Couples Therapy

Relationships go through bliss and turmoil, it’s normal. What matters, is how we work through it together.

What is couples therapy?

What topics do we cover?

  • Major depression, or clinical depression, has intense or overwhelming symptoms that last longer than two weeks. When you have major depression it you feel quite different from your “normal.” Some people are able to “hide it” and keep up with most the demands of life outside of the home. For others it feels nearly impossible to function.

  • Also called dysthymia. Often includes less severe symptoms of depression that last much longer, typically for at least two years.

  • Perinatal depression can occur during pregnancy and up to one year after having a baby. Postpartum depression goes beyond the “baby blues,” which can include sadness, worry or stress and can cause difficulty bonding with your baby and functioning in every day life.

  • Otherwise known as SAD is a depressive disorder that coincides with the seasons. It most commonly affects people in the Midwest in the winter months and typically starts in late fall and early winter and ends in early spring.

  • People with bipolar disorder have noticeable periods of low moods and low energy, and high moods with high-energy. During the low period, you may have depression symptoms such as feeling sad or hopeless or lacking energy and motivation. During the manic or hypomanic episodes you may have excessive energy, feel “on top of the world” or irritable, and behave impulsively.

When is it time to start couples counseling?

  • Feeling sad or having a depressed mood

  • Loss of interest or pleasure in activities once enjoyed

  • Low motivation

  • Changes in appetite — weight loss or gain unrelated to dieting

  • Trouble sleeping or sleeping too much

  • Loss of energy or increased fatigue

  • Anxiety, agitation or restlessness

  • Slowed thinking, speaking or body movements

  • Feeling worthless or guilty

  • Difficulty thinking, concentrating or making decisions

  • Thoughts of death or suicide

 Risk Factors of Depression

  • Differences in certain chemicals in the brain may contribute to symptoms of depression.

  • Depression can run in families. For example, if one identical twin has depression, the other has a 70 percent chance of having the illness sometime in life.

  • People with low self-esteem, who are easily overwhelmed by stress, or who are generally pessimistic appear to be more likely to experience depression.

  • Exposure to trauma, violence, neglect, abuse or poverty may make some people more vulnerable to depression.

Modalities we use

  • Cognitive Behavior Therapy

    The science of changing troublesome thoughts, emotions, and behaviors. CBT places an emphasis on helping individuals develop coping skills, whereby they can learn to change their own thinking, problematic emotions, and behavior.

  • Acceptance and Commitment Therapy

    Mindfulness based therapy focused on increasing psychological flexibility through six core ACT processes including acceptance, the opposite of experiential avoidance; cognitive defusion, in which negative thoughts are observed mindfully instead of avoided or reasoned away; chosen values; and committed action.

  • Mindfulness Training

    Mindfulness is the human ability to be fully present, aware of where we are and what we’re doing, and not overly reactive or overwhelmed by what’s going on around us. Mindfulness helps us put some space between ourselves and our reactions, breaking down our conditioned responses.

Hello Mental Health is here for you

Depression can seem overwhelming and debilitating, but it doesn’t have to be. Our therapists are here to help you find relief and live a meaningful, fulfilling life.