Depressive Disorder

Depression is often described as sadness, but that is rarely how it is lived. More often it is flatness — the sense that things which used to matter no longer register, and that everything costs more effort than it should.

It is also convincing. Depression tends to present its own account of you as simple fact. A large part of the work is learning to recognise that voice as a symptom rather than a verdict.

What this can look like

• Low mood that persists most of the day, most days
• Loss of interest in things you used to enjoy
• Fatigue that sleep does not resolve
• Difficulty concentrating or making decisions
• Changes in appetite or sleep
• Harsh self-criticism, guilt, or feeling like a burden

How we work

We start small and concrete, because depression makes large plans impossible. CBT addresses the thinking patterns that keep low mood in place, while DBT skills help with regulation and follow-through. Progress is usually gradual and uneven — that is normal, not failure.

If you are having thoughts of suicide, please call or text 988, call 911, or go to your nearest emergency room. This website is not monitored.