Depression therapy · telehealth
You're Keeping Up
But Barely. And Nobody Can Tell.
Therapy for adults who are functioning on the outside but running on empty on the inside.
You're not alone
Depression doesn't always look the way people expect.
There's a version of depression that's easy to spot — staying in bed, unable to function, visibly falling apart. But there's another version that's much harder to see, and much more common among high-achieving adults: the kind where you still show up, still perform, still hold everything together — while quietly feeling nothing, or everything, or like you're moving through life behind glass.
Maybe you've been telling yourself it's just stress, or burnout, or a phase that will pass. Maybe you've gotten so good at pushing through that you've stopped noticing how heavy the pushing has become.
You're not weak. You're not broken. And you're not imagining it. Depression is one of the most common — and most treatable — experiences there is.
Here's what I want you to know:
The fact that you're still functioning, still caring, still looking for answers? That drive is something we can work with. You don't have to wait until things get worse before you deserve support.
What it can feel like
Does any of this sound familiar?
Going through the motions — doing what needs doing, but feeling disconnected from it
Loss of interest in things that used to bring pleasure or meaning
Difficulty concentrating or making decisions that used to feel easy
A persistent flatness — not dramatic sadness, just a kind of grey
Low energy that sleep doesn't seem to fix
A critical inner voice that's gotten louder — more harsh, more relentless
Withdrawing from people, even ones you care about
Feeling like you should be grateful, which somehow makes it worse
If any of this sounds familiar, you're in the right place.
How I can help
Treatment that addresses depression at its roots
I use Cognitive Behavioral Therapy (CBT) as my primary approach, with tools from Acceptance and Commitment Therapy (ACT) when they're a good fit. Both are among the most well-researched treatments for depression — and together, they're particularly effective for the kind of high-functioning depression that can be easy to dismiss but hard to live with.
Cognitive Behavioral Therapy: We identify and challenge the thought patterns keeping depression in place — and build behavioral patterns that gradually restore energy, motivation, and meaning.
Acceptance & Commitment: Rather than battling every difficult feeling, ACT helps you create space for them while taking steps toward what genuinely matters to you.
Common Questions About DEPRESSION Therapy
I'm still functioning — is what I'm feeling bad enough to warrant therapy?
Yes. You don't have to be in crisis to deserve support. High-functioning depression is real, and it's often harder to address because it's easier to rationalize away. The fact that you're still managing doesn't mean you're fine — it means you're working very hard to appear fine. That's exhausting, and it's exactly the kind of thing therapy is designed to help with.
Do I need medication, or can therapy be enough?
For many people, CBT alone is highly effective for depression — particularly mild to moderate depression. For others, a combination of therapy and medication works best. I don't prescribe medication, but I'm happy to discuss your options and coordinate with your doctor or psychiatrist if that's something you're considering. There's no one-size-fits-all answer, and we'll figure out what makes sense for you.
I've felt this way for so long. Can things actually change?
This is one of the most important questions I hear, and I want to answer it honestly: yes, things can change — even when depression has been present for a long time. Depression often feels permanent because it distorts how we see the future. CBT specifically targets this distortion. Lasting change is possible, and it's what we'll be working toward together.
What if I don't have the energy to even start therapy right now?
That's one of the cruelest parts of depression — it makes it harder to do the very things that would help. Starting doesn't require energy you don't have. It just requires one small step: a 15-minute phone call. We go from there, at a pace that works for where you are right now.
You've been managing this on your own, long enough.
A free 15-minute consultation is just a conversation — no commitment, no pressure.
Let's talk about what you're experiencing and see if working together is the right fit.
Telehealth sessions available in NY · NJ · FL · CT · IL · ND
YOU’RE IN TRUSTED HANDS
