Depression is not always sadness. For many people it looks more like a flat grey tiredness, a to-do list that never gets shorter, snapping at people you love, or going through the motions of a life that looks fine from the outside. It can make reaching out feel like one more task you do not have the energy for, which is why the first call is often the hardest part.
Depression therapy at our Frisco office is for teens and adults who have been feeling low, empty or stuck for longer than they expected, whether or not they can point to a reason.
Finding the right therapist
Most of our Frisco clinicians list depression among the areas they treat, and their profiles describe a range of approaches, including cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), mindfulness-based work and integrative approaches tailored to the person. Because the fit between you and your therapist matters as much as the method, the easiest route is to call or email and tell us a little about what has been going on, who is coming in, and any preferences you have. We will match you with a clinician who has openings.
In the first few sessions, it is fair to ask your therapist how they understand what you are experiencing, what they suggest working on first, and how you will both know whether it is helping. You can read about the Frisco team before you get in touch.
Signs it may be more than a rough patch
- Feeling down, empty or hopeless most days for two weeks or more
- Losing interest in things you used to enjoy
- Sleeping or eating much more or much less than usual
- Constant tiredness, or everything feeling like an effort
- Trouble concentrating or making decisions
- Feeling worthless or guilty, or thinking about death
- In teens: irritability, withdrawal, falling grades or dropping friends and activities
What the work looks like
Therapy for depression usually combines understanding and action: making sense of what is keeping the low mood in place, and then changing small, specific things, such as thought patterns, routines, relationships and how you treat yourself, so that the mood has somewhere else to go. Progress is often uneven, and a good therapist will help you notice it when you cannot.
Depression often overlaps with anxiety, grief or trauma, and your therapist can work on these together. Our depression page has more background.
If you are in danger right now, call 911. If you are thinking about suicide or are in emotional crisis, call or text 988. We are not a crisis service; our crisis resources page lists where to turn.