Depression Counselling & Psychotherapy

Depression Q&As

1.    How does counselling work for depression?

Counselling or therapy can be an effective tool for managing and treating depression.  It works using various therapeutic approaches and methods depending upon the therapist, the client’s needs, and the severity of the depression. 

The counsellor will assess the client and begin to establish a good therapeutic relationship which will enable the client to trust the therapist and feel able and safe enough to divulge information about their condition.

Using different therapeutic methods, the counsellor will help the client to explore their depression.  The therapist might use Cognitive Behavioural Therapy (CBT) to help the client challenge their negative thought patterns and learn to replace these with more helpful processes.  Using Psychodynamic Therapy, the therapist might explore the client's past experiences, childhood relationships, and unconscious conflicts that might be contributing to their depression. It aims to increase self-awareness and insight into the underlying causes of depression.

Therapists often provide information and psychoeducation about depression, its causes, and coping strategies. This can help clients understand their condition and reduce feelings of isolation.

Therapists work with clients to set specific, achievable goals for treatment.  Regular monitoring and evaluation help clients and therapists track progress and make adjustments as needed.

2.    Why is counselling good for depression?

Counselling is beneficial for depression for several reasons:

It provides emotional support in a safe, non-judgmental space.  Individuals who may be feeling very isolated and distressed can express their feelings and concern to a professional who will offer empathy, understanding and support to reduce their feelings of loneliness and isolation.

Counsellors can offer professional guidance, giving the client strategies to help cope with their symptoms and work through their challenges.  Therapists can also assess the severity of the depression and refer clients towards further help if necessary.

3.    How much does counselling for depression cost?

Counselling for depression is available on the NHS, although there will be a waiting period. There are several other low-cost options to be found through local charities.  A private therapist will cost between £45 - £120 per hour depending on area, expertise, and experience. You can find my fees here.

 4.    How to help depression?

If you are struggling with depression, there are some steps that you can take to help yourself: 

• It’s a good idea to seek professional help: a doctor, therapist, counsellor, or psychiatrist can provide you with evidence-based treatment options and guidance tailored to your specific needs.

• If recommended by a healthcare provider, consider antidepressant medication. These medications can help alleviate the symptoms of depression, especially when combined with therapy.

• Set realistic goals – achieving small goals can boost your self-esteem and motivation.

• Work on a support system – being able to share your feelings with friends and family can provide valuable emotional assistance.

• Try and prioritise self-care – maintaining a healthy lifestyle, balanced diet, exercise, and consistent sleep schedule.

• Practice stress-reduction techniques – yoga, meditation, deep breathing, and muscle relaxation.

• Have some structure to your day – try and timetable your tasks during the day.

• Avoid alcohol and substances as they can make your symptoms worse.

• Be patient with yourself.  Recovery from depression is not always linear. There may be setbacks, and it's essential to be patient with yourself and seek help when needed.

5.    Where to get counselling for depression?

Counselling for depression is available on the NHS. You will need to see your GP to be referred.  Alternatively, there are many private counsellors who work with clients to help with depression.  You can search for a counsellor at www.counselling-directory.org.uk or through professional membership bodies such as the BACP or NCPS who will have their own listings.  In Surrey you can find private counsellors at The Eaves www.theeaves.org.uk. 

6.    When is counselling needed for depression?

Counselling or therapy for depression is typically needed when the symptoms of depression are persistent, interfering with daily functioning, and causing significant distress.

7.    Does therapy help depression?

The effectiveness of therapy for depression varies from person to person. Some individuals may experience significant improvement in their symptoms with a relatively short course of therapy, while others may need more extended treatment. In many cases, therapy is used in combination with medication, especially for severe or treatment-resistant depression.

 It's essential to consult with a mental health professional to determine which type of therapy or combination of therapies is most suitable for your specific situation. With the right therapeutic approach and the support of a trained therapist, many people with depression can find relief and develop better coping strategies for managing their condition.

8.    What therapy is best for depression?

The choice of therapy for depression depends on individual preferences, the nature and severity of the depression, and the recommendations of a mental health professional. There is no one-size-fits-all answer to which therapy is best for depression, as different approaches can be effective for different people. However, some therapies have more extensive empirical support and are commonly recommended. 

In many cases, a combination of therapies or integrated treatment approaches (like CBT combined with medication) may be the most effective way to address depression comprehensively. What's crucial is to seek professional guidance and be open to exploring different therapy options to find the one that works best for you.

9.    How effective is therapy for depression?

Therapy can be highly effective for treating depression. Numerous studies and clinical trials have shown that therapy, particularly evidence-based therapies like Cognitive-Behavioural Therapy (CBT) and Interpersonal Therapy (IPT), can significantly reduce depressive symptoms and improve overall well-being.

10. Can depression be treated without medication?

Yes, depression can be treated without medication, and there are various non-pharmacological approaches to managing and alleviating the symptoms of depression. It's essential to note that the effectiveness of these methods can vary from person to person, and in some cases, medication may be necessary.  Always consult with a healthcare professional to determine the most appropriate treatment for your specific situation.

Non-medicated treatments include;

• Psychotherapy/therapy/counselling in various forms such as CBT, Person-Centred therapy and psychodynamic therapy.

• Lifestyle changes such as taking regular exercise, having a balanced diet, getting enough sleep and reducing alcohol and substance use.

• Having a good social support network of friends and family that you can talk to.

• Practicing meditation or other mindfulness-based practices.

• Self-help techniques such as journalling, practicing relaxation techniques, and other stress-reducing exercises.

• Setting small daily goals to establish routines and counter feelings of hopelessness.

Remember that the effectiveness of these non-medication approaches can vary from person to person, and some individuals may require a combination of treatments, including medication. It's important to work with a healthcare provider to create a personalised treatment plan tailored to your specific needs. Depression is a serious condition, and seeking professional help is crucial in managing it effectively.