Counselling for depression and low mood

When everything feels flat or heavy, it can be hard to imagine things being different. Therapy can help you understand what's weighing you down and start to find your way back.

BACP accredited member (216379)

Claire Smith, psychodynamic therapist in Worcester Park
Recognising depression

What depression can feel like

Depression isn't always dramatic. Sometimes it's not even sadness exactly. It can be a kind of numbness, a loss of interest in things you used to enjoy, or a tiredness that sleep doesn't fix. You might feel irritable, withdrawn, or just going through the motions without really being present.

Some people describe it as a heaviness, like wading through treacle. Others say it's more like a fog, where everything feels muted and distant. You might find it hard to concentrate, hard to motivate yourself, or hard to see the point of things.

Depression can creep in gradually. Sometimes it's triggered by an event, like a loss or a big life change. Sometimes it builds up over time without any obvious cause. Either way, it's not a sign of weakness. It's your mind telling you something needs attention.

Therapy

How psychodynamic therapy helps with depression

Depression often has deeper roots than we realise. It can be connected to experiences of loss, to feelings that were never fully expressed, or to ways of relating to yourself that you picked up early on. Sometimes depression is anger or grief that's been turned inward because there was nowhere safe for it to go.

In psychodynamic therapy, we explore these underlying experiences. We look at what might be keeping you stuck, what patterns run beneath the surface, and what feelings might be asking for your attention.

This isn't about positive thinking or trying to snap out of it. It's about understanding yourself well enough that the weight starts to lift. Many people find that as they begin to make sense of their depression, they gradually reconnect with parts of themselves that had gone quiet.

Sessions

What sessions look like

You don't need to come in with answers or even a clear sense of what's wrong. Sometimes the most helpful thing is simply having a space where you don't have to pretend everything is fine.

I'll listen carefully and we'll explore whatever comes up, at your pace. Some people find that short-term therapy is enough to help them through a difficult period. Others benefit from longer-term work that addresses more longstanding patterns. We can talk about what might suit you.

Sessions are weekly, lasting 50 minutes, at Manor Drive Medical Centre in Worcester Park.

It doesn't have to stay this way

If you've been feeling low for a while and nothing seems to shift it, talking to someone might help more than you think. I'm happy to have a conversation about what you're going through.

Or email me at help@counsellingwithclaire.uk