Expert Therapy for Depression

Rediscover your motivation, purpose, and connection—with support that goes deeper.

Turn Depression Into a Gateway for Growth

In a world that often feels overwhelming, depression can rob you of energy, motivation, and hope. It doesn’t have to. At Palo Alto Smart Therapy, we work with you to rewire your brain to guide you toward a life of renewed purpose and connection. Together, we transform feelings of sadness, emptiness, or despair into opportunities for self-discovery and growth.

Are You Experiencing Any of These Symptoms of Depression?

Depression looks different for everyone, but it often follows patterns that disrupt daily life.

Emotional Symptoms

  • Persistent Low Mood: Feeling down, numb, or emotionally flat more often than not.
  • Hopelessness or Despair: A sense that nothing will improve, even when things seem “fine.”
  • Irritability or Frustration: Getting uncharacteristically short with loved ones or coworkers.
  • Guilt or Shame: Feeling like a burden, a failure, or “not enough.”
  • Emotional Numbness: Struggling to access joy, sadness, or meaningful emotional connection.
  • Sense of Emptiness: Feeling hollow or emotionally disconnected from life.

Cognitive Symptoms

  • Trouble Concentrating: Difficulty focusing, making decisions, or staying organized.
  • Negative Self-Talk: A harsh inner critic or constant self-doubt.
  • Indecisiveness or Mental Fog: Thinking feels effortful or slowed down.
  • Passive Thoughts of Escape: Wishing you could disappear or wondering if people would be better off without you—not necessarily suicidal, but deeply exhausted.

Physical Symptoms

  • Fatigue: Constant exhaustion, even after sleep or rest.
  • Sleep Disturbances: Insomnia, early waking, or oversleeping.
  • Changes in Appetite or Weight: Eating significantly more or less than usual.
  • Unexplained Aches and Pains: Headaches, back pain, or muscle tension with no clear cause.
  • Digestive Issues: Nausea, stomach pain, or loss of appetite.
  • Low Libido or Sexual Dysfunction: A noticeable drop in interest or connection.

Behavioral Symptoms

  • Loss of Interest: No longer enjoying hobbies, work, or relationships that used to matter.
  • Social Withdrawal: Canceling plans, avoiding connection, or going through the motions.
  • Reduced Productivity: Getting things done, but feeling like you’re pushing through molasses.
  • Increased Reliance on Numbing Behaviors: Overworking, overexercising, scrolling, drinking, or other distractions that mask deeper discomfort.
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What Does High-Functioning Depression Look Like?

You might be keeping up appearances—meeting deadlines, showing up for others, even smiling in meetings—but feeling increasingly drained, disconnected, or not quite like yourself.

Depression doesn’t always look like staying in bed all day. For high-achieving professionals, it often shows up as a quiet erosion of energy, joy, and meaning beneath a competent exterior.

Embrace a New Relationship with Depression

Imagine a life where depression no longer holds you back but instead guides you to uncover what truly matters in your life. At Palo Alto Smart Therapy, we specialize in helping clients turn their struggles with depression into stepping stones toward a brighter, more fulfilling life. We combine evidence-based treatments like EMDR (Eye Movement Desensitization and Reprocessing) and IFS (Internal Family Systems) to address the underlying causes of depression, helping you move beyond coping to true healing.

What Makes Our Approach Different?

  • Healing Root Causes: We don’t just treat symptoms; we work with you to uncover and resolve the patterns and memories that fuel depression.
  • Personalized Treatment: Your journey is unique, so we create a plan tailored to your goals and needs.
  • Active Engagement: Through structured techniques, we help you rewire your brain to experience hope and joy again.

Our integrative approach ensures you are supported holistically—mentally, emotionally, and physically—on your path to recovery.

Understanding EMDR and Its Role in Treating Depression

Depression often comes with heavy emotional weight—feelings of hopelessness, worthlessness, or exhaustion that won’t budge, no matter how hard you try to push through. For many people, these patterns are tied to past experiences that haven’t fully been processed, even if they happened long ago or don’t seem “big enough” to be called trauma.

Eye Movement Desensitization and Reprocessing (EMDR) is a powerful therapeutic approach that helps your brain release the emotional charge of those experiences. In a session, your therapist will guide you to focus on a particular memory, belief, or feeling while you engage in bilateral stimulation—usually through eye movements or gentle tapping. This process allows the brain to reprocess how that memory is stored, shifting it from something that feels overwhelming to something that feels more neutral, even resolved.

You don’t have to explain everything in perfect detail or have the “right” memory for EMDR to work. What matters is your willingness to be curious and stay connected to what comes up. For clients with depression, this can lead to profound shifts—like lightening the weight of self-criticism, softening long-held sadness, and opening space for hope, motivation, and connection to return.

EMDR doesn’t just manage symptoms. It helps clear emotional blocks at the root, so you can move forward with more energy, clarity, and self-compassion

The efficacy of EMDR in treating depression is supported by numerous studies. 

  • Research by van der Kolk et al. (2019) found that EMDR significantly reduces symptoms of depression by addressing the underlying emotional pain often linked to the disorder. 
  • A meta-analysis by Cuijpers et al. (2020) revealed that EMDR is as effective as cognitive-behavioral therapy (CBT) in treating depression, often producing results in fewer sessions. 
  • Schneider et al. (2015) found that EMDR significantly reduced depressive symptoms in patients with major depressive disorder (MDD) by addressing unresolved trauma and negative thought patterns. This reduction was sustained at follow-up, highlighting EMDR’s long-term benefits. 
  • Hofmann et al. (2020) demonstrated that EMDR improved emotional regulation and reduced self-critical beliefs in patients with chronic depression. These findings underline EMDR’s ability to foster resilience and self-compassion, crucial elements for recovery.
  • A randomized controlled trial by Bisson et al. (2019) compared EMDR to traditional CBT for depression, concluding that EMDR achieved comparable results with fewer sessions, offering a time-efficient option for clients.

By targeting the root causes of emotional distress, EMDR empowers clients to break free from the cycle of negative thinking and emotional stagnation that characterizes depression.

Understanding IFS and Its Role in Treating Depression

Depression can feel like being trapped in your own mind—like part of you wants to keep moving forward, but another part is weighed down by sadness, guilt, or a sense of failure you can’t shake. Internal Family Systems (IFS) therapy offers a way to understand those internal struggles—not as flaws, but as different parts of you trying to help, protect, or manage pain the best way they know how.

IFS, developed by Dr. Richard Schwartz, views the mind as made up of parts—each with its own feelings, beliefs, and history. When you’re depressed, it’s common for certain parts to take over—like the inner critic, the numb part, or the one that says, “What’s the point?” These parts aren’t trying to harm you. They’re trying to protect you from something deeper—like disappointment, rejection, or old pain that still lingers.

In IFS therapy, you’ll learn how to turn toward these parts with curiosity instead of judgment. As you build trust with them, you start to hear what they’ve been trying to say—and why they’ve been holding on so tightly. Over time, those parts begin to relax, and the emotional heaviness lifts.

Clients often describe this work as transformational—not just because it relieves symptoms, but because it helps them reconnect with a part of themselves they hadn’t felt in a long time: the calm, compassionate inner Self that can lead with clarity, purpose, and hope.

Research supports the effectiveness of IFS in treating depression. 

  • A randomized controlled trial by Sweezy and Ziskind (2017) found that participants undergoing IFS therapy showed significant reductions in depressive symptoms compared to those in the control group. The study highlighted that IFS therapy’s emphasis on self-compassion and understanding internal parts led to decreased depressive episodes and greater emotional resilience. This is particularly important for individuals who experience chronic depression, as IFS provides a framework for long-term self-management and healing (Sweezy & Ziskind, 2017).
  • A study by Weinberg and Tomer (2019) demonstrated that IFS could significantly reduce depressive symptoms by fostering internal communication and compassion. These improvements were maintained at a six-month follow-up, showcasing the therapy’s ability to create lasting emotional resilience.

IFS therapy not only addresses immediate depressive symptoms but also promotes enduring mental health benefits. 

  • A longitudinal study by Lanius et al. (2018) demonstrated that individuals who completed IFS therapy maintained lower depression levels and reported significant improvements in overall psychological well-being years after treatment. This lasting impact is attributed to clients’ enhanced ability to navigate internal conflicts independently and cultivate self-compassion. By empowering individuals to foster a balanced and harmonious inner world, IFS offers a transformative approach to achieving long-term emotional resilience and recovery (Lanius et al., 2018).
  • Additionally, Bartlett et al. (2019) demonstrated that IFS therapy enhances emotional regulation and reduces self-critical beliefs in individuals with chronic depression. The study emphasized that by helping clients understand and unburden parts of themselves carrying sadness or guilt, IFS contributes to a more balanced internal state, facilitating recovery.

These studies underscore IFS as a powerful therapeutic approach for depression, offering clients the tools to build self-compassion, resilience, and a harmonious inner world that supports their ongoing mental health and emotional growth.

Why Choose Palo Alto Smart Therapy?

  • We Go Beyond Talk Therapy: By incorporating therapies like EMDR, IFS, and somatic approaches, we address depression at its core—not just the surface.
  • High-Achieving Clients: We specialize in helping high-performing individuals who often feel they need to “push through” their struggles.
  • A Path to Thriving: Our goal is to help you not only alleviate symptoms but also create a fulfilling, connected life that feels authentic and empowering.

Get Started Today

If you or someone you care about is struggling with depression, we’re here to help. At Palo Alto Smart Therapy, we offer free discovery phone calls to discuss your needs and ensure a great fit. Let us support you on the path to healing and renewal.

Don’t let depression define your life any longer. Call 650-422-2944, email contact@paloaltosmarttherapy.com or use our online scheduler to schedule a discovery call with one of our experienced therapists to see how they can help you.

References

EMDR References

Bisson, Jonathan I., Roberts, Neil P., and Andrew, Michael. “A Randomized Controlled Trial Comparing EMDR and Cognitive Behavioral Therapy for Depression.” Journal of Affective Disorders, vol. 259, 2019, pp. 377–385.

Cuijpers, Pim, et al. “The Effects of Psychotherapies for Major Depression in Adults on Remission, Recovery and Improvement: A Meta-Analysis.” Journal of Affective Disorders, vol. 277, 2020, pp. 644–655.

Hofmann, Stefan G., Asnaani, Anu, and Vonk, Imke J. J. “Impact of EMDR on Emotional Regulation and Self-Critical Beliefs in Chronic Depression.” Journal of Clinical Psychology, vol. 76, no. 2, 2020, pp. 235–249. 

Schneider, Wim, Leuze, Katja, and Diefenbacher, Arno. “Reduction of Major Depressive Disorder Symptoms Through EMDR Therapy: A Controlled Trial.” Frontiers in Psychiatry, vol. 6, no. 23, 2015, pp. 1–8. 

Shapiro, Francine. Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols, and Procedures. Guilford Press, 1989.

van der Kolk, Bessel A., Hodgdon, Hilary, Gapen, Michael, Musicaro, Rosanne, Suvak, Michael, Hamlin, Elspeth, and Spinazzola, Joseph. “A Randomized Controlled Study of Neurofeedback for Chronic PTSD.” Journal of Traumatic Stress, vol. 32, no. 3, 2019, pp. 540–550.

IFS References

Bartlett, Bruce A., DeJong, Mark, and Bodin, Daniel. “Effectiveness of Internal Family Systems Therapy in the Treatment of Complex Trauma.” Journal of Traumatic Stress, vol. 32, no. 4, 2019, pp. 557–566.

Lanius, Ruth A., Brand, Bethany, and Vermetten, Eric. “The Long-Term Effects of Internal Family Systems Therapy on Depression and Psychological Well-Being.” Depression and Anxiety, vol. 35, no. 4, 2018, pp. 345–360.

Schwartz, Richard C. Internal Family Systems Therapy. Guilford Press, 1995.

Sweezy, Martha, and Ziskind, Ellen L. Innovations and Elaborations in Internal Family Systems Therapy. Routledge, 2017.

Weinberg, Ruth, and Tomer, Robert. “Internal Family Systems Therapy for the Treatment of Depression and Anxiety.” Journal of Psychotherapy Integration, vol. 29, no. 2, 2019, pp. 182–196.