How We Treat Depression: A Therapist’s Approach

Depression is one of the most challenging issues people face. Most Americans have experienced it at some level, and at Peterson Family Therapy, here’s how I understand it:

Depression is a chemical state that occurs in our brains when we begin thinking negatively about everything. We develop negative thoughts about ourselves—”I’m not good enough,” “I’m not successful enough,” or similar beliefs—and we start believing them. Shame becomes a significant part of this experience.

We also know that brain chemistry plays a real role. Many people struggle more during winter months, and some experience seasonal affective disorder. That’s why we always work to connect our clients with the right psychiatrist or prescribing professional. Medications can absolutely help, and we collaborate regularly with many of these professionals.

In talk therapy, I focus on understanding the roots of depression. It usually connects to something from childhood. I want to thoroughly understand what the client experienced growing up—particularly any attachment wounds, critical or addicted parents, or significant losses and grief. By being curious and approaching this like an investigative journalist over several sessions, we can start understanding what contributes to the depression.

Our work often includes trauma processing if clients have difficult childhood experiences, and we address thought patterns like “I’ll always feel this way” or “No one likes me.”

But perhaps most importantly, working with depression involves emotionally attuning with clients and letting them know they’re cared for. I bring hope and optimism to the relationship, even when things get very difficult or when suicide becomes part of the conversation. It’s painful and scary to feel that way, but it’s normal for people experiencing depression. If someone reaches a point where they have a specific plan or pose a risk to themselves or others, we ensure they receive inpatient psychiatric care.

Candace and I genuinely love working with depressed clients. It’s challenging work, but incredibly rewarding. There’s nothing quite like seeing a client begin to feel a bit more hopeful and see that spark return to their eyes.

With over 20 years of experience each, we’re skilled at helping people through depression. I look forward to working with anyone struggling with this condition.