression, birth trauma, pregnancy & infant loss, emotional eating, health issues and self-injury.
Focused on women and female youth, Sarah's practice offers therapy for individuals, families and groups, within a safe and nurturing environment. This strong therapeutic alliance affords clients the comfort in which to develop greater self-awareness, heal from past traumas, and learn to cope with present difficulties. Along with her full-time private practice, Sarah is an Adjunct Professor at Washington University Brown School, where she received her graduate degree, and maintains an active presence in the community as a private doula and as the Missouri Co-Coordinator for Postpartum Support International.
Specializations: Women, female youth, anxiety, depression, life transitions, relationship conflict, family conflict, trauma, sexual identity, postpartum depression, birth trauma, pregnancy & infant loss, emotional eating, health issues and self-injury.
Focused on women and female youth, Sarah's practice offers therapy for individuals, families and groups, within a safe and nurturing environment. This strong therapeutic alliance affords clients the comfort in which to develop greater self-awareness, heal from past traumas, and learn to cope with present difficulties. Along with her full-time private practice, Sarah is an Adjunct Professor at Washington University Brown School, where she received her graduate degree, and maintains an active presence in the community as a private doula and as the Missouri Co-Coordinator for Postpartum Support International.
(314) 527-3084 View (314) 527-3084
Photo of Lindsay C Nichols, Licensed Professional Counselor in Labadie, MO
Lindsay C Nichols
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63124
Individuals who experience: Anxiety, depression, addiction, substance abuse, obsessive-compulsive disorder, trauma, grief and loss, low self-esteem, life transition, chronic pain, migraines and anger management, will benefit.
Hello! Are you tired of suffering from emotional and/or physical pain? I can help you in a way that is truly unique and you can see results very quickly. Through my experience I have developed an innate ability to help clients step out of their comfort zone through examination of their external environment from different points of view. I understand that the cornerstone of change is assisting each client with breaking down the walls that surround them to find deeper meaning. My sessions focus on engagement and the therapeutic alliance which leads to effective change. I promise that you will begin noticing changes immediately.
Individuals who experience: Anxiety, depression, addiction, substance abuse, obsessive-compulsive disorder, trauma, grief and loss, low self-esteem, life transition, chronic pain, migraines and anger management, will benefit.
Hello! Are you tired of suffering from emotional and/or physical pain? I can help you in a way that is truly unique and you can see results very quickly. Through my experience I have developed an innate ability to help clients step out of their comfort zone through examination of their external environment from different points of view. I understand that the cornerstone of change is assisting each client with breaking down the walls that surround them to find deeper meaning. My sessions focus on engagement and the therapeutic alliance which leads to effective change. I promise that you will begin noticing changes immediately.
(314) 697-2439 View (314) 697-2439
Photo of Ricky Cooper, Licensed Professional Counselor in Labadie, MO
Ricky Cooper
Licensed Professional Counselor, LPC, LMHC
Verified Verified
1 Endorsed
Saint Louis, MO 63116  (Online Only)
Nothing you do seems to help you get out of this. You feel as if you are running in place, repeating yourself. It is time for another cook in the kitchen so to speak. I do not just want to be another person telling you things will be alright or it is fine; just push through. Whether it be depression, anxiety, family adjustment issues, or trauma related issues I am here to help you realize an internal strength you inherently possess.
Nothing you do seems to help you get out of this. You feel as if you are running in place, repeating yourself. It is time for another cook in the kitchen so to speak. I do not just want to be another person telling you things will be alright or it is fine; just push through. Whether it be depression, anxiety, family adjustment issues, or trauma related issues I am here to help you realize an internal strength you inherently possess.
(314) 710-3655 View (314) 710-3655
Photo of Brittany A. Martin, Clinical Social Work/Therapist in Labadie, MO
Brittany A. Martin
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63101  (Online Only)
I have 10 years of experience in the mental health field working with individuals, families, and couples who deal with a wide range of problems including; anxiety, depression, trauma, relationship and family conflicts, etc.
Taking the steps to locate and secure a therapist are not easy. You’ve probably been through some tough challenges that have brought you to this place today. However, you don’t have to navigate the hardships of life on your own. Allow me to help you build the skills you need to tap into your own resilience and create lasting changes!
I have 10 years of experience in the mental health field working with individuals, families, and couples who deal with a wide range of problems including; anxiety, depression, trauma, relationship and family conflicts, etc.
Taking the steps to locate and secure a therapist are not easy. You’ve probably been through some tough challenges that have brought you to this place today. However, you don’t have to navigate the hardships of life on your own. Allow me to help you build the skills you need to tap into your own resilience and create lasting changes!
(314) 742-7182 View (314) 742-7182
Photo of Hilary Kelly, Clinical Social Work/Therapist in Labadie, MO
Hilary Kelly
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63144
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 Pearlman & Associates, Clinical Social Work/Therapist in Labadie, MO
Pearlman & Associates
Clinical Social Work/Therapist, MSW, LCSW, PhD
Verified Verified
Creve Coeur, MO 63141
Lena uses a client-centered approach to treat a wide range of conditions including: Depression, Anxiety, Self-Esteem & Self-Image Problems, Anger Management & Assertiveness Training, Family-Work-Relationship Conflicts, Parenting Issues and Behavior Management Strategies.
Dr. Lena Pearlman is the clinical director and lead therapist of Pearlman & Associates, a team of social workers in private practice in St. Louis MO. Lena has been a social worker for 25 years and believes that we all have the capacity to make positive changes that improve the quality of our lives. Lena uses a client centered interactive style along with a warm caring manner. She takes time to understand your history, identify your strengths, acknowledge your feelings and clarify your goals with a plan to help you make progress towards them.
Lena uses a client-centered approach to treat a wide range of conditions including: Depression, Anxiety, Self-Esteem & Self-Image Problems, Anger Management & Assertiveness Training, Family-Work-Relationship Conflicts, Parenting Issues and Behavior Management Strategies.
Dr. Lena Pearlman is the clinical director and lead therapist of Pearlman & Associates, a team of social workers in private practice in St. Louis MO. Lena has been a social worker for 25 years and believes that we all have the capacity to make positive changes that improve the quality of our lives. Lena uses a client centered interactive style along with a warm caring manner. She takes time to understand your history, identify your strengths, acknowledge your feelings and clarify your goals with a plan to help you make progress towards them.
(314) 309-2488 View (314) 309-2488
Photo of Dr. Robin Moore-Chambers, Licensed Professional Counselor in Labadie, MO
Dr. Robin Moore-Chambers
Licensed Professional Counselor, MSW, PhD, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63136
Are you depressed, anxious with panic attacks, self-harming, angry, and/or distressed from past or current abuse/trauma? Are you grieving a major loss or sometimes you may feel like you do not want to be here. You may have family/relationship issues, parent-child conflict or single-parenting. Or you may have "church-hurt" or other hurtful situations. Well, there is hope. As a Trauma-Informed therapist I know that your path can get heavy. But you are still unique and can still Awaken to Every Opportunity For You and become a better version of yourself. You do count, you matter and there are new Awakenings everyday!
Are you depressed, anxious with panic attacks, self-harming, angry, and/or distressed from past or current abuse/trauma? Are you grieving a major loss or sometimes you may feel like you do not want to be here. You may have family/relationship issues, parent-child conflict or single-parenting. Or you may have "church-hurt" or other hurtful situations. Well, there is hope. As a Trauma-Informed therapist I know that your path can get heavy. But you are still unique and can still Awaken to Every Opportunity For You and become a better version of yourself. You do count, you matter and there are new Awakenings everyday!
(314) 582-0246 View (314) 582-0246
Photo of Halston Hutchison, Clinical Social Work/Therapist in Labadie, MO
Halston Hutchison
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63119
I use a strength-based person-centered approach to help you work through concerns related to Anxiety, Depression, Grief/Loss, Stress and Crisis Management, Relationships, Religion or Spirituality & Trauma/PTSD.
First, I would like to say welcome and congratulate you on taking the necessary steps to getting the care, attention and support you deserve! I personally know from previous experience that these first steps can sometimes feel the most difficult; but with encouragement, determination and perseverance, you will be revealed as the conqueror you already are!
I use a strength-based person-centered approach to help you work through concerns related to Anxiety, Depression, Grief/Loss, Stress and Crisis Management, Relationships, Religion or Spirituality & Trauma/PTSD.
First, I would like to say welcome and congratulate you on taking the necessary steps to getting the care, attention and support you deserve! I personally know from previous experience that these first steps can sometimes feel the most difficult; but with encouragement, determination and perseverance, you will be revealed as the conqueror you already are!
(314) 274-6438 x6 View (314) 274-6438 x6
Photo of Katie Francis, Licensed Professional Counselor in Labadie, MO
Katie Francis
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Kirkwood, MO 63122
Waitlist for new clients
I have worked extensively with children, teens, adults, and families dealing with issues such as anxiety, depression, stress, self-harm, suicidal ideation, trauma, parenting issues, relationship problems, and more.
I often say, counseling can be a bit like cleaning out a closet. You have to take things out, go through and organize them, and then put them back where they need to go. In a similar fashion, counseling can be messy, but with time and hard work, can lead to healthier, more enjoyable living. Throughout this life, we all have our individual struggles and hardships, but we weren't meant to carry them alone. No matter who you are or what you've been through, there is hope. In our sessions together, I strive to come alongside you in the pursuit of that hope and restorative healing.
I have worked extensively with children, teens, adults, and families dealing with issues such as anxiety, depression, stress, self-harm, suicidal ideation, trauma, parenting issues, relationship problems, and more.
I often say, counseling can be a bit like cleaning out a closet. You have to take things out, go through and organize them, and then put them back where they need to go. In a similar fashion, counseling can be messy, but with time and hard work, can lead to healthier, more enjoyable living. Throughout this life, we all have our individual struggles and hardships, but we weren't meant to carry them alone. No matter who you are or what you've been through, there is hope. In our sessions together, I strive to come alongside you in the pursuit of that hope and restorative healing.
(470) 768-9427 View (470) 768-9427

See more therapy options for Labadie

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.