Ans : Yes, therapy can help a lot. While it’s true that depression has biological factors (like neurotransmitter imbalances or family history), it’s not only chemical. Your thoughts, behaviors, and environment play significant roles too. Therapy (especially CBT) has been scientifically shown to create changes in brain function similar to medication. It helps rewire negative thought patterns and encourages behaviors that improve brain chemistry (like exercise or engaging in rewarding activities). In fact, medications and psychotherapy are effective for most people with depression ,  often a combination works best. Even if you have a genetic predisposition, therapy gives you coping tools and strategies to manage depressive episodes and in many cases prevent future relapses. Think of it this way: you can’t change your genes, but you can change your mindset and habits, and that can significantly improve how you feel.

Ans. It depends on the severity of your depression and personal preference. Many people find therapy alone is enough, especially for mild to moderate depression. For moderate to severe depression, a combination of medication and therapy can be very helpful ,  medication can lift your mood enough to engage in therapy, and therapy provides long-term skills. But the choice is yours. We have clients who prefer to avoid medication; in those cases we focus on therapy techniques and often lifestyle changes (exercise, nutrition, etc.) to improve mood naturally. We also have clients who use medication as a short-term boost while they do therapy. Our therapists in Calgary will never pressure you either way; we can refer you to a physician or psychiatrist if you want a meds consultation. Ultimately, our goal is your improvement ,  we’ll support whatever avenue (or combination) you’re comfortable with.

Ans: The duration varies. Some individuals with situational depression (like after a job loss or postpartum depression) may start to feel better after 8, 12 sessions (about 2-3 months). Others with chronic or recurrent depression might benefit from a longer course, say 6 months to a year, sometimes with “maintenance” sessions monthly after the initial acute phase. Depression can be like an onion ,  sometimes we peel one layer (symptoms improve), then discover underlying layers (like long-standing self-esteem issues) that we can work on for more sustained recovery. You’ll likely start with weekly appointments. As you improve, sessions might become biweekly or monthly check-ins. In our Calgary practice, you are in control ,  we regularly discuss progress with you and adjust the plan. Some clients choose to continue therapy beyond symptom relief to work on personal growth or preventing relapse. Others pause once they’re feeling significantly better, knowing they can return if needed. There’s no one-size-fits-all; we tailor to what works for you.

Ans: That’s okay. We understand depression often comes with fatigue, brain fog, or feeling “shut down.” Our therapists are trained to navigate sessions even if you’re having a low-energy day. Sometimes we might use more structured methods on those days ,  like doing a worksheet together, or even incorporating creative expression (drawing how you feel) if talking is hard. We can also proceed slowly: maybe we start by just reviewing how your week went and identifying one feeling or event to discuss. Silence is allowed in therapy; you won’t be pressured to speak nonstop. Interestingly, many clients find that even if they arrive not wanting to talk, as the session progresses in a gentle, safe environment, words start to come a bit easier. And if some days you mostly need a compassionate presence or to simply sit and not be alone in your pain ,  we can do that too. Over time, as the depression lifts, participation in therapy usually becomes easier.

Ans: That can be arranged if it’s helpful. While one-on-one therapy is the primary mode for depression treatment, involving loved ones can sometimes strengthen support at home. For example, we might do a family education session ,  invite a family member in to learn about depression, so they understand it’s not just “laziness” and get tips on how to help you (and themselves). Or, if relationship issues are entwined with your depression, a joint session or two with your partner might be useful (similar to couples counselling). We’ll discuss the potential benefits and drawbacks with you. It’s completely your choice ,  confidentiality is key, so we’d only involve others with your consent and if you feel it would aid your progress. Many clients do find that when family is educated about what they’re going through, it reduces conflict and increases support, which can boost recovery.

Ans: We strive to make therapy accessible. First, check your insurance ,  many extended health benefit plans in Canada cover sessions with a registered psychologist or clinical social worker. If you have no coverage or limited coverage, let us know. We do have some options: sliding scale spots or payment plans may be available based on financial need. Additionally, our free 20-minute consultation is a chance to get advice at no cost, and we can also point you to community resources in Calgary (support groups, low-cost clinics) if needed. The well-being of our community matters to us, so don’t hesitate to discuss your situation. We’ll do our best to find a workable solution because you deserve support, regardless of your financial situation.