The cause of depression varies by the person and is sometimes is not clear. Many people have an underlying biological vulnerability. For others, there are habitual patterns of thought or ways of relating to others which may contribute to feelings of depression. Often there is a triggering event although it may not seem obvious at the time. Sometimes even a small loss may trigger deep feelings which reflect not only that loss but also old and unresolved griefs. Sometimes the cause seems obvious, such as a major loss of a loved one through death or the ending of relationship, but depression can extend your sadness well beyond what feels helpful or appropriate. Other times, depressive feelings may seem to come from out of the blue -- that your life seems objectively good by most measures but it is hard to get out of bed in the morning or to fully be present.
Sometimes depression can be a signal to examine our lives. It can be important to honor the literal dis-ease that our feelings represent. Other times it may just be a matter of finding our way back to the joy and ordinary satisfactions that allow us to restore a life that we are quite content to lead. I believe it is important to be nuanced and complex in thinking about your depression, its causes and the path out of it. Together we will approach your depression with curiosity and understand its meaning as we work to restore your happiness.
I look forward to talking with you and learning more how you are feeling and thinking together about ways in which we might best address your suffering. My work with you will involve a balance between addressing immediate, pragmatic steps that will be helpful and thoughtfully considering with you how to resolve deeper issues.
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