If you’re living with sadness, exhaustion, hopelessness, or isolation, depression can make even simple parts of daily life feel heavy. At Get Centered Counseling Coaching and Wellness, you can find depression therapy that adults can access through evidence-based care from licensed therapists who support depression, anxiety disorders, and other mental health issues.
Our depression counseling is for adults who want support for major depressive disorder (MDD), persistent low mood, or depression that has started to affect work, relationships, or everyday functioning.
How Depression Counseling Helps
When you’re dealing with depression, the way you think, feel, and move through the day can all become harder to manage. You may feel sad, exhausted, hopeless, irritable, or isolated. Depression counseling gives you a place to talk honestly about what you’re experiencing, understand patterns that may be keeping you stuck, and build skills that can improve your quality of life.
How Depression Counseling Works
The form of therapy depends on the duration and intensity of your symptoms. Consulting with a psychiatrist or psychologist may be necessary for chronic depression with severe symptoms, especially when you need medication management or a more specialized evaluation. Working with a counselor may be beneficial when symptoms are more recent, less severe, or best addressed through regular talk therapy.
In counseling, you talk with your counselor about the problems affecting your life. Your counselor listens, provides feedback, teaches coping mechanisms, and adjusts the plan as you make progress. You might get homework to supplement what you learned in counseling sessions, such as tracking emotions and moods.
What to Expect in Your First Session
In your first appointment, you’ll talk about your symptoms, what has been hardest for you lately, relevant history, and what you want from counseling. Your counselor will answer questions, outline next steps, and help you decide whether ongoing care feels like the right fit.
Cognitive behavioral therapy (CBT) is a short-term therapy for mild to moderate depression that focuses on your current thoughts, feelings, and actions and how they affect your life. With CBT, your counselor can help you alter negative thoughts that may be contributing to your symptoms.
Types of Depression We Treat
A diagnosis requires an evaluation by a medical or mental health professional. If symptoms last two weeks or longer, it’s a good idea to seek an evaluation.
| Type | Plain-language description | How treatment may differ |
| Major depressive disorder (MDD) | Depression symptoms are intense enough to affect daily life, mood, energy, and functioning. | Treatment may include regular counseling, structured approaches such as CBT, and, for some people, medication. |
| Persistent depressive disorder | A long-lasting depressed mood that may feel less severe day to day, but continues over time. | Treatment often focuses on steady, longer-term support and skill-building. |
| MDD with a seasonal pattern | Depression symptoms show up during certain times of year, often when daylight changes. | Treatment may include counseling, routine changes, and coordination with medical care when needed. |
| MDD with peripartum onset | Depression develops during pregnancy or after childbirth. | Treatment may include depression counseling, added family support, and coordination with medical providers. |
Common Causes and Triggers of Depression
Depression doesn’t have one single cause. Common factors and triggers include:
- Changes in brain chemistry
- Divorce, breakups, or unresolved relationship issues
- Financial instability, work stress, or major life transitions
- Chronic disease or other health challenges
- Social isolation
- Bullying or domestic problems
- Bereavement, grief and loss, and other situations where grief counseling may help
Depression Is a Medical Condition, Not a Mood
Depression is a medical condition that can affect your mind, body, energy, relationships, and daily routines. Symptoms can include:
- Persistent sadness
- Hopelessness
- Exhaustion
- Anxiety
- Low motivation
- Changes in eating and sleeping
Depression may be more likely when these symptoms have continued for two weeks or longer with little to no relief.
Depression Is Not Laziness or Weakness
Depression isn’t fleeting feelings of sadness. It has to persist over an extended period to qualify as depression. It can deplete energy, but that doesn’t mean laziness. Many people with depression work harder to get through the day. They can feel hopeless, but the good news is that there are many effective treatments for depression.
When Counseling Services for Depression Are Necessary
Everybody experiences sadness. But this is different from depression. If you feel depressed, you should get care immediately. Untreated depression can lead to further problems, from relationship issues to problems at work. Depression can also be incredibly isolating for those who suffer from it, and working with a counselor can help you lead a more connected life.
Schedule a free consultation if depression is making daily life harder and you want to talk through your options.
It’s Okay to Reach Out
You don’t have to make a big commitment to start the conversation. If you’re wondering whether counseling could help, a low-pressure conversation can help you understand your options and decide what feels right.
Whole Person Counseling for Depression in St. Louis
We know depression can result from many different sources, including:
- Chemical and biological factors
- Unresolved relationship issues
- Behavioral challenges
- Major life transitions, such as job loss, divorce, or becoming a parent
No matter the cause, we offer compassionate care and evidence-based mental health services designed to support you through even the most difficult times.
We provide in-person sessions at 14137 Clayton Road, Town and Country, MO 63017, as well as in-person or telehealth counseling in St. Louis.
Our counselors take a holistic approach that focuses on the individual and their well-being.
We also offer adult counseling services, family therapy, health and wellness coaching, and support for other mental health issues, such as a panic disorder. If you need related support for younger family members, we also provide depression counseling for kids and teens.
Our Approach to Depression Counseling
At Get Centered, a licensed therapist works with you to understand your symptoms, stressors, relationships, and goals. Depending on your needs, counseling may include talk therapy, cognitive behavioral therapy (CBT), family therapy, and coaching support that helps you apply new skills in daily life.
Our licensed therapists and counselors use a collaborative approach to develop a personalized treatment plan tailored to your unique needs, the type of therapy best aligned with your individual experience, and your stage of life.
Evidence-Based Depression Treatment Options at Get Centered
Adults seeking depression treatment often benefit from a plan that combines individual therapy, practical coping tools, and support for related concerns such as addictive behaviors, communication skills, and overall emotional well-being. At Get Centered Counseling, we use evidence-based approaches in individual therapy to support depression treatment in ways that fit your symptoms, history, and goals.
Medication as Part of Depression Treatment
The right therapeutic approach varies from person to person. Medication can be effective when combined with depression counseling. Your doctor can prescribe an antidepressant, such as selective serotonin reuptake inhibitors (SSRIs). Most antidepressants take several weeks to work, however, and come with their own risks and side effects.
You might be working through relationship challenges, dealing with a significant life transition, or just seeking long-term strategies for a happier life. Our counselors will help you build resilience and regain your sense of self.
Insurance, Fees, and Getting Started
We are a self pay group practice. If you have an insurance provider, you can learn more about possible Out Of Network Coverage by contacting your insurance provider.
- Request an appointment or reach out for a brief consultation.
- Complete the intake paperwork and share what brings you to counseling.
- Schedule your first in-person or telehealth therapy session with the provider who fits your needs.
At Get Centered, our mental and behavioral health specialists understand how difficult depression symptoms can be. If you’re looking for depression therapy in St. Louis for adults, you can begin with in-person care or telehealth therapy. Schedule a free consultation.
Frequently Asked Questions
Does Get Centered accept insurance for depression counseling?
Read more here about why we do not accept in-network insurance and how you can request out-of-network coverage from your insurance provider.
How long does depression counseling typically take?
The length of counseling depends on your symptoms, goals, and how long depression has been affecting your life. Some adults benefit from short-term support, while others prefer longer-term counseling.
Do you offer online or telehealth depression counseling in St. Louis?
Yes. Get Centered offers in-person counseling at 14137 Clayton Road, Town and Country, MO 63017, as well as telehealth options for adults in the St. Louis area.
What’s the difference between a counselor and a psychiatrist for depression?
A counselor provides talk therapy, coping strategies, and ongoing emotional support. A psychiatrist is a medical doctor who can diagnose mental health conditions, evaluate more complex symptoms, and prescribe medication.
What should I expect in my first depression counseling session at Get Centered?
Your first session is a chance to talk about what you’re experiencing, ask questions, review relevant history, and discuss goals for care. Your counselor will help you understand possible next steps and whether ongoing counseling feels like the right fit.
If you’re experiencing symptoms of depression and are ready to enjoy a better quality of life, contact us now to schedule a consultation.