Depression Treatment

Getting Past Your Past

You Don’t Have to Face Depression Alone

Depression is more than just feeling sad — it can affect every area of your life, from your relationships and work to your physical health and sense of self. At Trellis Counseling, our compassionate therapists are here to walk alongside you on your journey toward healing, hope, and renewed purpose.

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What Is Depression?

Depression is a common but serious mood disorder that causes persistent feelings of sadness, hopelessness, and loss of interest in activities you once enjoyed. It is not a sign of weakness or a character flaw — it is a medical condition that responds well to professional treatment.

Depression affects an estimated 1 in 5 adults at some point in their lives. Symptoms can range from mild to severe and may include:

  • Persistent sadness, emptiness, or hopelessness
  • Loss of interest or pleasure in activities
  • Changes in appetite or weight
  • Sleep disturbances (too much or too little)
  • Fatigue and low energy
  • Difficulty concentrating or making decisions
  • Feelings of worthlessness or excessive guilt
  • Thoughts of death or suicide
Therapy session at Trellis Counseling

Counseling session

Our Compassionate Approach to Treatment

At Trellis Counseling, we believe that healing happens in the context of a safe, trusting relationship. Our therapists take a whole-person approach — addressing not just your symptoms, but the underlying patterns, experiences, and beliefs that contribute to depression.

We tailor every treatment plan to your unique needs, drawing from evidence-based modalities including:

  • Cognitive Behavioral Therapy (CBT) — identifying and reshaping negative thought patterns
  • EMDR — processing trauma that may underlie depression
  • Mindfulness-Based Therapy — building present-moment awareness
  • Acceptance and Commitment Therapy (ACT) — reconnecting with your values
  • Somatic Approaches — addressing depression held in the body

Who We Help

Depression looks different for everyone. We work with individuals across all walks of life, including:

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Adolescents & Teens

Navigating the pressures of school, social media, and identity while managing depressive symptoms.

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Adults & Professionals

Managing depression alongside career demands, relationships, and life transitions.

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Parents & Caregivers

Addressing postpartum depression, caregiver burnout, and the emotional weight of supporting others.

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Couples & Families

When depression affects relationships, we offer support for the whole family system.

What to Expect in Therapy

Starting therapy can feel like a big step. We want you to know that your first session is simply a conversation — a chance for you to share what’s been going on and for us to get to know you. There’s no pressure, no judgment, and no agenda beyond your wellbeing.

Over time, your therapist will work collaboratively with you to:

  • Understand the roots of your depression
  • Develop coping strategies for difficult moments
  • Rebuild a sense of meaning and connection
  • Address any co-occurring anxiety, trauma, or grief
  • Create a sustainable path toward lasting wellbeing

Sessions are typically 50 minutes and held weekly, though frequency can be adjusted to meet your needs. We offer both in-person and telehealth options.

Treatment planning at Trellis Counseling

Types of depression therapy

Types of Depression We Treat

Depression is not one-size-fits-all. Our therapists are experienced in treating a wide range of depressive conditions, including:

  • Major Depressive Disorder (MDD)
  • Persistent Depressive Disorder (Dysthymia)
  • Postpartum Depression
  • Seasonal Affective Disorder (SAD)
  • Bipolar Depression
  • Situational Depression (grief, loss, life changes)
  • Treatment-Resistant Depression

If you’re unsure whether what you’re experiencing is depression, we encourage you to reach out. Our therapists can help you make sense of what you’re feeling and determine the best path forward.

Frequently Asked Questions

If you’ve been feeling persistently sad, hopeless, or disconnected for two weeks or more — and it’s affecting your daily life, relationships, or ability to function — it may be time to reach out. You don’t need to be in crisis to benefit from therapy. Many people find that starting early leads to faster and more lasting recovery.

The length of treatment varies depending on the severity of your depression, your personal history, and your goals. Some people experience significant relief within 8–12 sessions, while others benefit from longer-term support. Your therapist will regularly check in with you about your progress and adjust the plan as needed.

Yes! We offer secure, HIPAA-compliant telehealth sessions for clients throughout Oregon. Online therapy is just as effective as in-person therapy for most people, and it offers the added convenience of attending sessions from the comfort of your own home.

We accept most major insurance plans, including OHP/Medicaid. We also offer a sliding scale fee for clients who qualify. Please visit our Rates & Insurance page for more details, or contact us directly and we’ll help you understand your coverage.

Sadness is a normal human emotion that typically passes within days. Depression is a persistent condition that lasts at least two weeks and significantly impacts your ability to function. It often involves physical symptoms like fatigue, sleep changes, and appetite shifts, as well as feelings of worthlessness or hopelessness that don’t lift on their own.

Absolutely. Research consistently shows that the combination of therapy and medication is more effective than either alone for many people with depression. Our therapists work collaboratively with prescribers and can help you address the psychological and relational aspects of depression that medication alone cannot reach.

Getting started is simple. You can request an appointment online, call our office, or send us a message through our contact form. We’ll match you with a therapist who is the right fit for your needs and schedule your first session at a time that works for you.

Ready to Take the First Step?

You deserve to feel better. Our compassionate team is ready to support you on your path to healing. Reach out today — we’d love to hear from you.

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