Our therapists provide depression counseling in Philadelphia, PA

When working with clients who come to therapy for help with depressive symptoms, I start with a comprehensive assessment to help determine factors contributing to the symptoms. While depression is often related to neurochemical reactions, there are other factors, such as trauma, grief, stages of psychosocial development, stressors, etc. that contribute to symptoms. From there, I use interventions from various modalities of care to address the identified factors. I use cognitive behavioral therapy to help a client learn ways to address unhelpful thoughts that interfere with their well-being and fuel feelings of sadness and hopelessness. I engage them in narrative therapy to help shift some of their internalized narratives of self toward the positive. I use other behavioral approaches to help them increase their engagement in activities that will inspire change, such as building routines, engaging in healthy activities like exercise, increasing social connection, and helping them find ways to fulfill their need for a sense of purpose. In some cases, when depression is moderate to severe and a client's functioning is impaired in various areas of their life, I help them connect with additional resources.

Some tools that I introduce to help clients who experience depression are CBT skills, such as cognitive restructuring (adapting negative thoughts so that they are more functional), thought-stopping (interrupting unhelpful thoughts that contribute to distress and focusing them on positive anchoring thoughts), and thought journaling (diagraming cognitive processes to increase awareness of self and provide opportunities for perspective shift). I also introduce self-reward as a means of incentivizing change.

I know when a client is making meaningful progress when they present with a more positive affect, when they can more easily engage in self-affirmation, and they consistently meet their treatment goals and objective. An increase in social engagement and engagement in interests can also serve as metrics for treatment progress.

With depression, the most important thing a client can do is “fake it until you make it.” The “taking oppositive action” skill serves to redirect a client away from maladaptive behaviors that can contribute to depression, such as excessive sleep, substance use, social isolation, and inactivity.

Someone coming to seek counseling for depression can prepare for therapy by committing to the process and recognizing that change may be slow, but is possible nonetheless.