Therapy & Integrated Psychiatry
When depression affects your life, you need comprehensive support. Whether you need therapy alone, medication, or both, our experienced psychologists and psychiatrists create a personalised recovery plan for your situation.
Our psychologists and psychiatrists work together under one roof — therapy and medication coordinated in one plan, with no referral delays.
How Depression Affects Daily Life
Depression can show up as persistent low mood, loss of interest, or exhaustion that starts to interfere with work, sleep, and relationships. Working with an experienced depression psychologist helps you understand what’s maintaining these patterns and rebuild a sense of engagement with life. Our depression counselling provides personalised, evidence-based support for low mood, hopelessness, fatigue, and loss of motivation — tailored to what you’re experiencing.
For clients whose depression co-occurs with anxiety, trauma, or other concerns, integrated support is available. Learn more about anxiety treatment →
- CBT, ACT, Schema Therapy and Interpersonal Psychotherapy
- Matched to your individual goals
- Access to psychiatric expertise when clinically appropriate
- Integrated with your therapy to support continuity of care
- Psychologist and psychiatrist collaborate when appropriate
- A coordinated treatment plan tailored to your goals


The Depression Cycle
The Pattern That Keeps Depression Going
Depression is maintained by a cycle of low mood, withdrawal, and inactivity — negative thoughts drain your energy and motivation, so you withdraw from activities and people. That withdrawal removes the very experiences that lift mood, which deepens hopelessness and confirms the belief that nothing will help. Over time, your world can feel smaller and the low mood becomes self-sustaining.
What depression treatment can help you do:
What To Look For
Signs & Symptoms Of Depression
Recognising depression early can make treatment more effective. Professional support can help you interrupt the cycles keeping your mood low and rebuild motivation and engagement with life.
- Persistent sadness, emptiness, or flatness
- Loss of interest in hobbies, socialising, or work
- Hopelessness, worthlessness, or excessive guilt
- Irritability or emotional numbness
- Difficulty concentrating or making decisions
- Persistent negative thoughts about yourself
- Mental fog and difficulty remembering things
- Suicidal or self-harm thoughts
- Social withdrawal from friends and family
- Neglecting self-care and responsibilities
- Reduced motivation for work and hobbies
- Increased substance use or risky behaviours
- Persistent fatigue or low energy
- Headaches, body aches, and muscle tension
- Sleep disturbances and appetite changes
- Dizziness and digestive issues
When to Seek Help
If several of these symptoms have been present for more than two weeks and are interfering with your daily life, it's time to reach out. Depression doesn't resolve on its own — but it responds very well to professional treatment.
If you're having thoughts of suicide or self-harm: Please reach out immediately.
Understanding Depression
What is Major Depressive Disorder?
Major Depressive Disorder (MDD) is a mental health condition characterised by persistent low mood lasting at least two weeks, loss of interest or pleasure in activities, changes in sleep and appetite, feelings of worthlessness, and difficulty with daily tasks. Depression is not just “feeling sad.” It’s a shift in how your brain processes emotion, motivation, and meaning.
Interesting facts about depression:
How Depression Differs From Sadness & Grief
Most people experience sadness — it's a natural response to loss or stress. But sadness is usually situational and temporary. Depression is different:
Grief (after loss) and depression can overlap. Grief typically includes moments of relief, connection with others, and eventual acceptance. Depression is more consistently low and pervasive. A psychologist can help clarify what you're experiencing and what support is most helpful. Read more about grief and loss →
A Common Overlap
Depression’s Overlap With Anxiety
Depression frequently co-occurs with anxiety, creating a compounding effect. Worry and low mood reinforce each other — anxiety keeps you mentally activated while depression drains your motivation, leaving you caught between racing thoughts and emotional exhaustion.
Sleep disruption is often present in both conditions, creating a vicious cycle: poor sleep worsens mood and anxiety, while depression and worry prevent quality sleep.
This overlap is very common. In fact, research shows that about 60% of people with depression also experience significant anxiety symptoms. Our psychologists are experienced in identifying when multiple presentations are present and building a treatment plan that addresses each appropriately, rather than treating them in isolation. Where psychiatric assessment or medication management is relevant, our integrated team can provide this under one roof.
What We Treat
Depression Presentations We Treat
Depression presents differently for different people. We treat all presentations — including seasonal affective disorder (SAD), a form of seasonal depression that typically emerges during Melbourne’s darker winter months — and tailor treatment to what you’re experiencing.
The most common form of depression, characterised by persistent low mood and loss of interest lasting at least two weeks. Often triggered by life events, prolonged stress, loss, trauma, or medical conditions.
Chronic depression (also known as Dysthymia) lasting 2+ years, often less severe than MDD but more enduring. People often describe it as "I've been like this my whole life." The persistence takes a real toll on relationships, work, and quality of life.
Depression during pregnancy or within a year after giving birth, distinct from "baby blues." Triggered by hormonal changes, sleep deprivation, life transition stress, and relationship strain. Medication and therapy are both safe during breastfeeding when selected appropriately.
PMDD is severe mood symptoms tied to the menstrual cycle, occurring in the luteal phase (after ovulation). Characterised by depression, anxiety, irritability, and emotional dysregulation severe enough to impact relationships and work. Often goes unrecognised as hormonal.
Depressive episodes within bipolar disorder, characterised by alternating lows and highs (or mixed states). Different treatment than unipolar depression; certain antidepressants alone can worsen bipolar disorder. Psychiatric assessment is crucial as diagnosis affects medication selection fundamentally.
Depression that doesn't improve after adequate trials of at least 2 different antidepressant medications. Affects approximately 1 in 3 people with depression. May result from biological variation, unaddressed underlying factors (thyroid disorder, B12 deficiency, unresolved trauma), inadequate therapy approach, or medication interactions.
Understanding The Roots
What Causes Depression?
Depression typically develops through a combination of factors rather than a single cause. Understanding what contributed to your depression can help both treatment and prevention.
Family history of depression increases risk. Differences in brain chemistry (serotonin, norepinephrine, dopamine) and medical conditions like thyroid disorder, vitamin deficiencies, sleep apnoea can trigger depression.
Loss (death, relationship ending, job loss), major transitions (new job, moving, becoming a parent), prolonged stress, trauma, or abuse can trigger depression. Even "good" stress combined with sleep deprivation and lack of support can contribute.
Persistent negative self-talk, catastrophising, rumination, and perfectionism create a mental environment where depression thrives. These patterns can be learned (from childhood) or reinforced by depression itself (vicious cycle).
Isolation, lack of purpose, disconnection from values, or inability to engage in meaningful activities can both cause and maintain depression. Humans need connection and purpose.
Past or recent trauma and unprocessed grief can manifest as depression. The pain of loss gets stuck, preventing natural healing.
Chronic conflict, loneliness, lack of support, abusive relationships, or significant role changes can maintain depression. Humans are relational; disconnection deepens depression.
Professional Therapy
Evidence-Based Depression Treatment in Melbourne
Our approach to depression treatment combines psychological therapy with psychiatric expertise, tailored to your specific situation.
Helps you identify and challenge negative thought patterns that maintain depression. You learn to recognise thoughts like "I'm worthless" and develop more balanced thinking. CBT also focuses on behavioural activation — gradually re-engaging with activities. Best for mild to moderate depression, especially rumination. Read more about CBT →
Focuses on improving relationships and addressing role changes, life changes, or grief that may be maintaining depression. You explore communication patterns and losses, restoring connection and meaning. Best for depression linked to relationships, loss, or major life transitions.
Explores deeper patterns and beliefs formed in childhood that contribute to depression — how early experiences shaped how you think about yourself and the world. Best for long-standing depression, trauma history, or those who've tried CBT without full recovery. Read more about Schema Therapy →
Helps you develop a different relationship with depressive thoughts — accepting them without letting them control your life. You learn to observe thoughts while moving toward what matters (your values). Best for when rumination is a major factor. Read more about ACT →
Psychiatry Support
Why Integrated Treatment Matters
For many people, depression improves fastest when psychology and psychiatry work together rather than in isolation.
Antidepressant medications (SSRIs, SNRIs) help regulate neurotransmitters affecting mood. Medication can reduce the heaviest symptoms (despair, fatigue, sleep disruption), making it easier to engage with therapy. Our approach includes:
- Thorough assessment of whether medication is right for you
- Careful selection based on your specific symptoms
- Regular monitoring and adjustment
- Coordination with your therapy psychologist
Where anxiety co-occurs with depression, this is factored into your treatment plan — many antidepressants are effective for both, and your psychiatrist will consider this when selecting medication.
Related Presentations
Mental Health Conditions We Treat Alongside Depression
- Support to process bereavement and significant loss
- Help distinguishing grief from depression
- Space to heal at your own pace
- Support for insomnia and disrupted sleep patterns
- Address the sleep–mood cycle maintaining depression
- Evidence-based strategies to restore quality sleep
- Tools to manage worry and overthinking
- Address the anxiety–depression loop
- Support to rebuild calm and confidence
- Challenge harsh self-criticism and negative self-talk
- Rebuild self-worth and confidence
- Address patterns that maintain low mood
- Safe space to process distressing experiences
- Address trauma roots underlying persistent depression
- Support to rebuild safety and stability
- Support for emotional eating linked to low mood
- Address the shame–mood–eating cycle
- Compassionate, evidence-based treatment
Flexible Access
Online & In-Person
Sessions Australia-Wide
Access professional depression support through our experienced psychologists and psychiatrists. Whether you prefer secure telehealth sessions available anywhere in Australia or in-person appointments at our Armadale clinic in Melbourne, we make it easy to connect with a trusted clinician and receive consistent, personalised care. Research confirms telehealth is as effective as in-person therapy for depression, providing continuity of care without geographical barriers.


“You don’t have to see the whole staircase, just take the first step.”
Martin Luther King Jr.
Take the First Step
Take the First Step Toward Lasting Change
Living with depression can make everyday life feel overwhelming and isolating, but you don’t have to face it alone. Seeking support is not a sign of weakness, it is a courageous step towards reclaiming your life. At Positive Wellbeing Psychology, we provide personalised, evidence-based depression treatment in Melbourne designed to help you process your feelings, restore hope, and reconnect with activities and relationships that matter to you.
| Feature | What This Means for You |
|---|---|
| AHPRA-Registered Psychologists | All psychologists are registered with the Australian Health Practitioner Regulation Agency (AHPRA), ensuring they meet Australia's rigorous standards for professional practice, ethics, and ongoing competency. Learn more about our experienced clinicians → |
| Personalised Psychologist Matching | Thoughtfully matched with a psychologist based on your individual needs—not simply appointment availability. Our Clinic Director carefully considers your goals, preferences, and presenting concerns to help connect you with the psychologist best suited to support you. |
| Accessing Depression Treatment | Simple online enquiry process to help you connect with an experienced depression psychologist in Melbourne. Book your first consultation → |
| Initial Consultation | A comprehensive assessment to understand your depression symptoms, triggers, personal history, and therapy goals. Discover what to expect in your first session → |
| Therapy Planning | A personalised, evidence-based treatment plan tailored to your individual experiences, goals, and clinical needs. Learn more about our individual therapy approach → |
| Delivery Options | Flexible appointments available in person at our Armadale clinic or via secure telehealth across Australia. Choose what works best for you. |
| Evidence-Based Approaches | Proven therapies tailored to your needs, including Cognitive Behavioural Therapy (CBT), Acceptance & Commitment Therapy (ACT), Schema Therapy, Interpersonal Psychotherapy (IPT), behavioural activation, and other evidence-based approaches. |
| Medicare & Rebates | Eligible clients can access Medicare rebates with a valid GP Mental Health Treatment Plan (up to 10 rebated sessions per calendar year). Learn more about our fees and rebate process → |
| Support for Different Depression Types | Evidence-based treatment for a broad range of depression presentations, including major depressive disorder, persistent depressive disorder (dysthymia), postpartum and perinatal depression, premenstrual dysphoric disorder (PMDD), seasonal affective disorder, and low mood related to grief, stress, or life transitions. |
| Continuity of Care | Ongoing review and refinement of your treatment plan to ensure therapy remains aligned with your progress and evolving goals. We support you throughout your journey. |
| Integrated Psychiatric Care | Where clinically indicated, our psychologists work collaboratively with our experienced consultant psychiatrists to provide coordinated care, including psychiatric assessment, medication management, and integrated treatment planning. Explore more about our psychiatry services → |
FAQ
Frequently Asked Questions
How can a psychologist help with depression?
A psychologist provides evidence-based talk therapy to help you understand and manage depression. At Positive Wellbeing Psychology and Psychiatry, our Melbourne psychologists draw on approaches such as Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT), and other evidence-based therapies, tailored to your individual needs.
Therapy can help you identify unhelpful thinking patterns, build practical coping strategies, improve emotional regulation, and gradually reconnect with the activities and relationships that matter to you. You can attend in person at our Armadale clinic or via telehealth across Australia.
Can I claim a Medicare rebate to see a psychologist for depression?
Yes. With a referral and a Mental Health Treatment Plan from your GP, you may be eligible for a Medicare rebate on psychology sessions, up to 10 sessions per calendar year. This makes seeing a depression psychologist in Melbourne more accessible and affordable.
To get started, book an appointment with your GP to discuss a Mental Health Treatment Plan, then contact our Armadale clinic to arrange your first session, in person or via telehealth. You can find more information on our fees and rebates page.
Should I see a psychologist or a psychiatrist for depression?
Many people benefit from seeing both a psychologist and a psychiatrist, particularly if their symptoms are moderate to severe or have not improved with previous treatment.
A psychologist provides evidence-based therapy to help address the thoughts, emotions, and behaviours contributing to depression. A psychiatrist is a medical specialist who can assess whether medication may be beneficial, prescribe medication where appropriate, and monitor your progress over time.
At Positive Wellbeing Psychology, our psychologists and psychiatrists work collaboratively, allowing you to receive coordinated care within the one practice. This integrated approach means your clinicians can communicate directly, helping to ensure your treatment plan remains consistent and tailored to your needs.
When should medication be considered for depression?
The most appropriate treatment depends on the severity of your symptoms, your treatment history, and your personal preferences.
For mild depression, evidence-based psychological therapy can be effective on its own. For moderate to severe, persistent, or recurrent depression, Australian clinical guidelines note that a combination of psychotherapy and antidepressant medication may be recommended. Whether this is right for you depends on your individual circumstances.
During your assessment, your psychologist will discuss your symptoms, goals, and treatment preferences. If medication may be beneficial, you can be referred for a comprehensive assessment with one of our psychiatrists, who will determine whether medication is appropriate for your individual circumstances.
How long do antidepressants take to work?
Most antidepressants, including selective serotonin reuptake inhibitors (SSRIs) and serotonin-noradrenaline reuptake inhibitors (SNRIs), begin producing therapeutic effects within four to six weeks, although some people notice improvements sooner and others require longer. Maximum benefit is often reached after approximately eight to twelve weeks. It is important to note that antidepressants can take some weeks to have an effect, and this varies from person to person. Your psychiatrist will be able to discuss expected timeframes, benefits, and possible side effects with you.
During this time, psychological therapy remains an important part of treatment. Therapy helps you develop practical coping strategies, understand unhelpful thinking patterns, improve emotional regulation, and gradually reconnect with meaningful activities. Your psychiatrist will monitor your response to medication and make adjustments where needed, while your psychologist supports your recovery through evidence-based treatment.
Can therapy alone treat severe depression?
Psychological therapy is an important treatment for depression at all levels of severity. For moderate to severe depression, a combination of therapy and medication may be recommended, and this can be discussed with one of our psychiatrists.
Combined treatment can help reduce symptoms more quickly, improve day-to-day functioning, and lower the likelihood of relapse. Your psychologist and psychiatrist will work together to develop a treatment plan tailored to your individual needs, preferences, and goals.
For trauma-related depression, specialised therapeutic approaches combined with psychiatric support can be helpful.
What if antidepressant medication is not helping?
If an antidepressant has not been effective after an adequate trial, it does not necessarily mean that medication will not work for you.
Your psychiatrist may recommend adjusting the dose, changing to a different medication, combining medications where appropriate, or considering other evidence-based treatment options. They will also review whether other mental health conditions or physical health factors may be contributing to your symptoms.
For some individuals with treatment-resistant depression, your psychiatrist can review your history and discuss other evidence-based treatment options as part of a comprehensive treatment plan. Learn more about our Psychiatry Services.
Can I stop taking antidepressants once I feel better?
Antidepressants should never be stopped suddenly without medical advice, as this can increase the risk of withdrawal symptoms and relapse.
If you are feeling better, your psychiatrist can develop a gradual tapering plan that reduces medication safely while monitoring your progress. Continuing psychological therapy during this period can help strengthen coping skills, reduce the risk of future depressive episodes, and support long-term recovery.
What is the difference between seeing a psychiatrist and my GP for depression?
General practitioners (GPs) play an important role in identifying depression, prescribing antidepressants, and coordinating your overall healthcare.
Psychiatrists are medical specialists with additional training in diagnosing and treating complex mood disorders, optimising medication, managing treatment-resistant depression, and assessing co-occurring mental health conditions.
At Positive Wellbeing Psychology, our psychologists and psychiatrists work collaboratively within the same practice, allowing your treatment to be coordinated and providing greater continuity of care throughout your recovery.
How long does depression treatment usually take?
Recovery from depression varies from person to person and depends on factors such as symptom severity, the duration of symptoms, previous episodes of depression, and any co-occurring mental health conditions.
Many people begin noticing improvements within four to six weeks, particularly when engaging consistently in therapy and, where appropriate, medication. More significant improvements often occur over eight to twelve weeks, while full recovery may take several months or in some instances for chronic or treatment resistant depression it may take longer. For depression affecting relationships, integrated support for couples counselling may also be beneficial.
Your treating clinician will regularly review your progress and adjust your treatment plan to ensure it continues to meet your needs and recovery goals.
Is telehealth effective for depression treatment?
Yes. Research indicates telehealth psychology appointments can be as effective as face-to-face therapy for many people.
Telehealth offers greater flexibility, improves access to care across Australia, and allows you to maintain continuity of treatment regardless of your location. Whether you choose online or in-person appointments, you will receive the same evidence-based care from your treating clinician.
Positive Wellbeing Psychology offers secure telehealth appointments Australia-wide, alongside in-person consultations at our Melbourne clinic.
Registrations & Membership
Committed to Ethical Practice & Clinical Excellence
Positive Wellbeing Psychology was established in 2020 by founder Emily Burton, a Registered Psychologist and AHPRA Board-Approved Supervisor.
We are now home to a team of more than 10 clinicians committed to delivering high-quality psychological and psychiatry care, with a special interest in anxiety, trauma, ADHD, and more.
Our clinical practice is grounded in evidence-based treatment approaches for individuals of all ages, delivered in-person at our Armadale clinic and online via telehealth across Australia.








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Depression is treatable, and recovery is possible. Whether you need therapy alone, medication, or both, our psychologists and psychiatrists are here to support you.
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