Depression can affect much more than your mood. It can change your motivation, relationships, concentration, energy, sense of purpose, and ability to enjoy things that once felt meaningful.
You may feel sad or hopeless, but depression doesn't always look like sadness. Sometimes it feels like numbness, irritability, exhaustion, disconnection, or simply knowing that something isn't right.
At Rooted and Rising Psychology, I provide depression therapy for adults in downtown San Diego and through secure telehealth throughout California.
Depression can show up differently from person to person. You might notice:
Persistent sadness or low mood
Feeling emotionally numb or disconnected
Loss of interest or pleasure
Low motivation or difficulty getting started
Fatigue or low energy
Changes in sleep
Changes in appetite
Difficulty concentrating
Increased self-criticism or guilt
Feeling hopeless about the future
Withdrawing from relationships or activities
Feeling like you're going through the motions
Experiencing some of these symptoms doesn't necessarily mean you have depression. Therapy can provide a space to explore what is happening and what support may be appropriate.
Depression often develops through an interaction of many factors. Stress, loss, relationships, life circumstances, biology, past experiences, isolation, self-criticism, and patterns of coping can all play a role.
Rather than reducing your experience to a diagnosis, therapy can help us understand the context in which you're struggling.
Therapy can provide support as you work to:
Better understand your emotional experience
Identify patterns of thinking that contribute to feeling stuck
Reconnect with meaningful activities and relationships
Explore self-criticism, shame, or guilt
Develop more effective ways of coping
Understand the impact of past and present relationships
Clarify personal values and goals
Build sustainable changes that fit your life
Progress doesn't always happen quickly, and therapy isn't about forcing yourself to "think positive." It is about creating space to understand what is happening and gradually developing new ways of responding.
Depression can make relationships harder. You may withdraw, feel less emotionally available, have difficulty communicating what you need, or worry that you're burdening the people around you.
At the same time, supportive relationships can be an important source of connection. Therapy can help you understand the ways depression affects your relationships and explore ways to remain connected while caring for yourself.
I approach therapy collaboratively, with attention to both your immediate concerns and the larger patterns that may be contributing to them.
Our work may include cognitive behavioral strategies, exploration of relationships and experiences, mindfulness, behavioral changes, and other evidence-informed approaches depending on your goals.
Secure telehealth is available for clients located throughout California. In-person appointments are available in downtown San Diego.
No. You can reach out if you're struggling, even if you aren't sure whether what you're experiencing qualifies as depression.
Yes. Therapy can provide a space to explore what you're experiencing, including when the reasons aren't immediately clear.
There isn't one timeline that works for everyone. The length and frequency of therapy depend on your circumstances, goals, and progress.
If you've been feeling unlike yourself or struggling to move forward, you don't have to figure everything out before reaching out.