For the heaviness that doesn't lift — the low mood, the numbness, the things you used to care about that don't move you anymore. A direct, practical path out of the fog. In-person in Pasadena, Texas and statewide via telehealth.
It doesn't always look like crying in a dark room. Sometimes it's just flat — going through the motions, answering when spoken to, getting less and less out of the things that used to matter. The energy is gone, the sleep is off, and a quiet voice keeps telling you that you're not enough. Depression is a real medical condition, not a character flaw, and it is more than "just having the blues."
I'm David, a Licensed Psychotherapist in Pasadena, Texas. I work with adults whose depression doesn't always show on the outside — people still showing up to work and family while feeling hollow underneath. Therapy here isn't endless venting that circles the same heaviness. It's a focused, practical space to understand what's driving the low mood and build real tools to start moving again.
You don't have to wait until you can't get out of bed to take this seriously. If you want to understand the mechanics first, I wrote a plain-language guide on how depression works. And if the low mood traces back to something older, this work pairs naturally with trauma therapy.
"I felt like I was trapped in a dark deep hole and the light at the end kept getting further away. Talking to someone is what finally turned it around."
A client's experienceDepression therapy here is not:
I use structured, well-researched approaches built to actually move depression — not open-ended talk that keeps you stuck in the heaviness. We start with what's fueling the low mood, build tools you can use in real life, and keep it tied to your day-to-day. Three methods anchor the work:
Cognitive Behavioral Therapy
Depression runs on thinking patterns — "I'm worthless," "nothing will change," "it's hopeless." We find those patterns and build practical ways to challenge and shift them. The gold-standard approach for depression, and it works.
Behavioral Activation
Depression tells you to wait until you feel better to do anything — but the doing is what brings the feeling back. We rebuild small, doable activity so momentum and energy start to return.
Acceptance & Commitment Therapy
When everything feels flat, it's easy to drift from the things that give life meaning. This work helps you make room for the hard feelings and take real steps back toward the life you actually want.
You don't need a formal diagnosis or a breaking point to start. These are the themes that bring people in most often.
Persistent sadness, emptiness, or a flat numbness that colors everything. We work to understand what's underneath it and build a way back toward feeling like yourself.
The things you used to enjoy don't move you anymore. We rebuild connection to activity and meaning so the world stops feeling gray and far away.
"I'm worthless," "nothing will change," "it's my fault." We get underneath the harsh inner voice and shift the pattern that keeps the low mood going. More on depression →
Drained energy, sleeping too much or too little, a body that feels like it's moving through mud. We address the physical side of depression so the basics stop feeling impossible.
Not answering texts, canceling plans, staying inside. We gently interrupt the isolation loop that quietly deepens depression and keeps you stuck.
Loss, a breakup, a job, a season of life that ended. We make room for grief and find steady footing again — without rushing or minimizing what you've been through.
Cost shouldn't be the reason you keep putting this off. Most major plans are accepted, and if you don't see yours, reach out — we'll verify your benefits together before your first session.
Don't see your plan listed? Get in touch and we'll check together.
A free 15-minute consultation is a low-pressure way to see if the fit is right — no commitment, no paperwork. Reach out by phone, email, or book online.