Depression Treatment

Dr. Desirae Allen, therapist for depression, looks out a window while holding a cup of coffee and thinking about the effectiveness of CBT for depression

More than sadness:

Heavy limbs, disconnection from others, a strong sense of worthlessness and shame, a complete lack of motivation.  Depression is much more than simply being sad.  Those who have experienced depression describe a variety of emotions, including numbness, irritability, guilt, and hopelessness. Because of withdrawal and low motivation, people with depression often experience intense feelings of shame when they struggle to meet our society’s expectations for productivity and social engagement.

Symptoms of depression

Although depression can vary from person to person, below are a list of symptoms to monitor when considering depression:

  • Feeling sad or irritable almost all the time for most days
  • Not enjoying activities which previously brought joy
  • Eating more or less than usual
  • Having trouble sleeping or sleeping significantly more than usual
  • Having thoughts of worthlessness
  • Restlessness or sluggishness
  • Trouble concentrating
  • Fatigue
  • Thinking about death, self-harm, or suicide

It is also common for people to experience these symptoms in the winter months, as daylight decreases and cold weather increases, leading people to stay inside more. This is known as seasonal affective disorder, or seasonal depression.

A viscious cycle

A combination of biological and environmental factors is thought to be the cause of depression.  Depression can trap people in a vicious cycle of shame, withdrawal, and hopelessness.  The cycle often starts when a person’s environment does not reinforce engaging in adaptive behaviors.  For example, a person may spend hours on a project just to have their boss criticize them without recognizing their work.  If a person feels unappreciated for their work, they often withdraw.  Over time, the person’s withdrawal prevents them from practicing the skills they need to accomplish daily tasks.  Without these skills, the person is much less likely to receive recognition for their work, causing them to feel further unappreciated.  As this cycle continues, the individual experiences mounting feelings of shame, sadness, and irritability, which sometimes gives way to hopelessness.  Having external support, such as a therapist, can help you break this cycle and learn how to prevent it in the future.   

Depression can often prevent us from experiencing hope.  Cincinnati Center for DBT offers research-based interventions such as cognitive-behavioral therapy (CBT), which has been shown to be one of the leading treatments for depression.  Using CBT, we teach you how to change your behaviors and thoughts to effectively reduce depression.  The clinicians at Cincinnati Center for DBT understand how depression can impact nearly every aspect of life.  At Cincinnati Center for DBT, you and your clinician will work closely to develop a plan to ease the pain of depression.  This plan might include engaging in fulfilling activities, building a sense of mastery, and taking care of your mind by taking care of your body. 

Pink notebook rests in a clinician's lap as they take notes during an individual CBT therapy session for depression
Pink notebook rests in a clinician's lap as they take notes during an individual CBT therapy session for depression

If you find yourself experiencing intense suicidal thoughts, you should call 911, go to the closest emergency room, or contact one of the following hotlines:

National Suicide Prevention Hotline: 800-273-8255, https://suicidepreventionlifeline.org

Trevor Project for LGBTQIA youth: 866-488-7386, https://www.thetrevorproject.org

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