Depression Counseling
When everything feels heavier than it should. Getting out of bed takes everything you have. Things you used to enjoy feel flat. You’re going through the motions and wondering why it doesn’t get easier. Depression can convince you this is just who you are now – it isn’t, and it responds to treatment.
What depression can look like
Depression isn’t only sadness. More often it looks like going through the motions.
If any of that sounds familiar, it’s worth a conversation – you don’t need to be sure it’s “real depression” first.
How we treat it
Our therapists use approaches with strong evidence for depression.
Therapy is usually weekly to start. If medication is part of the picture, we can coordinate with your prescriber – with your written permission – so everyone is working from the same picture of your progress. Therapy and medication work well together, and neither requires the other.
Seeing us
Therapy is available by telehealth anywhere in Oregon, with in-person appointments available in Bend and Portland through our providers. Most major insurance plans cover it – details on our Billing & Insurance page, or contact us and we’ll check your coverage.
If you’re in crisis or having thoughts of suicide, call or text 988 (the Suicide & Crisis Lifeline) any time, day or night.
Common Questions About Depression Counseling
Is it depression or just a rough patch?
You don’t have to know — if it’s been weighing on you for weeks, that’s reason enough to reach out, and sorting it out is part of the work.
Do I need medication?
Not necessarily. Therapy alone helps many people. We’re counselors, not prescribers, so if medication seems worth exploring we’ll say so and help you talk with your doctor.
Will you talk to my prescriber?
Only with your written permission. When you want us coordinating, we do — so everyone is working from the same picture of your progress.
How long does therapy take?
It varies. Some people feel relief early on; for others it takes longer, and both are normal. You and your therapist will check progress together as you go.



