Nick Sanchez, LMFT
Call (408) 990-2827
Text (408) 990-2827
Book Appointment

Depression Therapy

When Everything Looks Fine, But Nothing Feels Right

Depression in high-performing professionals does not always look the way people expect. You are still showing up, still producing, still holding everything together on the outside. But internally, things have gone flat. The motivation that used to come naturally now requires effort. The things that once brought you satisfaction feel hollow.

You might be going through the motions at work, withdrawing from the people closest to you, or noticing that nothing feels like it matters the way it used to. This is not laziness or a phase. It is a signal that something deeper needs attention.

How Depression Shows Up

Loss of motivation or interest in things you used to care about. Fatigue that sleep does not fix. Difficulty being present with your partner, your kids, or your team. Irritability that feels disproportionate to the situation. A persistent sense that something is missing, even though you cannot name what it is.

For many of my clients, depression has been building quietly for a long time underneath the demands of their career and life.

depression therapy

My Approach to Depression

I do not treat depression as something to push through or medicate away as a first line of defense. Depression, like anxiety, is information. It often points to a disconnect between how you are living and what actually matters to you.

From an Existential-Integrative framework, depression frequently shows up when someone has been prioritizing achievement, productivity, or external expectations at the expense of meaning, connection, and authenticity. The work is about identifying where that disconnect is and addressing it directly.

What to Expect

We start with an honest assessment of where things stand and what is contributing to the depression. If immediate stabilization is needed, we address that first.

From there, we use the 10-session framework to work through the underlying patterns. For many clients, this means exploring questions about meaning, purpose, and identity that have been buried under the demands of career and responsibility.

I will not tell you to think positively or push harder. I will help you get honest about what is actually going on, sit with the difficult emotions rather than avoid them, and start making changes that address the root cause rather than the symptoms.

depression therapy