Therapy Sessions in Port Coquitlam
Counselling for Depression
Symptoms of Depression
Emotional
Persistent sadness, emptiness, or irritability.
Physical
Fatigue, changes in appetite or sleep, and unexplained aches.
Cognitive
Difficulty concentrating, making decisions, or remembering details.
Behavioural
Withdrawing from social activities or losing interest in hobbies.
Do You Feel Empty, Exhausted, and Like You've Lost Interest in Things You Used to Care About?
You're not sure when it started. There wasn't necessarily one big thing. It just kind of crept in.
Maybe you noticed you stopped looking forward to things. Plans you used to enjoy now feel like something to get through. You cancel more than you go. You lie in bed longer than you should, not because you're tired exactly, but because getting up takes more than you have right now.
You might still be functioning. Going to work. Taking care of the kids. Answering emails. From the outside you probably look fine. But on the inside there's this heaviness that doesn't lift. A flatness to everything. Like you're watching your life through glass instead of actually living it.
You've probably told yourself you should just push through. That other people have it worse. That you don't have a real reason to feel this way. And that voice makes it worse, because now on top of feeling terrible you also feel guilty for feeling terrible.
Depression doesn't always look like crying on the floor. A lot of the time it looks like going through the motions. Doing what needs to be done while feeling completely disconnected from any of it. Waiting to feel like yourself again and wondering if that's still possible.
It is. Depression is one of the most treatable things there is. But it rarely gets better on its own, and you've probably already noticed that trying to think your way out of it isn't working.
You don't have to keep white-knuckling through this.
Why You Can't Just Think Your Way Out of Depression
People who haven't been through depression think it's just sadness. That if you tried a little harder, got outside more, or focused on the good stuff, you'd start to feel better.
You've probably tried all of that. And you've probably noticed it doesn't work.
That's because depression isn't about attitude. Something is actually happening in your brain that makes motivation, pleasure, and hope feel genuinely out of reach. It's not that you won't feel better. It's that the part of your brain that would help you get there isn't firing the way it should right now. That's why doing the things that are supposed to help feels impossible when you need them most.
A lot of women also carry depression that's been building quietly for years, layered underneath stress, burnout, grief, or experiences they never fully processed. Sometimes a big life event brings it to the surface. Sometimes it just slowly becomes the water you swim in until one day you realize you can't remember the last time you felt like yourself.
None of that means something is permanently wrong with you. It means you've been dealing with a lot, probably without enough support, for longer than you should have had to.
Things Can Feel Different. That's Not Just Something We Say.
We've watched people come in convinced they'd always feel this way and leave months later genuinely surprised by how much lighter things got. Not because we said the right things. Because they finally had a space to actually work through what was going on instead of just surviving it.
At Serenity Counselling, we don't do generic. We want to understand your specific version of depression, what's underneath it, what's been feeding it, and what your life could look like on the other side of it. From there we work together at a pace that makes sense for where you're at.
You don't have to feel like yourself right now to start. You just have to be willing to show up. The rest we figure out together.
What to Expect in Depression Therapy Sessions at Serenity Counselling
At Serenity Counselling in Port Coquitlam, your first session is a conversation. We want to hear what's been going on, how long you've been feeling this way, and what daily life actually looks like right now. You don't need to have it figured out or know exactly why you feel the way you do. That's what we're here to help with.
From there, sessions focus on a few things consistently. We start by understanding the specific shape your depression takes, because it shows up differently for different people. Some people feel numb. Some feel sad. Some feel irritable and exhausted. Knowing your version of it helps us work on it more effectively.
We also work on the thought patterns that depression creates, because depression is one of the most convincing liars there is. It tells you that nothing will get better, that you're a burden, that you've always been like this and always will be. Those thoughts feel true when you're in it. Part of the work is learning to separate what depression is telling you from what's actually real.
For clients whose depression is connected to trauma, grief, or difficult past experiences, our team is trained in EMDR and Brainspotting. These approaches can help your brain process what's been sitting unresolved, often reaching places that talk therapy alone can't get to.
We offer in-person depression counselling sessions in Port Coquitlam at Serenity Counselling, and virtual therapy across British Columbia.
Depression can make it hard to see a way forward, but healing is possible. At Serenity Counselling, we provide a safe space to explore your feelings, develop coping tools, and rediscover joy.
Are You Ready to Move Past These Symptoms?
LOOKING FOR MORE ANSWERS?
Frequently Asked Questions
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You can tell if you're depressed versus just going through a rough patch by looking at how long these feelings have lasted and how much they're affecting your daily life. A rough patch usually gets better after a few days or weeks, but if you're depressed, that heavy, empty feeling sticks around for weeks or months. When you're depressed, simple things like getting out of bed, eating, or enjoying stuff you used to love becomes really hard. If you've been feeling this way for more than two weeks and it's messing with school, friends, or family, that's usually a sign you might be dealing with depression.
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The difference between being sad and having depression is that sadness comes and goes with specific situations, but depression feels like being stuck in a heavy fog that won't lift. When you're sad, you can usually still do your normal activities and feel better after crying or talking to someone. But having depression means that empty, hopeless feeling takes over everything - you might not even be able to cry, or nothing seems to help. Depression also affects your body with things like feeling exhausted all the time, changes in appetite, or physical aches that don't have a clear cause.
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What you should expect in your first depression therapy session is a safe space to talk about what's been going on without judgment. Your first session is about me getting to know you and understanding how depression has been affecting your life. We'll talk about when you started feeling this way, what your days look like now, and what you're hoping will change. You don't need to worry about what to expect in your first depression therapy session, we'll go at your pace, and you won't have to share anything you're not ready to talk about.
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Yes, depression therapy can absolutely help if you feel numb instead of sad. Many people think depression always means crying or feeling super sad, but feeling numb is actually really common with depression. When you feel numb from depression, it's like your emotions have gone offline to protect you from overwhelming pain. In depression therapy, we'll gently help you reconnect with your feelings at a pace that feels safe, so that numbness doesn't have to be permanent.
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Yes, it's totally normal for depression to make you not want to see friends or family , isolation is one of the most common signs of depression. When depression makes you not want to see people, it's usually because socializing feels exhausting, you worry you'll bring others down, or you feel like you have to pretend to be okay. In depression therapy, we'll work on understanding why isolation feels safer right now and help you gradually reconnect with people who matter to you.
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EMDR for depression is designed to make difficult feelings more manageable, not worse, though I understand why you'd worry about that. When people ask "does EMDR for depression feel overwhelming," I tell them that we go super slow and you stay in control the whole time. If anything feels too intense during EMDR for depression, we can pause, slow down, or stop completely. Most people describe EMDR as feeling like they're watching their memories from a distance rather than being stuck in them, which actually helps the sadness feel less heavy.
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Look for therapists who work with women and understand the extra pressures women deal with. It's also helpful to find someone who gets your background and culture. Therapists like Zahra Lakhdhir and Suki O'Huallachain create a safe space where you can be yourself without being judged.