Find help for —
Low mood and depression
When getting through the day uses everything you have.
Therapy for low mood and depression, in Bristol and online. Most people come when the flatness has outlasted whatever started it.
First call
Free · 15 minutes
Sessions
50 minutes, weekly
Fee
£85
Format
In person or online
01 — What this can look like
Not a diagnosis
Most people recognise three or four of these.
Depression rarely looks like sadness. More often it looks like everything costing more effort than it should.
Mornings are the hardest part of the day.
Things you enjoyed feel like admin now.
Small decisions take a strangely long time.
You have stopped replying to people you like.
You are sleeping more and resting less.
You are managing at work and nowhere else.
Flat is not the same as fine.
03 — How we work with it
Three ways in, depending on where the flatness sits.
You don’t need to know which one you want. Working that out is part of the first conversation.
Behavioural Activation
When you cannot start anything
We rebuild the small routines first — not because they fix it, but because doing tends to come before feeling rather than after it.
Cognitive Behavioural
When the thinking has turned on you
We look at the conclusions low mood draws about you, and test them against evidence you would accept for anyone else.
Compassion-Focused
When you blame yourself for it
For depression that arrives with a running commentary. We work on the tone before we work on the content.
04 — How I work
Four principles
The first session is mostly listening.
Nothing is decided in advance, and you can stop after any point. This is the shape it usually takes for low mood.
01
The free call
Fifteen minutes to say what is happening in your own words. No notes are taken and nothing follows unless you want it to.
Phone or video
02
Session one
We look at what your week actually contains now, and what it used to contain before this started.
50 minutes
03
Weeks two to six
We start with one small routine rather than a plan for everything. Energy usually returns before mood does.
Usually weekly
04
Reviewing it
Around session six we look honestly at whether this is helping, and decide together what happens next.
Openly, not by default
First call
Free · 15 minutes
Session
50 minutes
Fee
£85
05 — Questions about anxiety
Before the first call
Things people ask me about anxiety
If yours isn’t here, just ask me on the call.
06 — Related reading
From the journal
