Depression Counseling 
in Billerica & Lexington, MA 

Depression can feel like a heavy fog that settles over every part of your life—your energy, your relationships, your sense of purpose. If you’ve been struggling to get through the day, to feel like yourself again, or to find joy in things you used to love, you are not alone. At Blue Square Counseling, we offer compassionate, evidence-based therapy for depression to help you heal, feel supported, and reconnect with hope.

Whether you're facing a recent loss, a season of burnout, or a persistent sense of sadness or numbness, we’re here to help you move forward—one step at a time.

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What Does Depression Feel Like?

Depression doesn’t look the same for everyone. It may show up as deep sadness, irritability, or emotional numbness. You might feel like you're going through the motions, disconnected from your own life. Common symptoms include:

  • Feeling empty, hopeless, or worthless

  • Loss of interest in activities or people you care about

  • Sleep changes—too much or too little

  • Appetite and weight changes

  • Low energy or fatigue that doesn’t improve with rest

  • Difficulty concentrating, remembering, or making decisions

  • Persistent negative thoughts or self-criticism

  • Thoughts of death, dying, or not wanting to exist

  • Feeling isolated or like a burden to others

You might look fine on the outside while feeling like you're falling apart on the inside. Depression is not a character flaw or personal failure—it’s a legitimate mental health condition that deserves care and attention.

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Types of Depression We Support

Our therapists are experienced in working with a wide range of depressive disorders and symptoms, including:

Major Depressive Disorder (MDD)

Persistent Depressive Disorder (Dysthymia)

Postpartum Depression

Depression following loss, illness, or trauma

Depression with anxiety

High-functioning depression

Seasonal Affective Disorder (SAD)

Depression in teens, adults, and older adults

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Whether your depression feels mild or severe, situational or ongoing, you deserve support that meets you where you are.

How Therapy Helps with Anxiety

Anxiety therapy addresses both immediate symptoms and underlying causes, aiming to transform the patterns that perpetuate distress. Rather than merely managing symptoms, our approach helps clients understand the root drivers of anxiety—whether biological, psychological, or environmental—and systematically dismantle the mental, emotional, or behavioral cycles that sustain it.

Through this process, you’ll learn to:

Reduce physical and emotional manifestations of anxiety while regulating nervous system responses to stressors. Therapy also involves challenging distorted thought patterns (like catastrophizing or overgeneralization) and developing real-time coping tools tailored to your specific triggers. Over time, you’ll build confidence in navigating uncertainty, process any relevant trauma, and establish healthier boundaries to prevent burnout.

The goal isn’t temporary relief but lasting transformation—reclaiming a sense of inner peace, rebuilding self-trust, and gaining mastery over thoughts, emotions, and daily challenges. Practical strategies are introduced early, with deeper work addressing systemic patterns as progress allows. While every journey is unique, most clients experience measurable improvements in emotional regulation, self-awareness, and overall quality of life within weeks of consistent engagement.

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How Depression Counseling Can Help

Counseling for depression isn’t about quick fixes or toxic positivity—it’s about helping you understand what you’re going through, process your emotions safely, and find small steps forward. Therapy provides a supportive, nonjudgmental space to explore the roots of your depression and to begin shifting your relationship with your thoughts, habits, and emotions.

In therapy for depression, we help clients:

Identify patterns of negative thinking or self-criticism

Build coping skills to manage symptoms day-to-day

Explore the emotional and situational roots of their depression

Reconnect with meaning, motivation, and creativity

Set healthy boundaries and reduce emotional burnout

Address feelings of shame, guilt, or unworthiness

Strengthen relationships and social support

Practice self-compassion and healing habits

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Depression can make everything feel overwhelming or pointless. Therapy can help break things down into manageable pieces so that healing feels possible again.

What to Expect in Therapy for your Depression

We know how hard it can be to reach out when you're feeling low. When you come to Blue Square Counseling, you’ll be met with warmth, patience, and care. We’ll start by getting to know you—your experiences, your symptoms, and your goals for therapy. There’s no rush, no pressure, and no “right way” to heal.

Our team draws from a range of research-backed approaches to treat depression, including:

  • Cognitive Behavioral Therapy (CBT)

  • Acceptance and Commitment Therapy (ACT)

  • Mindfulness-based approaches

  • Narrative and emotion-focused therapy

  • Art-informed and somatic practices (as appropriate)

  • Trauma-informed care

If your depression is linked to past experiences, trauma, or identity concerns, we create space to explore those issues gently and safely. If you're dealing with burnout, perfectionism, or grief, we tailor care to help you feel seen and supported.

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You Don’t Have to Do It Alone

Depression often lies—it tells you that you’re alone, that nothing will change, that you’re too much or not enough. Therapy can offer a powerful counter-narrative: You are not broken. You are not alone. And there is hope.

Many of our clients say therapy was the first time they felt safe enough to speak openly about what they’re going through. You deserve that kind of space, too—a space where your pain is honored, your voice matters, and your healing journey is respected.

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Support for All Stages of Depression

Whether you're:

  • Struggling to get out of bed or keep up with work

  • Going through a tough season after a loss or transition

  • Feeling stuck in long-term low mood and exhaustion

  • Managing depression while appearing high-functioning to others

...our therapists can help you develop new ways of understanding, coping, and moving toward the life you want.

We’re here for you whether you’re ready to dive deep or just need a gentle place to land.

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In-Person and Telehealth Counseling for Depression

We offer therapy for depression in both our Billerica and Lexington, MA office locations. If you prefer the comfort and convenience of meeting from home, we also provide secure telehealth sessions for clients located anywhere in Massachusetts.

We’re committed to making therapy accessible, flexible, and responsive to your needs—even on the days when getting help feels hard.

Frequently Asked Questions About Depression Counseling

  •  No. You don’t need a formal diagnosis to get help. If you’re feeling down, stuck, or overwhelmed, therapy may be a helpful step—regardless of a label.

  • Yes. Many people return to therapy at different stages of life. If past therapy didn’t feel helpful, we can explore what wasn’t working and try a new approach that’s better suited to you.

  • While we are not prescribers, we can talk with you about whether medication might be helpful and, if appropriate, collaborate with your prescriber or refer you to a psychiatrist.

  • Sometimes exploring difficult emotions can feel uncomfortable at first—but therapy offers tools and support to move through that discomfort with care and purpose.

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You Are Worth Helping

At Blue Square Counseling, we believe that everyone deserves to feel heard, supported, and hopeful. Depression can cloud your ability to see your strengths—but we see them, and we’ll help you reconnect with them, too.

There’s no shame in asking for help. Reaching out is an act of strength and self-compassion.

Start Depression Counseling in Billerica or Lexington, MA

Ready to begin? Reach out today to connect with our Client Care Coordinator. We’ll answer your questions, help you get matched with a therapist, and make sure you feel supported from the very first step.

You don’t have to navigate this alone. Therapy for depression is available—and healing is possible.