What depression can look like
Everyone feels sad or low sometimes, and those feelings usually pass with a little time.1 Depression lasts longer and reaches into daily life. It can change how you feel, think, sleep, and eat. People describe it in different ways, and no two people have the same experience of it. That is why there is no single treatment that fits everyone.1
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Mood
Persistent sadness, an empty feeling, hopelessness, or irritability and restlessness.1
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Energy and motivation
Less energy, fatigue, or feeling slowed down, and little drive to start things that used to feel easy.1
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Thoughts and focus
Trouble concentrating, feelings of guilt or worthlessness, and being hard on yourself.1
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Body
Changes in sleep or appetite, or weight changes you did not plan.1
Depression affects the body as well as the mind. Sleep, appetite, and energy often change, and many people feel numb or disconnected from the people and activities around them.
Depression or a hard stretch
Most people go through rough periods after a loss, a move, or a long run of stress. Those periods usually ease with time. Depression differs in how long it lasts and how much it affects daily life.
Major depression involves several persistent symptoms. They are present nearly every day, for most of the day, for at least two weeks, and they interfere with daily life.1 Diagnosis comes from a licensed professional. Thoughts of death or suicide can be part of depression. If you have them, call or text 988 right away.1,5 A few symptoms that cause real distress can also be worth treating, so you do not have to wait until you meet every criterion.1
About 21 million U.S. adults, and an estimated 5.0 million adolescents ages 12 to 17, had at least one major depressive episode in 2021.2 Among those with severe impairment, an estimated 74.8% of adults and 44.2% of adolescents received treatment that year.2
Other forms of depression
Depression takes more than one form. Persistent depressive disorder, also called dysthymia, is a depressed mood that lasts at least two years. Seasonal affective disorder is depression that follows a seasonal pattern.1
Depression in teens
In teens, depression can show up as irritability more than sadness.1 Lindsey’s profile lists teens among the people she sees. Lindsey’s practice speaks with parents with the teen’s consent, and the goal is to protect the teen’s confidentiality.
When anxiety and depression overlap
Anxiety and depression can overlap, and you do not have to pick one to begin. When both are present, Lindsey’s practice offers anxiety therapy alongside depression therapy. The anxiety therapy page explains how that work looks.
How therapy for depression works
Psychotherapy teaches new ways of thinking and behaving and helps change the habits that may be feeding depression.1 Lindsey’s practice takes a mind-body approach, because depression often lives in the body and nervous system as well as in thoughts. Your plan is shaped around what you are dealing with and what you want to change. Whatever you are experiencing, you can bring it to a first conversation.
- Cognitive Behavioral Therapy (CBT)
Works with the links between thoughts, mood, and daily habits, and builds practical steps for changing patterns that keep low mood in place.
- Dialectical Behavior Therapy (DBT)
Builds skills for steadier emotions, getting through distress, and clearer communication.
- Mindfulness-based approaches
Practices for noticing thoughts and feelings as they arise, so a low mood is easier to see without being swept along by it.
- Compassion-Focused Therapy (CFT)
Builds a kinder inner voice for people who are hard on themselves.
- Somatic therapy
Pays attention to how depression feels in the body, such as heaviness or low energy, and works with the nervous system.
- Brainspotting and EMDR
Used when appropriate for the emotional experiences that may be keeping someone stuck.
Lindsey’s practice also describes its work as neuroscience-informed.
What the research says
The VA and Department of Defense updated their guideline for major depression in 2022.3 For uncomplicated major depression, it recommends treatment with either psychotherapy or medication on its own, based on the person’s preference. It suggests several psychotherapies, including cognitive behavioral therapy, behavioral activation, interpersonal therapy, and mindfulness-based cognitive therapy. The guideline does not rank one psychotherapy above another.3,4
After symptoms ease, cognitive behavioral therapy, interpersonal therapy, or mindfulness-based cognitive therapy can reduce the risk of relapse.3,4
The guideline names CBT and mindfulness-based cognitive therapy.3 Lindsey’s practice offers CBT and mindfulness-based approaches, along with DBT, Compassion-Focused Therapy, somatic work, EMDR, and Brainspotting, which the guideline does not list.3
The National Institute of Mental Health notes that depression treatment typically involves medication, psychotherapy, or both, and that milder cases may begin with psychotherapy alone. Antidepressants usually take 4 to 8 weeks to work, and sleep, appetite, and concentration often improve before mood does.1 Questions about medication are best taken to your physician or a psychiatric prescriber. The VA and DoD guideline also lists self-help options for some people, including exercise and bright light therapy.3 Ask your physician what fits you.
Working with Lindsey Capelli
Lindsey Capelli, LPC, NCC, SAC, leads the practice. Mood and personality disorders are among the areas of focus on her profile, along with anxiety and complex trauma.
She sees teens and adults, in person and virtually, in the daytime and evening.
“Clients may feel disconnected from themselves, low in energy, or like they’re going through the motions without feeling much joy or purpose. We work on both practical ways to reconnect with daily life and the emotional experiences that may be keeping them stuck, using CBT, self-compassion, mindfulness, and Brainspotting or EMDR when appropriate.”
Getting started
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Call (732) 440-9330 or send a request through the contact form. Please leave health details out of the form.
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Our care coordinator will reach out to help you schedule.
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Choose where to meet: in person at 55 Gilbert St W, Ste 3202, Tinton Falls, or virtually from anywhere in New Jersey. Virtual sessions are HIPAA-compliant.
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Appointments are available Monday to Friday, 8 am to 7 pm.
Living Well Counseling Center is an out-of-network, private-pay practice. Read the Good Faith Estimate page for fee information.
If you are worried about someone else
Depression can make it hard for a person to ask for help. You can say what you have noticed, ask how they are doing, and listen without trying to fix it. Offer to find a therapist together, and to be there while they make the first call. If you are worried about their safety, call 911 or 988 right away.5
Related
Questions about depression therapy
Do I need medication, or can therapy be enough?
That depends on you and your symptoms, and it is a decision to make with a physician or psychiatric prescriber. NIMH notes that treatment typically involves medication, psychotherapy, or both, and that milder cases may begin with psychotherapy alone.1 The VA and DoD guideline recommends either one on its own for uncomplicated major depression, based on the person’s preference.3
Can depression affect my body?
Yes. Changes in sleep, appetite, and energy are common symptoms.1 Lindsey’s practice includes somatic therapy, which pays attention to how depression feels in the body.
What is a mind-body approach to depression?
Depression often lives in the body and nervous system as well as in thoughts. Lindsey’s practice combines CBT, DBT, mindfulness-based approaches, Compassion-Focused Therapy, somatic therapy, and neuroscience-informed care.
What if anxiety is part of it?
Anxiety and depression can overlap. Lindsey’s practice offers anxiety therapy when they do.
Is virtual therapy available for depression?
Yes. Virtual sessions are available to clients across New Jersey and are HIPAA-compliant.
Do you accept insurance?
Living Well Counseling Center is out-of-network and private pay. You can read fee information on the Good Faith Estimate page.
Start with a conversation.
Call (732) 440-9330, or send a request through the form. Our care coordinator will reach out to help you schedule.
Sources
- National Institute of Mental Health. Depression (NIH Publication No. 24-MH-8079, revised 2024). (opens in a new tab) Accessed October 6, 2026.
- National Institute of Mental Health. Major Depression (statistics, 2021 NSDUH). (opens in a new tab) Accessed October 6, 2026.
- U.S. Department of Veterans Affairs and Department of Defense. VA/DoD Clinical Practice Guideline for the Management of Major Depressive Disorder (2022). (opens in a new tab) Accessed October 6, 2026.
- American Family Physician. Management of Major Depression: Guidelines From the VA/DoD. 2023;107(3):323-325. (opens in a new tab) Accessed October 6, 2026.
- 988 Suicide & Crisis Lifeline. (opens in a new tab) Accessed October 6, 2026.