Rossman Therapies

Anxiety and depression

Therapy for anxiety and depression

When worry won't let up, or a heaviness settles in and stays, it can feel like you've lost access to yourself. You're not weak and you're not alone. Anxiety and depression are common, they make sense once we understand them, and they are treatable.

Anxiety can feel like

  • —Racing thoughts and constant "what ifs"
  • —Trouble sleeping or switching off
  • —Tension, a tight chest, or an upset stomach
  • —Irritability or feeling on edge
  • —Avoiding things that used to feel manageable
  • —Panic that seems to come from nowhere

Depression can feel like

  • —Heaviness, emptiness, or numbness
  • —Losing interest in things you used to enjoy
  • —Low energy, even after rest
  • —Changes in sleep or appetite
  • —Harsh self-criticism or guilt
  • —Feeling stuck, or that nothing will change

Why they so often show up together

Anxiety and depression are different experiences, but they're closely related. Long stretches of worry wear us down, and exhaustion makes the world feel more threatening. Both tend to narrow our lives: we pull back from people and activities, which brings short-term relief and long-term loneliness. Understanding how they feed each other in your life is often the first step toward loosening their hold.

The cycle that keeps people stuck

  1. 1

    A trigger

    A stressor, a thought, or a feeling shows up.

  2. 2

    A painful response

    Worry rises, or the heaviness deepens.

  3. 3

    A way of coping

    You avoid, withdraw, overthink, or push through.

  4. 4

    Short relief

    It eases for a moment, but life gets smaller and the pattern repeats.

Seeing your own version of this cycle, without blaming yourself for it, is where change begins.

Does this sound familiar?

A reflection, not a diagnosis.

If several of these fit, talking with a therapist can help you make sense of what's happening and find a way forward.

How therapy helps

Understanding first, then relief that lasts

We'll start by getting curious about your experience: when the anxiety or low mood shows up, what stirs it, what you tell yourself, and what you do next. Many people find that simply understanding their emotional responses brings some relief.

From there, we'll look at the patterns underneath, including old beliefs, relationship dynamics, and life circumstances, and build new ways of responding that feel genuine to you. When it helps, I bring in practical tools from approaches like CBT and mindfulness. If you see a prescriber, I'm glad to coordinate care with your permission.

Try it now

A notebook page for a hard moment

Three small practices, done together. Take two minutes with it now, or come back when a feeling spikes.

Step one · Name it

What's here right now?

Pick the closest family, then the word that fits best. Naming a feeling puts a little space around it.

Step three · One small thing

Action before motivation

Step two · Trace one moment

The last time it spiked

Nothing you type here is saved or sent anywhere.

Trusted resources

Anxiety & Depression Association of America ↗
Education on anxiety and depression, free webinars, and online peer support communities.
National Institute of Mental Health ↗
Plain-language guides to the signs of depression and anxiety and how they're treated.
NAMI HelpLine ↗
Free information and support from the National Alliance on Mental Illness. Call 800-950-6264 or text "NAMI" to 62640, weekdays 10 a.m. to 10 p.m. Eastern.

Books worth reading

  • Feeling Good, David D. Burns
  • The Mindful Way Through Depression, Mark Williams, John Teasdale, Zindel Segal, and Jon Kabat-Zinn
  • Self-Compassion, Kristin Neff

Questions about anxiety and depression therapy

How do I know if what I'm feeling is "bad enough" for therapy?+
There's no threshold you have to meet. If something is affecting your sleep, work, relationships, or sense of yourself, it's worth talking about.
Do I need medication?+
Some people benefit from medication alongside therapy, and many don't need it. If you're curious, we can talk it through, and I'm glad to coordinate with a prescriber.
What if I don't know why I feel this way?+
That's very common, and it's part of what we'll explore together. You don't need to understand it before you start.
How long does therapy take?+
It depends on what you're working through. Many people notice some relief within the first few months, and we'll check in regularly about how it's going.

Ready when you are.

The first conversation is free, and there's no pressure.

Book your free consultation