Depression has been referred to as the “common” cold of mental health issues owing to its increasing frequency. Despite the prevalence, depression is an experience that must always be taken seriously and can have an enormous impact on one’s sense of themselves, the world, relationships and the ability to function.

While depression can be a short lived experience, others describe a longer history of protracted (many years) low mood to the point that their experience of depression can begin to feel like part of their identity. Individuals with chronic depression often report the following symptoms:

Depressed mood
Low self-esteem
Decreased energy
Changes in appetite and sleep
Feelings of hopelessness
Difficulty concentrating and thinking clearly

The underlying cause of chronic depression is complex and unique to each individual but is more frequently noted where individuals have grown up in trying and adverse circumstances. This may include (but is not limited to) individuals who experienced neglect or abuse, growing up in a chaotic and/or conflictual family environment, parental substance use and/or mental health difficulties, parental loss or divorce, and feeling unseen and misunderstood.


Identifying with a symptom such as depression as chronic in itself can produce potential limiting consequences. Appropriate assessment is necessary. There are too many online tests and self-diagnostics going around the web that may not always benefit someone seeking help. Society demands we “be ourselves” and feeling chronically depressed may be perceived by some individuals as a failure to live up to this imaginary ideal (“be yourself”). Working through such self criticisms and identity descriptions can be a necessary element of psychotherapy for chronic depression.


Chronic depression can be worked through to provide symptom relief, enhanced self-understanding and improved functioning and quality of life. When mood difficulties have been present for many years, it can take a long-term commitment to psychotherapy for symptoms to be worked through in an effective and sustainable way.

Research findings have indicated that psychoanalytic/psychodynamic psychotherapy is an excellent approach to resolving chronic mood difficulties as the origin of symptoms is commonly tied up in developmental experiences that have led to internal conflicts that have not had a chance to be resolved. Additionally there is good evidence for schema therapy in working with chronic depression. Schema therapy explores the presence of maladaptive beliefs held about the self that evolved in childhood and adolescence that keep individuals stuck in their cycle of depression.

At Bayside Psychotherapy, we privilege the speech of the patient and invite him or her to speak freely elaborating the experience of depression such that something new may become possible through the act of speaking. The first step is to schedule an initial session. Bookings can be made online or by phone.

We look forward to meeting with and helping you.

Note: This information is informative only and is not to be used for diagnosis or substitution of appropriate assessment and/or treatment by a registered practitioner. Information on this page and our entire site should not be construed as implying that our therapists are specialists in treating any condition whatsoever. While some of our therapists may have experience working with people suffering from a specific condition, not all of our therapists do. We do not guarantee any particular level of performance, cure or management of symptoms. Each case is unique and responds differently with collaboration between client and therapist being crucial. Always seek appropriate assessment from a qualified professional such as a GP, psychiatrist, clinical psychologist or social worker especially if you are acutely distressed.

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03 9557 9113

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8:30am – 5:30am
Monday – Friday

(closed on public holidays)

Choose your own date and time for an online or in-clinic session

Therapist Hours

  • Monday 8:00am to 8:00pm
  • Tuesday 8:30am to 8:00pm
  • Wednesday 8:30am to 8:00pm
  • Thursday 8:30am to 8:00pm
  • Friday 8:30am to 8:00pm
  • Saturday 8:00am to 6:00pm
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Therapists who do online

  • Adam Szmerling
  • Carolina Selvarajoo
  • Humaira Ansari
  • Kelli Tranter
  • Lawrence Akers
  • Paul Mischel

Therapists who do in-clinic

  • Adam Szmerling
  • Carolina Selvarajoo
  • Lawrence Akers
  • Paul Mischel