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Depression

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Personalized Depression Therapy in Ontario

Depression is a mental state of low mood and there are several subtypes of depression, but major depressive disorder is the one that's usually intended. It is expected to be the number one cause of disease burden worldwide by 2030. The term major depressive disorder was first used in the 1970s and the disorder was added to the Diagnostic and Statistic Manual of Mental Disorders known as the DSM in the 1980s.

Depression can quietly infiltrate every part of your life—dimming your interests, disrupting your emotions, and straining your relationships. Maybe you find yourself crying easily, feeling numb, or getting angry over small things. Perhaps you distance yourself from loved ones, even when you need their support the most. If any of this resonates with you, know that you're not alone. Struggling with depression doesn’t mean something is wrong with you—it simply means you may need support and depression help to start feeling like yourself again.

While some people experience depression after a major life event, like a divorce or the loss of a loved one, others develop symptoms without a clear cause. At Cognizant Psychotherapy, we recognize that depression can stem from a variety of sources—stress, genetics, brain chemistry, medications, or other health issues. Our team is here to guide you with compassionate, personalized therapy for depression tailored to your unique situation, helping you regain control and rediscover hope.

Before you read the page completely we would like to make a short disclaimer to not self-diagnose on the basis of what you read here. If you can relate to most of the signs, we do advise you to go to a qualified medical health professional for proper diagnosis.

What is Depression?

Depression, also called major depressive disorder, is a serious mental health condition that affects how you feel, think, and handle daily life. It’s more than just feeling sad or having a rough day—depression lasts longer and can interfere with everyday activities like sleeping, eating, or working.

Depression can affect anyone, regardless of their age, gender, or background. It can develop for different reasons, including a mix of genetics, changes in brain chemistry, stressful life events, or personal health struggles.

Depression isn’t something you can just “snap out of.” It’s a medical condition that needs proper care and support. The good news is, with the right treatment, people with depression can feel better and enjoy life again.

Signs and Symptoms of Depression

Not everyone experiences depression the same way, but some common signs include:

  • Experiencing sadness, emptiness, or anxiety for most of the time
  • Losing interest in hobbies or activities once enjoyed
  • Feeling hopeless or like things won’t get better
  • Getting easily frustrated or feeling angry without a clear reason
  • Feeling tired or having very little energy
  • Having trouble concentrating, remembering things, or making decisions
  • Sleeping too little or too much, or having trouble falling or staying asleep.
  • Gaining or losing weight without trying, or having a change in appetite
  • Aches, pains, or stomach problems that don’t go away with treatment
  • Thinking about death, dying, or suicide

These symptoms can look different depending on your age or gender. For example, men might seem more angry or take more risks, while women might feel more tired, sad, or withdrawn, especially around major life changes like pregnancy or menopause.

How to Treat Depression

Depression is more than just feeling down for a few days — it's a real health condition that can affect your thoughts, emotions, and day-to-day life. The good news is that it can be treated, and many people start feeling better with the right help.

1. Talk to a Healthcare Provider

The first step is to consult with a doctor or mental health professional. They can help figure out if you’re dealing with depression and what kind of support you need. Sometimes, other health issues can cause similar symptoms, so getting a proper check-up is important.

2. Depression Therapy

Depression therapy helps people understand their thoughts, feelings, and behaviours, and teaches ways to cope and manage stress. One common approach is cognitive-behavioural therapy (CBT), which helps you change negative thought patterns.

3. Medications

Some people benefit from antidepressant medications. It can take a few weeks to feel the full effects, and your doctor will work with you to find what works best.

4. Brain Stimulation Therapy

If depression doesn’t get better with regular treatment, there are other options. Brain stimulation therapies like electroconvulsive therapy (ECT) or transcranial magnetic stimulation (TMS) may help in more serious or treatment-resistant cases. These are done under professional care in a medical setting.

5. Self-Care Matters Too

Alongside professional help, small daily habits can make a big difference. Try to:

  • Get regular physical activity
  • Eat healthy foods
  • Stick to a steady sleep schedule
  • Avoid alcohol and drugs
  • Stay connected with friends or family

Even small changes can support your recovery and make depression therapy more effective.

Our Approach to Depression Therapy

1. Cognitive Behavioral Therapy (CBT):

  • Focuses on identifying and changing negative thought patterns and behaviors.
  • Helps individuals challenge unhelpful beliefs and replace them with more balanced ones.

2. Interpersonal Therapy (IPT):

  • Addresses relationship issues that may be contributing to depression.
  • Helps improve communication skills and resolve conflicts with others.

3. Psychodynamic Therapy:

  • Explores unconscious processes and past experiences that may be influencing current depression.
  • Focuses on gaining insight and understanding emotional roots.

4. Behavioral Activation:

  • Encourages engaging in activities that improve mood.
  • Focuses on breaking the cycle of avoidance and inactivity common in depression.

5. Mindfulness-Based Cognitive Therapy (MBCT):

  • Combines CBT with mindfulness practices like meditation.
  • Aims to prevent relapse in individuals with recurrent depression

Today we have the DSM-5 which lays out 8 criteria on which the diagnosis is based. They include

  • A low mood for most of the day, nearly every day.
  • Persisting anhedonia which means a loss of pleasure or interest in previously enjoyable activities.
  • Significant weight loss or weight gain
  • Insomnia or hypersomnia meaning not sleeping enough or sleeping too much.
  • Fatigue or a loss of energy, nearly every day psychomotor retardation which means a slowing down of thoughts and physical movements that is noticed by others.
  • Inappropriate guilt or feeling worthless
  • A reduction in the ability to concentrate.
  • Recurrent thoughts of death.
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  • You definitely need to consult a qualified professional to get a proper diagnosis of your condition. The symptoms cannot be the result of substance abuse. Major depressive disorder is thought to be caused by multiple factors including genetic and environmental factors. Some studies have suggested that differences in risk between individuals can be accounted for by genetics. There is a high concordance rate of depression in monozygotic twins and overall this means a family history is considered a risk factor. Environmental factors can include stressful life events which also correlates with the severity of the depression.
  • It is also important to note that the presence of other disorders are more likely in patients with depression this includes anxiety and substance misuse especially alcohol. Others can include an association with ADHD, PTSD and the presence of chronic pain.
  • Then there is psychotherapy also called talking therapy, examples of which include Cognitive Behavioral Therapy or Interpersonal Therapy.
  • Psychotherapy is often the first line of treatment for depression and has been shown to be effective for most people. Depression treatment options include lifestyle changes, psychotherapy, and pharmacotherapy, with a combination often yielding the best results. Pharmacological treatments primarily consist of different classes of antidepressants, each serving unique patient needs.

Frequently Asked Questions (FAQs)

Depression can be treated through evidence-based therapies like cognitive behavioural therapy (CBT), which help you manage negative thoughts, emotions, and behaviours. Cognizant Psychotherapy provides accessible support to improve your emotional wellbeing and regain a sense of balance in daily life.

We support many forms of depression, including:

  • Major depression
  • Seasonal Affective Disorder (SAD)
  • Postpartum depression
  • Persistent depressive disorder
  • Situational depression
  • Bipolar-related depression

Each person’s experience is different, so we tailor therapy to your needs.

In each session, you’ll talk with a therapist about how you're feeling and what’s been going on. You’ll work together on goals, learn new ways to cope, and build skills to manage your mood. Sessions are private, respectful, and judgement-free.

Yes. All our therapists are certified mental health professionals with training and experience in treating different kinds of depression. Many use approaches like Cognitive Behavioural Therapy (CBT), which is proven to help.

Session prices vary depending on the cases and therapist. We aim to offer options that are affordable and flexible for different budgets.

Yes. All sessions are 100% confidential. We follow Canadian privacy laws and use secure, encrypted platforms to keep your information safe.

Yes. You can book therapy sessions online through video, phone, or chat — whatever works best for you. It's a convenient way to get support from home, especially if you’re in a remote area or prefer privacy.

Yes, the IFHP covers mental health services, including therapy for depression, provided by physicians and licensed allied health professionals such as clinical psychologists, psychotherapists, or counselling therapists.