Depression is more than occasional sadness. It's a persistent heaviness that can affect every aspect of your life — your energy, your relationships, your ability to find meaning or pleasure in things that once mattered to you. Many people describe it not as sadness but as flatness, numbness, or going through the motions of a life they can't quite feel.
Depression can manifest in several forms:
Major Depressive Disorder (MDD) — a severe form characterized by persistent low mood, loss of energy, and a range of physical and cognitive symptoms.
Persistent Depressive Disorder (PDD) — a milder but more chronic form, often lasting for years and quietly undermining daily functioning.
Bipolar Disorder — a mood disorder characterized by periods of depression alternating with manic or hypomanic episodes.
Seasonal Affective Disorder (SAD) — depression that occurs seasonally, most often in winter months when sunlight exposure is reduced.
Postpartum Depression — depression affecting new mothers, typically within the first year after childbirth.
Depression doesn't always originate in unresolved emotions or trauma. It can also result from hormonal imbalances, low vitamin D, an unhealthy diet, or insufficient exercise. I have personally experienced depression because my vitamin D levels and thyroid levels were low. If your hormones are out of balance, neither therapy nor antidepressant medication will be fully effective.
I strongly encourage all clients experiencing depression to have their hormones tested by their medical doctor before starting counseling — including vitamin D, which is actually a hormone. Don't assume your levels are fine just because you get sunlight. Vitamin D deficiency is common even in sunny climates.
Find a doctor who will test your full hormone panel. Address any imbalances first. Then therapy can do its best work.
When depression is rooted in unresolved trauma, chronic stress, or deeply held negative beliefs, somatic approaches can reach what talk therapy and medication alone often cannot. I use somatic tapping and brainspotting to work directly with the body and nervous system, alongside cognitive behavioral strategies to identify and shift the thought patterns that maintain depression.
We work together to explore both your current life situation and your past experiences — identifying the roots of your depression and developing practical tools for managing it day to day. Mindfulness, goal setting, and self-regulation skills are woven throughout the work.
If you are experiencing thoughts of suicide, please call or text 988 — the National Suicide and Crisis Lifeline — at any time.
If you are not in crisis but need additional support, warm lines offer free, peer-based emotional support:
Alabama Warm Line — Wings Across Alabama: 1-844-999-4647
Florida Warm Line: 1-800-945-1355
National Warm Line Directory: warmline.org

Diana Sturm, Licensed Professional Counselor
Alabama #4426; Florida TPMC 1055
Preferred contact: [email protected]
251-283-2112 (please leave a message)
Sessions are by appointment only.

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