Question 1

Can counselling help with depression?

Accepted Answer

Yes. Research consistently shows that approaches like cognitive behavioural therapy, interpersonal therapy, and behavioural activation reduce depression symptoms for most people. Many see improvement within 8 to 12 sessions. For moderate to severe depression, combining counselling with medication from a physician often produces the best results.

Question 2

What type of counselling is best for depression?

Accepted Answer

CBT therapy is the most studied approach and works by targeting negative thought patterns and avoidance behaviours. DBT therapy can help when emotional intensity or self-harm is involved. Interpersonal therapy focuses on relationship difficulties that fuel depressive episodes, and behavioural activation is especially effective when low motivation is the main barrier. The best fit depends on your symptoms and goals.

Question 3

What are signs of depression?

Accepted Answer

Common signs include persistent sadness or emptiness, loss of interest in activities you used to enjoy, changes in sleep or appetite, difficulty concentrating, low energy, feelings of worthlessness, and withdrawal from others. Symptoms lasting two weeks or more may indicate clinical depression. If you recognize these patterns, speaking with a counsellor or your family doctor is a practical first step.

Question 4

How do you help someone with depression?

Accepted Answer

Listen without trying to fix things, and avoid minimizing what they are going through. Offer practical help like finding a therapist or booking an appointment, since low energy makes logistics harder. If they are open to it, suggest exploring counselling together. Take any mention of self-harm or suicidal thoughts seriously and encourage contact with a crisis line or emergency services.

Question 5

How long does depression counselling take?

Accepted Answer

Many people notice early gains within 6 to 8 sessions as routines and coping strategies take hold. Acute depression typically responds well to 8 to 16 sessions total. Timelines can extend when depression co-occurs with other concerns like grief counselling or addiction counselling. Your counsellor will set clear goals early and adjust the plan based on progress.

Question 6

Do I need medication or is therapy enough for depression?

Accepted Answer

For mild to moderate depression, therapy alone is often effective. For more severe cases, research shows combining therapy with medication tends to produce better outcomes than either alone. Counsellors in Canada cannot prescribe medication but can coordinate with your family doctor or psychiatrist. The right approach depends on symptom severity, your history, and personal preference.

Question 7

What if my motivation is too low to start?

Accepted Answer

Low motivation is a symptom of depression, not a personal failing, and counsellors expect it. Early sessions focus on small, manageable actions rather than big lifestyle overhauls. online therapy can reduce the friction of getting to an appointment when leaving the house feels like too much. Starting is often the hardest step, and a good therapist will pace things to your capacity.

Question 8

What are 5 coping skills for depression?

Accepted Answer

Five evidence-based strategies include scheduling small meaningful activities even when motivation is low, challenging negative thought patterns, maintaining social connections despite the urge to withdraw, incorporating regular movement or exercise, and reconnecting with personal values. ACT therapy builds on that last skill by helping you identify what matters and take action aligned with it, even when depression narrows your focus.

Question 9

When should I see a depression specialist instead of a general counsellor?

Accepted Answer

Consider a specialist if symptoms are severe, recurring, or have not responded to previous treatment. If symptoms began after childbirth, postpartum depression support providers offer targeted support. For teenagers showing signs of depression, teen therapists understand the developmental and social factors that general counsellors may miss. A specialist is also worth considering when depression overlaps with trauma, grief, or substance use.

Question 10

Can depression come back after therapy?

Accepted Answer

Yes, depression can recur, and that does not mean therapy failed. Good counselling includes relapse-prevention strategies so you can recognize early warning signs and respond quickly. Recurrence risk increases when depression overlaps with unresolved trauma or persistent anxiety. If that applies, trauma and PTSD therapists or anxiety therapists specialists can help address those layers alongside your depression work.

Profession	Avg. hourly rate
Social Worker	$159/hr
Psychotherapist	$161/hr
Psychologist	$202/hr
Counsellor	$157/hr
Sexologist	$125/hr

City	Avg. hourly rate
Montreal	$163/hr
Westmount	$163/hr
Outremont	$162/hr
Mont-Royal	$162/hr
LaSalle	$161/hr
Longueuil	$160/hr

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