Symptons of Depression

Loow mood or persistant sadness

Individuals with depression often experience a pervasive sense of sadness, emptiness, or hopelessness.

Loss of interest of pleasure

A noticeable decrease in interest or pleasure in activities that were once enjoyable, including hobbies, socializing, or work-related activities.

Emotional Regulation

A noticeable decrease in interest or pleasure in activities that were once enjoyable, including hobbies, socializing, or work-related activities.

Fatigue & Low Energy

Persistent feelings of fatigue, low energy levels, and a sense of being physically drained are common in depression.

Low mood or persistant sadness

Depression can impair cognitive function, leading to difficulties in concentrating, making decisions, and remembering things.

Loss of interest of pleasure

Depression can affect sleep in different ways. Some people may experience insomnia, finding it difficult to fall asleep or stay asleep, while others may sleep excessively and struggle to get out of bed.

Loss of interest of pleasure

In severe cases, individuals with depression may have thoughts of death or suicide. If someone is expressing suicidal thoughts or exhibiting self-harming behaviors, it is crucial to seek immediate professional help.

You don’t have to suffer in silence

Depression is a complex condition with various contributing factors, including genetic, biological, environmental, and psychological factors. At COPE Centre, we treat not only the symptoms, we approach therapy and issues holistically.

Understanding depression more deeply

Depression has a story—not just symptoms

Depression may be experienced as sadness, but it can also feel like emptiness, exhaustion, irritability, disconnection or the loss of interest in a life that once felt meaningful. A psychodynamic approach considers not only how depression feels, but how it may have developed and what it may be expressing.

The developmental nature of depression

Our ways of managing emotions develop over time. Experiences of loss, criticism, emotional disconnection, instability or pressure to remain strong can influence how we learn to experience ourselves and relate to other people.

When difficult feelings cannot be safely expressed or understood, they may be held inside. Anger may become self-criticism, disappointment may become hopelessness, and the need for care may be replaced by withdrawal or the belief that we should cope alone.

These patterns are not signs of weakness. They may have developed as understandable ways of protecting relationships, maintaining connection or coping with circumstances that once felt emotionally overwhelming.

Depression rarely has one simple cause. Biological vulnerability, current pressures, relationships, grief, identity and earlier emotional experiences can all contribute. Understanding development is therefore not about blaming parents or remaining focused on the past—it is about making sense of how a person became who they are and what may be keeping their distress in place today.

How COPE approaches therapy

Therapy provides a steady, collaborative relationship in which your depression can be understood within the context of your whole life—not treated as an isolated collection of symptoms.

  • Put words to feelings that may currently appear as numbness, withdrawal or exhaustion
  • Recognise patterns of self-criticism, shame and emotional disconnection
  • Explore how you manage closeness, dependency, rejection and the need for support
  • Understand how past and present experiences may be connected without becoming confined by the past
  • Make sense of grief, anger, identity and questions of purpose or meaning
  • Develop greater emotional freedom and more compassionate ways of relating to yourself

At COPE, we do not see depression as something that simply needs to be removed. We work with you to understand the person experiencing it, the life in which it developed and what may support meaningful, lasting change.

Psychotherapy & Counselling

Psychotherapy, also known as talk therapy, can be a valuable and effective treatment for depression. Different therapeutic approaches may be used, and the benefits can vary from person to person. At Cope Centre we:

 

  • Provide a Supportive Space
  • Exploring and Understanding Thoughts and Feelings Identifying Negative Thought Patterns
  • Learning Coping Strategies
  • Improving Problem-Solving Skills
  • Enhancing Interpersonal Skills
  • Encouraging Behavioral Changes
  • Promoting Self-Compassion

The therapeutic relationship itself can be a source of comfort and understanding.

Meet Our Team

Michiel Gonzales

Registered Psychologist

Samuil Hossain

Registered Psychologist

Ms Elisabeth Eitelberger

Creative Arts & Psychodynamic Psychotherapist

Ms Nikki Wiracita

Registered Psychologist

Ms Eve Edwards

Psychotherapist

Ms Lizeth Walters

Social Worker and Counsellor

Ms Dian Abdurachman

Jungian Psychoanalyst

Mr Itay Lahav

Psychoanalytic Psychotherapist & Clinical Counsellor

We Are Here to Help You COPE.

Whether you're seeking support for anxiety, trauma, relationships, life transitions, emotional wellbeing, or personal growth, our team is here to support you.

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