Maybe getting out of bed takes more effort than it used to, or the things you once enjoyed don’t hold your interest anymore. Depression is common, and you’re far from alone in feeling this way.
In depression counseling, you and your therapist start with small, manageable changes to your week. Over time, those steps may help you feel more like yourself again.
We offer in-person visits in Scottsdale, as well as secure video with select therapists. A diagnosis isn’t required to get started.
Our counseling visits are scheduled ahead and are not emergency care. If you’re in crisis, call or text 988, or call 911 in an emergency.
Your therapist will want to understand what a typical week looks like for you right now. From there, much of the work draws on cognitive behavioral therapy (CBT). One part of CBT focuses on adding small, meaningful activities back into your days. For example, if you’ve stopped cooking, a first step might be making one simple meal.
You and your therapist may also look at thoughts like “I’m not good at anything.” Together, you can practice answering them the way you might answer a friend.
Other approaches may be part of your care too. Mindfulness exercises can help you notice your mood during the day. Skills from dialectical behavior therapy (DBT) may help on days when everything feels like too much. If an approach doesn’t feel helpful, you and your therapist can try something different.
Your first appointment lasts 75 minutes. Your therapist will ask what has been happening, how long you’ve felt this way, and what you’d like to change. Then you’ll decide together where to begin.
Later visits can be 45, 60, or 75 minutes. Many start with a check-in about your week. Depression can make it hard to focus or find the right words, so it’s okay to begin with whatever feels easiest.
During your free 15-minute phone consultation, you can share a little about what’s been going on. Our team will point you to a therapist who sees adults for depression, or you can choose one after reading our therapist bios.
Pathways is private pay. Current rates for each therapist are listed on our fees page.
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A therapist or doctor can help you sort that out. Low moods often pass with time. If sadness or a loss of interest lasts a couple of weeks or more, it may be a good time to reach out. You can also ask for help sooner.
There’s rarely a single cause. Family history, a loss, ongoing stress, or a major life change can each play a part.
CBT is one of the most researched approaches for depression. Your therapist may also use mindfulness or DBT skills. Feeling comfortable with your therapist matters too.
Depression and anxiety often show up together. Our therapists work with adults on both, and you can learn more on our anxiety therapy page.
Only if you and your therapist feel it would help. Much of the work focuses on daily life now, such as sleep, work, and relationships. Some people also find it useful to look back.
Ask your doctor or a psychiatrist about medication, since our therapists don’t prescribe. You can begin counseling whether or not you take an antidepressant.
Our counseling is one-on-one, usually once a week or on a schedule you and your therapist choose. If you need more support than that, your therapist can talk with you about other options.
That feeling is common with depression. The first step can be small, like a short phone call. Video visits may also make it easier to keep going on low-energy days.
Many people attend for several months. Others stay in counseling for a year or longer. You can talk with your therapist at any point about how often to meet.
Video counseling is an option with some therapists. During each visit, you’ll need to be in Arizona, New York, or Hawaii. Tell us your location on the free call so we can check availability.
Your therapist will explain what stays private and when safety concerns or the law may require them to share information. You can ask about this before you begin.
First appointments are 75 minutes. Fees for that visit range from $285 to $490, based on the therapist. Ongoing visits start at $185.
We do not accept insurance. You pay us directly for your care. We can give you a special receipt called a superbill. You can send it to your insurance plan to ask if it will pay back part of the cost. Check with your plan first. Not all plans cover depression counseling.
We offer scheduled therapy visits. We do not provide emergency care. If you’re in crisis, call or text 988. If you’re in immediate danger, call 911.
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