Understanding Depression

What Is Depression? (Psychoeducation)

Depression (Major Depressive Disorder) is more than feeling sad. It’s a medical condition involving changes in brain–body systems that affect motivation, sleep, appetite, and thinking.

• Types: Major Depressive Disorder, Persistent Depressive Disorder (dysthymia), Peripartum/Postpartum Depression, Seasonal Pattern, and Premenstrual Dysphoric Disorder.
• Common cycle: low mood → reduced activity/withdrawal → fewer positive experiences → deeper low mood. Breaking this cycle with small, meaningful actions is key.
• Treatment works: behavioral activation, CBT, IPT, ACT/mindfulness, lifestyle supports (sleep, movement), and—when appropriate—medication. Many people improve with a coordinated plan.

Therapy Options at Astute

Behavioral Activation (BA)

Stepwise plan to rebuild routines, pleasure, and mastery—powerful for breaking the depression cycle.

Cognitive Behavioral Therapy (CBT)

Identify thinking traps, practice new behaviors, and develop tools that support mood and energy.

Interpersonal Therapy (IPT)

Targets role changes, grief, and relationship stress that can trigger or maintain depression.

Acceptance & Commitment Therapy (ACT) / Mindfulness

Build willingness, present-moment skills, and values-guided action—even when motivation is low.

Other Options

Group therapy, skills coaching, and integrative approaches tailored to your needs.

Holistic Supports

Onsite yoga therapy, acupuncture, Reiki, and mindfulness practices to complement psychotherapy.

Coordinated Support

• Collaboration with primary care or psychiatry for evaluation and medication management when helpful
• Nutrition and sleep-hygiene supports to stabilize energy and circadian rhythm
• Referrals to allied health providers for comprehensive care

What to Expect at Astute

1. Comprehensive intake: Understand history, symptoms, strengths, and goals.
2. Personalized plan: Evidence-based therapy + lifestyle supports; referrals as needed.
3. Collaborative care: We coordinate with your medical providers at your request.
4. Skills & momentum: Practical tools for mood, sleep, routine, and relapse prevention.

Why Choose Astute

• Therapists experienced in depressive disorders across the lifespan
• Compassionate, evidence-based care with clear, actionable steps
• Onsite holistic services to support whole-person recovery
• In-person and telehealth options available