Our licensed clinicians use therapies with the strongest research base for depression: cognitive behavioral therapy (CBT), behavioral activation, interpersonal therapy (IPT), and ACT.
This may be a good fit if you experience…
- ✓Major depressive disorder (single or recurrent episode)
- ✓Persistent depressive disorder (dysthymia)
- ✓Seasonal affective disorder (SAD)
- ✓Postpartum or perinatal depression
- ✓Grief, life transitions, or burnout-related low mood
- ✓Depression alongside anxiety, ADHD, or chronic illness
Key benefits
Mood & Energy Lift
Targeted therapy works to interrupt the depressive spiral so motivation, sleep, and appetite can begin to recover.
Restored Daily Functioning
Behavioral activation rebuilds the small daily wins, such as getting dressed, work, and social contact, that depression erodes.
Healthier Thinking Patterns
CBT identifies and reframes the harsh, all-or-nothing thoughts that keep depression alive.
Stronger Relationships
IPT addresses the role transitions, conflicts, and losses that often trigger or sustain depression.
Relapse Prevention
You leave with a personalized early-warning plan and skills that lower the odds of a recurrence.
Hope That Feels Real
Clients often describe a shift from 'this is who I am' to 'this is something I can move through.'
Approaches we use
Cognitive Behavioral Therapy (CBT)
An evidence-based treatment for depression. CBT teaches you to spot, test, and shift the thought patterns that fuel low mood, and to build behavior that supports recovery.
Behavioral Activation (BA)
Depression shrinks your world; BA carefully expands it again. Small, scheduled, rewarding activities re-train the brain's reward system, often before mood lifts.
Interpersonal Therapy (IPT)
A short-term, structured therapy that targets the four interpersonal triggers most linked to depression: grief, role transitions, conflict, and isolation.
Acceptance & Commitment Therapy (ACT)
When depression includes deep self-criticism or stuckness, ACT helps you defuse from harsh thoughts and act on your values even before mood shifts.
Mindfulness-Based Cognitive Therapy (MBCT)
For recurrent depression, MBCT cuts relapse risk by roughly half by teaching you to notice early warning signs without slipping back into the spiral.
How we work
- 1
Personalized Treatment Plan
After a thorough intake, we map your symptoms, history, and goals to the therapy approach with the best evidence for your presentation. No one-size-fits-all.
- 2
Active, Skill-Building Sessions
Sessions are warm but structured. You leave with concrete experiments to try, not just insights.
- 3
Coordinated Care When Needed
We collaborate with prescribers, primary care, and other specialists when medication, sleep, or thyroid issues are part of the picture.
The CBT Triangle
Thoughts, feelings, and behaviors influence each other. Change one and the others shift.
Thoughts
‘I'm going to embarrass myself.’
Feelings
Anxiety, dread, racing heart.
Behaviors
Avoid the meeting, cancel plans.
CBT interrupts the loop at any corner, most often by testing the thought.
Our approach at Crown Counseling
Depression is one of the most common reasons clients reach out to Crown Counseling, and one of the most treatable. Our approach starts with a comprehensive intake to understand the shape of your depression: how long it's lasted, what triggered the current episode, how it shows up in your body and relationships, and what's keeping it stuck. From there your therapist recommends the modality with the strongest evidence for your specific presentation.
For most clients, treatment combines cognitive behavioral therapy (CBT) with behavioral activation. CBT helps you identify the recurring thoughts ('I'm a burden,' 'Nothing will change,' 'It's all my fault') that depression generates and treats as fact. Behavioral activation tackles the other half of the cycle: depression tells you to do less, and doing less makes depression worse. We schedule small, rewarding activities that re-engage the brain's reward system, often before mood feels different.
Research backs this approach. A landmark meta-analysis by Cuijpers and colleagues (2023) found that CBT, behavioral activation, and interpersonal therapy all produce large, durable improvements in depression, with effects comparable to antidepressant medication and longer-lasting after treatment ends [1]. For clients with recurrent depression, mindfulness-based cognitive therapy roughly halves relapse rates compared to usual care [2].
At Crown, weekly 50-minute sessions are the standard starting point, and we review progress with you at set points rather than assuming a timeline. We coordinate with your prescriber when medication is part of your plan, and we incorporate sleep, exercise, light exposure, and nutrition supports, small lifestyle levers that compound the effects of therapy. For postpartum, grief-driven, or trauma-rooted depression, we adapt the approach accordingly, often weaving in IPT or trauma-informed work.
What to expect
- 1
Intake call (15 min): insurance verification and therapist match
- 2
First session: full history, symptom mapping, goal-setting
- 3
Sessions 2–6: active skill-building (CBT + behavioral activation)
- 4
Sessions 7+: consolidation, relapse prevention, gradual tapering
- 5
Optional check-ins after termination, quarterly or as needed
References
- Cuijpers, P., Miguel, C., Harrer, M., et al. (2023). Cognitive behavior therapy vs. control conditions, other psychotherapies, pharmacotherapies and combined treatment for depression: a comprehensive meta-analysis World Psychiatry, 22(1), 105–115
- Kuyken, W., Warren, F. C., Taylor, R. S., et al. (2016). Efficacy of mindfulness-based cognitive therapy in prevention of depressive relapse JAMA Psychiatry, 73(6), 565–574
