Depression and Low Mood cause massive impairment to the quality of people's lives. According to NICE, this crushing condition impacts 10% of the UK population - it also accounted for 27% of referrals to my psychotherapy practice in 2016. Some people with Low Mood manage to function, but life is joyless and without any sense of hope. Others, with more serious clinical forms of depression find themselves barely managing at all.
Case Study: "X" was initially dragooned into coming for therapy with me by her husband. He had become frantic and terribly worried after she spent the entire duration of a dinner to celebrate their wedding anniversary in tears. He had feared it was something about him, or something he had done. It wasn't. When in the confidential setting of the therapy room "X" explained to me that the sadness, coupled with tiredness and heaviness in the body, had been in the background for years, but had accelerated in the previous few months. At one particular moment in the restaurant, something snapped within her - she described being emotionally 'thunderstruck' by the thought that there was 'nothing to look forward to anymore'. The world she inhabited was one without hope, and where there was no point in anything. In this state of despair where everything is pointless, it was therefore also natural that, initially, she should also believe that therapy was a hopeless enterprise. However, as the meetings progressed and she could feel her improvement (and 'see' it on paper with the results of her weekly psychometric assessments) her confidence in me, and more importantly in her own ability to change, grew. We worked together for 12 sessions in order to:
- Identify and challenge negative and distorted thinking
- Locate and deal with early experiences that contributed to her difficulties
- Learn and practise Mindfulness techniques
- Identify and correct dysfunctional assumptions about herself and the world (partly through the use of a thought diary as homework)
- Work on modifying unhelpful rigid core beliefs
- Foster an attitude of hope and regain energy, positivity and confidence
- Calibrate improvement with weekly Psychometric Assessment of Depression
The most common signs of depression and/or low mood that I encounter in my clients at my practice in Waterloo and Covent Garden are:
- Feeling depressed or down most of the time
- Losing interest or pleasure in things usually enjoyed
- A large increase or decrease in appetite or weight
- Sleeping too much or not being able to sleep enough
- Feeling either very tired or as if lost most of your energy
- Feeling worthless or having low self-esteem
- Feeling hopeless
- Feeling extremely guilty for inexplicable reasons
- Having difficulty concentrating or making decisions
- Having recurrent thoughts of death
- Having recurrent thoughts of wanting to commit suicide
All of the above signs interfere with a person's quality of life, and can be addressed in therapy.
Length of therapy for Depression: 12 appointments of fifty minutes each.
Fee: £75 per 50 minute appointment. Reduced fee slots are £45 but limited and based on demonstrated financial need.
Location: Southwark (Waterloo) and Covent Garden.