Sex & Relationship Therapist
Depression can feel like the colour has been drained from your life. Things that used to bring you pleasure feel flat. Getting out of bed feels like a chore. You may have withdrawn from friends, stopped looking after yourself, or lost interest in sex and relationships entirely. The world feels heavy, and it is hard to see how anything could change.
But it can change. Depression is one of the most treatable mental health conditions, and with the right approach, most people experience significant improvement. You do not need to wait until things get worse before seeking help. If low mood is affecting your daily life, your relationships, or your sense of who you are, that is reason enough.
I specialise in depression that is connected to relationship and sexual difficulties, loneliness, and social isolation. These issues feed into each other, and addressing them together is often the key to lasting improvement.
Depression shows up differently for everyone, but these are the patterns I work with most often:
I use cognitive behavioural therapy (CBT) as the foundation of my work with depression. CBT is the most evidence-based talking therapy for depression, and it focuses on the practical connection between your thoughts, your feelings, and your behaviour.
Depression is maintained by a set of negative thinking patterns and behaviours that keep you stuck in a downward spiral. You feel low, so you withdraw. Withdrawal makes you feel worse, which makes you withdraw further. My approach is designed to break this cycle by addressing both what you are thinking and what you are doing.
This is practical, active therapy. I will give you exercises and tasks to work on between sessions that are designed to lift your mood, rebuild your daily routine, and challenge the negative thoughts that keep depression in place. These are always manageable and agreed together.
Where depression is connected to relationship or sexual difficulties, I draw on my specialist training to address those issues alongside the mood work. This integrated approach is more effective than treating them separately.
In the first session, I will ask about how you have been feeling, how long it has been going on, and what impact it is having on your life. I will want to understand what triggered the depression, what is maintaining it, and what you are hoping to achieve through therapy. This helps me put together a tailored plan.
From there, sessions are structured and focused. We will track your mood, work on specific thinking patterns, set behavioural goals, and review your progress. Each session builds on the last, so you can see things changing over time.
CBT for depression typically involves 8 to 16 sessions, depending on the severity and complexity of what you are experiencing. Many people start to notice improvements in mood and energy within the first few weeks. I will be honest from the start about what I think will be helpful.
The work you do between sessions is essential. I will set specific tasks designed to increase your activity levels, challenge negative thinking, and rebuild positive habits. These start small and build gradually. Progress comes from consistent effort, and I will support you every step of the way.
If depression is affecting your life and you are ready to do something about it, I would be glad to hear from you. A free 20-minute consultation call is a simple, confidential way to start. We will talk about what has been happening and I will give you an honest assessment of how therapy can help.
“I cannot even begin to describe how pessimistic and depressed I was before I started speaking to Emese. After about 6 months I am such a different person now. The progress I have made is amazing.”— Gabi S Google Review
Getting in touch is easy. Request a free consultation call, or reach out by phone or email. There is no pressure and everything is completely confidential.
Or email directly: hello@sextherapist.london