Depression — evidence-based therapy in Parramatta and online.
Depression responds well to structured, active treatment. Behavioural activation and CBT have among the strongest evidence base — focused on the patterns of withdrawal, rumination and self-criticism that keep low mood running, with practical between-session work from the start.
How depression tends to show up.
What tends to keep it going.
Patterns are often maintained by the very things we do to cope with them. Therapy targets these directly.
Behavioural withdrawal
Depression pulls you away from the activities that would lift mood — rest feels like the answer but often deepens the cycle.
Rumination
Going over problems mentally feels like problem-solving, but usually keeps you stuck. A core target in depression therapy.
Self-critical thinking
A harsh inner voice that filters every event through a lens of inadequacy — reinforces the low mood on every rep.
Disrupted sleep & routine
Low mood disrupts sleep, irregular sleep worsens mood. Structure and circadian rhythm get targeted early.
Behavioural activation first, cognitive work second, structured and explicit.
Why I’m a fit for depression.
In-person at Parramatta, serving Westmead, Harris Park, Granville, North Parramatta, Rosehill and Merrylands and surrounding Sydney suburbs. Telehealth available Australia-wide.
Common questions about depression.
Do I need medication?
For moderate-to-severe depression, medication plus therapy often outperforms either alone. For milder presentations, therapy alone is usually sufficient. That conversation belongs with your GP — I’ll give my input but won’t prescribe.
I’ve tried therapy before and it didn’t help.
Common — and worth a conversation. The evidence base for depression is strongest for structured, behavioural approaches (behavioural activation, CBT). At session one we’ll look at what’s been tried, what helped, and what didn’t, and build a plan from there.
Will I have to do behavioural activation when I have no energy for anything?
The point of behavioural activation is precisely that you start before motivation returns — motivation tends to follow action, not precede it. We start small and specific, paced to what you can actually do this week, not what a non-depressed version of you could do.
What if I’m having thoughts of suicide?
Tell me. We’ll build a safety plan early and work at a pace that accounts for this. If you’re in crisis right now, call 000 or Lifeline on 13 11 14.
How long does depression treatment take?
Many evidence-based protocols for depression typically run 12–20 sessions, longer for chronic or recurrent presentations. However, there is no one-size-fits-all answer. The right length for you depends on severity, complexity, and how the depression is showing up — we agree an expected range at session two and review as we go.
Other presentations I help with.
Ready to start? Request an appointment.
The enquiry form is the quickest way to reach me. A sentence or two about what you’re looking for is enough — I’ll reply within one business day.