Most people think of depression as sadness. The tearful commercials, the raincloud metaphors, the “can’t get out of bed” imagery.
But in therapy, depression rarely looks that simple. Sometimes it’s sadness, yes. But other times, it’s feeling stuck, emptiness, irritability, fatigue, or a kind of quiet disconnection that words can’t quite reach.
I often tell clients: Depression isn’t always about feeling sad.
It’s the sense that your emotional “volume” has been turned down too low, that life has lost its color. You might still go to school, work, still care for your family, still smile when someone cracks a joke, but inside, everything feels flat.
And the hardest part? You start to believe that it is your fault.
Depression isn’t a sign of weakness, failure, or laziness. It’s not “just being negative” or “not trying hard enough.”
It’s a physiological and psychological condition that affects how your brain and your body respond to stress and reward. When the brain’s chemical messengers, serotonin, dopamine, and norepinephrine, are disrupted, it can distort how you experience pleasure, motivation, and connection.
Your nervous system, in survival mode, starts conserving energy. That’s why everything feels like moving through the mud, even the things you want to do.
The brain is doing what it thinks will keep you safe. But in doing so, it can trap you in a cycle where every thought, emotion, and behavior reinforces the message: “I’m not okay, and I can’t fix it.”
That’s not a weakness. That’s biology doing its best with a system that is overworked and under-resourced.
Many people don’t recognize depression because they aren’t crying all of the time.
Instead, depression can show up as emotional numbness and feeling disconnected or “blank”. It can show up as self-criticism and an internal voice that says you’re not enough, no matter what you do. Depression can present as irritability or snapping at loved ones, even when you don’t mean to. Depression is fatigue and a heaviness that sleep doesn’t fix. Finally, depression can show up as disconnection and withdrawing from others to avoid the effort of pretending that you are okay.
In therapy, these experiences aren’t treated as symptoms to eliminate. They’re treated as signals, your body’s way of saying: I’m tired of holding so much for so long.
Depression often functions like a feedback loop or cycle: low energy leads to withdrawal, which leads to isolation, which deepens low mood.
Therapy helps recognize and interrupt that cycle. Not through forced positivity, but through gentle reconnection.
We work to identify patterns that fuel hopelessness and replace them with more balanced ways of thinking.
We focus on relationships and how changes, losses, or conflict in relationships affect your mood.
We explore what your depression might be protecting you from. Shame, fear, or unprocessed pain.
Slowly, you learn that healing doesn’t require erasing the dark. Instead it means learning to sit with it, name it, and slowly bring in the light.
Sometimes that looks like getting out of bed.
Sometimes it’s texting a friend.
Sometimes it’s just showing up to therapy and saying. “I’m here.”
And that’s enough to start.
If you’re living with depression, you are not failing at life. You are surviving something hard and oftentimes invisible.
Healing from depression isn’t about getting back to your old self. It’s about becoming a version of yourself who can feel safe, connected, and compassionate again.
Because depression doesn’t erase who you are, it just covers it for a while.
And with time, care, and support, you can remember what it feels like to feel you again.
If this resonates with you, or if you have been quietly carrying the weight of something heavy, reach out. You don’t have to do this alone.
Therapy can help you make sense of the stuckness and help your nervous system find its way back to rest, connection, and hope.
Callie is a Licensed Marriage and Family Therapist who's passionate about creating a safe and supportive space for individuals, couples, and families. She specializes in helping people navigate life transitions, relationship challenges, anxiety, depression, trauma, and identity exploration. Her approach is collaborative and compassionate. She believes that healing happens when we feel seen, heard, and supported.