Depression Counseling
What is depression?
Depression is a common medical illness that negatively influences your emotions, thoughts and even actions. Though the common assumption is that depression affects the mind only, the fact is: depression affects both the mind and body. Depression is more than just about feeling sad. It is about feeling worthless, having no desire to enjoy life, feeling helpless and blaming yourself for having such feelings. Even in these dark moments, it is important to remember that depression is treatable and can be overcome given time and proper counseling.
Several types of depression can be clinically diagnosed. One of the most extreme being the Bipolar disorder, also called Manic depression.
This is a type of depression characterized by unusual mood swings and shifts in energy levels, hindering the patient’s ability to carry out normal daily activities. Changes in mood swings range from manic episodes where the patient is extremely elated and bursting with energy to depressive episodes of low energy, sadness, and feeling of despair.
Frequency and intensity of the occurrence of both episodes; and the time intervals between them vary between patients. Periods may last days or months, in severe cases losing touch with reality and developing suicidal thoughts. Some may experience an extreme high of manic episodes or moderate hypomanic episodes. Causes may be genetic, environmental factors or brain disorder. Treatment is long-term and requires a combination of both medicine and psychotherapy.
What causes depression?
There is no specific cause for depression. Triggers vary from person to person. Sometimes the reason for being depressed may be apparent and easy to pinpoint, but other times the cause can be a mystery to the patient as well.
The following are common reasons that can be attributed to the development of depression:
• Frozen anger – this is anger that was not expressed when at the time of cause and became suppressed. Eventually, such anger bottles up and causes depression.
• Bereavement – losing a loved one is hard on everyone. But what leads to depression arises from how the loss is dealt with. Failing to grieve or expression of emotions can drive a moaner to despair.
• Adverse childhood experiences – emotional or physical abuse and other negative childhood experiences can still affect one as an adult if unresolved and be a contributor towards depression.
• Challenging life events – life has its challenges, but some such as loss of a job, divorce or financial problems when not properly handled can be a reason for depression.
• Social media life comparison – this is especially a contributing factor to depression among the younger generation. The constant comparison of yourself and your life with others on social media can become unhealthy when it leads to feelings of self-worthlessness.
How does depression feel?
Just like the causes of depression, the signs and symptoms of depression also vary from one patient to the next. And most people fail to seek help for depression because they can’t exactly tell if they are depressed or not. If you are finding it hard to cope with your emotions and life itself, it is essential to seek help even without a self-diagnosis of depression.
If you identify yourself experiencing at least 5 of the following signs or symptoms, you could be depressed.
• Being easily irritable, agitated, restless and intolerant of others
• Being extraordinarily tearful or continuously worried and anxious.
• Being unable to concentrate, focus on a specific activity and unable to make sound decisions.
• Change in sleeping patterns; insomnia or oversleeping.
• Change in eating habits; overeating or loss of appetite..
• Loss of interest in activities previously enjoyed; such as hobbies or social activities.
• A feeling of worthlessness, hopelessness and excessive guilt.
• Thoughts of committing suicide or suicide attempts.
• Unexplained and constant aches such as headaches or muscle aches.
• Inability to handle your usual responsibilities in work life or parenting life.
• Lack of motivation for living or even to carry out every day simple tasks such as getting up..
Treatment of depression
The most effective treatment for depression is Psychological therapy. This involves airing and discussing your feelings with a Psychological therapist. Sharing a problem is only half solving it. Therapist offer counseling and guidance towards self-improvement and happiness.
Successive sessions with a therapist breakdown the patient’s undesired emotion to their roots, and together come up with solutions and techniques for handling the problem.
Among other behavioral therapies, Cognitive behavior therapy (CBT) has been helpful to the recovery process of depression patients.
Why seek help?
Depression can be a dark hole in which we struggle to get out, but find ourselves falling right back in. The strength comes when you begin to identify your individual symptoms of depression and recognize when you are slipping backward. That is when change happens, and you can implement strong coping skills so that even when you feel yourself stumble you recover quickly. We help clients identify their individual depression, the symptoms, habits and the things that empower them and pull them out of that dark hole.
Don’t keep your feeling buried; where they will cause more harm, there is no shame in being depressed it happens to the strongest of us. The way we handle our emotions is what keeps us sane. Remember the first step on the road to recovery is acceptance.
Depression Therapists at Gibson Counseling

Ida MacDonald, LPC, CMHIMP
Ida's Patient Portal / New Client Registration Read more about Ida
Location: Video Only for Texas Residents
Evaluations Offered: Health Assessment
Insurances Accepted: Cigna/Evernorth, Tricare, United Health Care (UMR, Optum, Oscar, Allsavers), Optum EAP, Blue Cross Blue Shield, Humana, Multiplan/PHCS, Aetna (NO AETNA EAP), Sendero, Self pay $110
Accepting New Clients: Yes (Video only)
Expertise: Adults, Couples, Kids (16 year and up)
- ADHD (Adult Only)
- Child and adolescent counseling (16 and up)
- Integrative Holistic Counseling
- Anger
- Anxiety
- Christian Counseling
- CBT
- Depression
- Life adjustment
- Marriage Counseling / Couples
- Premarital

Whitney Briggs, LPC
Whitney's Patient Portal / New Client RegistrationRead more about Whitney
Location: Video Therapy for residents in Texas
Insurances Accepted: Aetna (NO AETNA EAP), Beacon Options, Blue Cross Blue Shield, Cigna/Evernorth (NO CIGNA EAP), Humana, Multiplan/PHCS, Sendero, Tricare, United Health Care (UMR, Optum, Oscar, Allsavers) , Triwest-VA, Self pay $150
Accepting New Clients: YES (Video Only) ADULTS, COUPLES & CHILDREN OVER 12
Expertise: Adults

Sheryl Stiffler, LMFT
Sheryl's Patient Portal / New Client RegistrationRead more about Sheryl
Location: Video Therapy for residents in Texas
Insurances Accepted: Aetna (NO AETNA EAP), BCBS, Beacon, Cigna/Evernorth (NO CIGNA EAP), Humana, Multiplan/PHCS, Sendero, Tricare, United Health Care (UMR, Oscar, Optum, Allsavers), Triwest-VA, Self pay $150
Accepting New Clients: YES (video only) Daytime availability only
Expertise: Kids (6 yr and up), Adults and Couples

David "Nathan" Evans, LPC
Nathan's Patient Portal / New Client Registration Read more about Nathan
Location: In Person and Video for Texas residents
Insurances Accepted: Aetna, Blue Cross Blue Shield, Cigna, United Health Care (UMR, Oscar, Optum, Allsavers), Multiplan/PHCS, Humana, Sendero, Self pay $150
Accepting New Clients: Yes In Person & Video
Expertise: Adults and kids over 15

Rhonda Mack, LPC
Rhonda's Patient Portal / New Client RegistrationRead more about Rhonda
Location: In person Cedar Park and Video Therapy for residents in Texas
Insurances Accepted: Blue Cross Blue Shield, United Health Care (UMR, Oscar, Optum, Allsavers), Humana, Cigna/Evernorth (no EAP), Aetna (no EAP) , Multiplan/PHCS, Sendero, Triwest-VA, Self pay $150
Accepting New Clients: NO
(Video and in person)
Expertise: Adults , Couples
- Military Veterans and/or family
- BIPOC communities (Black, Indigenous and People of Color)
- Military Sexual Trauma (MST)
- Self Esteem
- Anger
- Anxiety
- CBT
- Trauma
- Depression
- Life adjustment
- LGBTQ
- Solution Focused Therapy
- Mindfulness
- Marriage Counseling

Mary Ellen Martin, LMFT
MaryEllen's Patient Portal / New Client Registration Read more about MaryEllen
Location: In person South Round Rock and Video Therapy for residents in Texas
Insurances Accepted: United Health Care (UMR, Optum, Oscar, Allsavers), Self pay $150
Accepting New Clients: NO
Expertise: Kids (6 yrs and older), Adults

Kyle Dickerson, LMFT
Kyle's Patient Portal / New Client Registration Read more about Kyle
Location: In person South Round Rock and Video Therapy for residents in Texas
Insurances Accepted: Aetna, (NO AETNA EAP), Cigna/Evernorth (NO CIGNA EAP), Blue Cross Blue Shield, Humana, Multiplan/PHCS, Sendero, Tricare, United Health Care (UMR, Optum, Oscar, Allsavers) , Triwest-VA, Self pay $150
Accepting New Clients: No (no children)
(Video and in office)
Expertise: Adults and Couples
- Marriage Counseling
- Anger
- Anxiety
- CBT
- Self Esteem
- Depression
- Life adjustment
- Mindfulness
- Men's Issues
- Trauma
- Anxiety and Panic attacks
- PTSD and Trauma
- Depression
- Behavioral Issues
- Schizophrenia and Psychosis
- Bipolar
- Eating Disorders
- Addiction (e.g. porn, internet, eating ,etc)

Kristi Long, LPC, LCDC
Kristi's Patient Portal / New Client Registration Read more about Kristi
Location: Video Only for Texas
Evaluations Offered: Addiction (e.g. porn, internet, eating ,etc), Anxiety and Panic attacks, Behavioral Issues, Bipolar, Depression, PTSD and Trauma, Schizophrenia and Psychosis
Insurances Accepted: Aetna, Blue Cross and Blue Shield, Cigna/Evernorth (NO CIGNA EAP), United Health Care (UMR, Optum, Oscar, Allsavers), Humana, Triwest-VA, Tricare, Multiplan/PHCS, Sendero, Self pay $110
Accepting New Clients: NO (Video only)
Expertise: Adults and Adolescents (over 13 years), No couples
- ADHD
- Addiction
- Anxiety
- Anger
- Children and adolescent over 13 yrs
- Disruptive behaviors/defiant
- Self harm
- CBT
- Depression
- Grief/Loss
- Life adjustment
- Mindfulness
- Self-Esteem
- Solution Focused Therapy
- Trauma
- EMDR

Danielle Linders, NCC, LPC, LCDC
Danielle's Patient Portal / New Client RegistrationRead more about Danielle
Location: In person North Round Rock and Video Therapy for residents in Texas
Insurances Accepted: Aetna (NO AETNA EAP), Beacon Options, Blue Cross Blue Shield, Cigna/Evernorth (NO CIGNA EAP), Humana, Multiplan/PHCS, Sendero, Tricare, United Health Care (UMR, Oscar, Optum, Allsavers) , Triwest-VA, Self pay $150
Accepting New Clients: YES
Expertise: Adults -Individuals only

Sally Guerra, LPC
Sally's Patient Portal / New Client Registration Read more about Sally
Location: Video Only for Texas Residents
Insurances Accepted: Aetna (NO AETNA EAP), Blue Cross Blue Shield, Cigna/Evernorth (NO CIGNA EAP), Humana, Multiplan/PHCS, Sendero, Tricare, United Health Care (UMR, Oscar, Optum, Allsavers), Triwest-VA, Self Pay $150
Evaluations Offered: ADD, ADHD, Mood Disorders, Anger Issues and PTSD
Accepting New Clients: YES (VIDEO ONLY)
Video only (Children age 12 and up)
Expertise: Kids (5yr and up), Adults and Couples
- Addiction
- ADHD
- Anger
- Anxiety
- CBT
- Child and adolescent counseling (12 years and older)
- Depression
- Geriatric/Elderly concerns
- LGBTQIA
- Life adjustment
- Marriage Counseling
- Mindfulness
- Solution Focused Therapy
- Trauma
- Dissociative Disorder

Amy Venn, LCSW-S
Amy's Patient Portal / New Client Registration Read more about Amy
Location: Video Only for Texas
Insurances Accepted: Aetna, Blue Cross Blue Shield, Cigna/Evernorth, Humana, United Health Care (UMR, Oscar, Optum, Allsavers), Multiplan/PHCS, Sendero, Triwest, Self pay $110
Accepting New Clients: NO (Video only)
Expertise: Adults and Children (12 and up), No Couples
- ADHD
- Anxiety
- Autism
- CBT
- Child and adolescent counseling (12 and up)
- Christian Counseling
- Depression
- Grief/Loss
- Life adjustment
- Solution Focused Therapy
- Mindfulness
- Trauma
- Chronic illness

Eleny Guerrero Pena, LPC, LCDC
Eleny's Patient Portal / New Client RegistrationRead more about Eleny
Location: In person Cedar Park and Video Therapy for residents in Texas
Insurances Accepted: United Health Care (UMR, Oscar, Optum, Allsavers), , Self pay $150
Accepting New Clients: NO (no children)
(Video and in person)
Expertise: Adults , Couples
- Military Veterans and/or family
- BIPOC communities (Black, Indigenous and People of Color)
- Sexual Assault
- Self Esteem
- Addiction
- Anger
- Anxiety
- CBT
- Trauma-EMDR
- Depression
- Life adjustment
- LGBTQ
- Solution Focused Therapy
- Mindfulness
- Marriage Counseling-Gottman Trained

Paulina Pina, LPC
Paulina's Patient Portal / New Client Registration Read more about Paulina
Location: In person North Round Rock and Video Therapy for residents in Texas
Insurances Accepted: Aetna (NO AETNA EAP), Beacon Options, Blue Cross Blue Shield, Cigna/Evernorth (NO CIGNA EAP), Humana, Multiplan/PHCS, Sendero, Tricare, United Health Care (UMR, Optum, Oscar, Allsavers), Triwest-VA, Self pay $150
Accepting New Clients: No
Expertise:Kids (8 yrs and older), Adults and Couples

Ana "Rebeca" Ramirez, LPC
Rebeca's Patient Portal / New Client Registration Read more about Rebeca
Location: In person in Cedar Park starting February or video for Texas residents
Insurances Accepted: Aetna, Blue Cross Blue Shield, Cigna, United Health Care (UMR, Oscar, Optum, Allsavers), Multiplan/PHCS, Humana, Sendero, Triwest, Tricare, Self pay $150
Accepting New Clients: NO
Rebeca speaks both English and Spanish. Rebeca habla español.
Expertise: Adults and Children 7 and up