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“What is depression like? It’s like drowning, except everyone around you is breathing.”

Depression, along with anxiety, is one of the most prevalent problems in society.


It can be hard to describe to those who haven’t been there.


Depression is different to sadness or 'the blues'. Quite often it can feel like the very opposite of feeling: a cold absence of emotion, a hollowed-out inner deadness.


It can be all-encompassing, continuous, and devastating to all aspects of life.

Although symptoms of depression can vary widely, the first signs can be a sense of despair, hopelessness and a lack of interest in many of things you used to enjoy.


This might persist for several weeks or months and can eventually become so bad that, not only are work, friendships, and family bonds affected, but it might even begin to feel like life itself may not be worth living.

Emotional and psychological symptoms of depression can include:

Feeling hopeless and helpless

Loss of self-esteem

Feeling guilty

Being irritable and angry all the time

Loss of motivation


No longer deriving pleasure from things such as food, friends, or sex

Feeling anxious

Having thoughts of self-harm or suicide

Physical and social symptoms of depression can include:

Moving or speaking more slowly than usual

Losing or gaining weight

Constipation or digestive problems

Aches and pains

Loss of sex drive

Lack of energy

Sleep problems

Avoiding contact with friends and family

Neglecting hobbies and interests

Struggling to complete tasks at work or college

Depression long.jpg


You can call Samaritans on 116 123 free from any phone 24 hours a day or email them at  

You can also speak your GP or call 111 for out of hours support. In an emergency, call 999.

Try to let your family or friends know what's happening. They may be able to offer support and help keep you safe.

In a non-emergency, if you're looking for a therapist in brighton & hove or online click here to email or call on 07590 506567

let's start a conversation about your depression


Depression sufferers sometimes describe depression as having 'crept up' on them.


Several days of low mood might slowly roll into a week, a month, or even more.


Depression can become a serious concern when it continues for longer than a few weeks and exerts a noticeable negative impact on daily life. Therapy for depression can help.


Depression is often diagnosed along a continuum ranging from ‘mild depression’ to ‘moderate depression’ to ‘severe’ or ‘major depression’ according to the severity and duration of the symptoms and how far normal life and activities are impacted.


Other forms of depression include antenatal/postnatal depression, which occurs during and after pregnancy and can affect both women and men; bipolar disorder involving alternating episodes of extreme ‘highs’ and ‘lows’ with periods of normal mood in between; and seasonal affective disorder (SAD) characterised by mood disturbances which often worsen during the sunlight-deprived winter months.

All forms of depression can be debilitating and all require proper support.

How counselling and psychotherapy can help with depression
Plastic Portrait
In therapy you will feel
listened to, valued,
and understood

Depression is often a byword for disconnection

Some people believe depression is caused by an imbalance of chemicals in the brain and assume antidepressants can entirely solve their problem.


Whilst medication can prove an important component of any treatment approach, evidence suggests depression also has a strong relational (as opposed to purely chemical) component, meaning that sufferers may be experiencing the delayed consequences of emotional disconnectedness or relational fracture.


Relationships are so essential to basic human functioning that when a serious problem occurs in a relationship, whether now or a long time in the past, its repercussions for mental and emotional health can be significant.

Counselling and psychotherapy are forms of relational therapy. At Pathways Psychotherapy and Counselling in Brighton & Hove, I would be looking to find out more about what your depression looks and feels like for you and also how you feel you're relating to others at the moment.


In psychotherapy, you might, over time, be remembering how your relationships were in the past and how you're balancing the different demands in your life now.


You might also wish to explore any possible roles that stress and anxiety might be playing.


It can be very useful to remember some of the ways you learned how to feel good about yourself when you were younger and more recently.


Counselling and psychotherapy for depression can help to address these kinds of problems.

In therapy, you have someone in your corner to help you notice and attend to some of hidden beliefs, pressures, tensions and disconnections you could be holding which are now acting to weigh you down or even punish you, making you feel sad, powerless, empty, or worthless.

There can be an understandable hope that therapy will unearth a clear, causative event from the past which underlies your depression.


Whilst illness, conflict, loss, and trauma can all certainly have a bearing on depression, its root origins often prove less tangible.


As a relational, attachment-focussed practitioner, I work with an awareness of the substantial impact that the very early developmental period has on everyone - that is, before we can speak or remember.


Psychological ‘wounds’ like neglect, abuse, and insecure or unpredictable attachments to caregivers might not be consciously remembered, but can nevertheless cause problems which persist into adolescence and adulthood.


We may never be able to discern such injuries with absolute certainty, but in psychotherapy you'll learn to listen to your innermost thoughts and feelings as well as the memories that are held in your body.


By revisiting any earlier conflicts or tensions whilst feeling safely held within the supportive therapeutic relationship, you will find the bonds of depression will gradually loosen their grip, in turn enabling glimpses of hopefulness to return.

how counselling and psychotherapy for depression works

if you're looking for counselling for depression in brighton & hove or online Click here to arrange to start talking

and yet... Low moods aren't always TO BE AVOIDED

It’s important to remember that feeling sad or experiencing episodes of lowness is not always bad.


Times of withdrawal from the world and even downheartedness, though unpleasant, can be a way that our mind and body ‘force’ us to slow down and think about important things which may be happening in our life.


Low mood can be a natural trigger for us to concentrate more on how we’re feeling and what’s going on below the surface.


This might include things which are causing stress or pain.


These low periods can even turn out to be an opportunities in disguise, allowing us to  contemplate our own sense of purpose, meaning and health.


Now and again, it’s alright to feel sad because this can serve to make the higher points, when they return, all the more cherished and enjoyable.

If you're not sure how you're feeling or you'd like to talk this through with someone, contact me below.


If you'd like any further information on Pathways Psychotherapy and Counselling in Brighton & Hove or if you'd like
to arrange a telephone consultation or book an appointment please get in touch by using this form 
or call me directly on 07590 506567

Thank you, I'll be in touch soon.

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