What We Treat
Evidence-based, individualized treatment for depression from licensed clinicians, in person in San Pedro or online.
Depression is more than feeling sad or having a rough week. It is a persistent low mood that drains the color out of things you used to care about, and it can settle in so gradually that it starts to feel like just who you are. It affects how you think, how you sleep, how much energy you have, and how you see yourself and the future. It is common, it is not a weakness or a failure of will, and it is one of the most treatable conditions in mental health.
A heaviness or emptiness that lingers most of the day, most days, for weeks or longer.
Activities, people, and goals that used to matter now feel flat or pointless.
Everyday tasks feel heavy, and rest does not seem to restore you.
Harsh self-criticism and a sense that things will not get better.
Sleeping too much or too little, eating more or less than usual.
Difficulty focusing, deciding, or remembering, which can make work and daily life harder.
Depression takes different shapes and often overlaps with related conditions, and our clinicians treat the whole picture rather than a single label. Each area below has a page that explains how we approach it.
Depression and anxiety often occur together, so we treat them as one connected picture, not two separate problems.
Low mood that swings with periods of elevated energy needs a different plan, and we help sort out which pattern fits.
Sudden surges of intense fear that often sit alongside a depressed mood.
Low mood rooted in painful past experiences, treated with care for what is underneath.
Depression that follows a frightening or overwhelming event, where the past keeps intruding on the present.
Depression tied to prolonged or repeated trauma, treated at a pace that keeps you steady.
Depression responds to evidence-based therapy, and our clinicians are trained to deliver it. We build a plan with you, match the approach to what you are experiencing, and work at a pace you can manage.
A practical, structured approach that targets the thinking and behavior patterns that keep depression in place, helping you re-engage with activity and challenge the harsh self-talk that fuels it.
Helps you take meaningful action in line with your values even when motivation is low, rather than waiting to feel better before you start living.
Looks beneath the surface at the patterns, relationships, and unresolved experiences that shape how you feel, so change holds over the long term.
An option for treatment-resistant depression that has not improved with other approaches, delivered in a structured, supported setting alongside therapy.
| Approach | Best suited for | How it works |
|---|---|---|
| CBT | Low mood, withdrawal, and harsh self-talk | Re-engages you with activity and reworks the distorted thinking that keeps depression in place. |
| ACT | Depression tangled up with values and motivation | Builds willingness to act on what matters even when motivation is low. |
| Psychodynamic therapy | Recurring low mood with deeper roots | Explores the patterns and experiences underneath how you feel, so change holds over time. |
| Ketamine-assisted therapy | Treatment-resistant depression | Delivered in a structured, supported setting alongside therapy when other approaches have not helped. |
Starting therapy should feel clear, not overwhelming. Here is how it works at Coastwise.
We start with a short, private conversation to understand what you are dealing with and what you want from therapy.
We pair you with a licensed clinician who treats depression and fits what you are working through, not whoever happens to be free.
Your clinician builds a plan with you and works at a pace you can manage, so progress feels steady and sustainable.
We work with adults and teens whose depression ranges from a low-grade heaviness that never quite lifts to a severe episode that has made daily life feel impossible. Because depression so often travels with anxiety, our clinicians treat the whole picture rather than a single label.
See us in person at our San Pedro office or work with a clinician securely online anywhere in California. Therapy for depression translates well to telehealth, and when low energy makes leaving the house hard, virtual sessions remove a real barrier to getting started.
We use evidence-based approaches including CBT to shift the thinking and behavior patterns that keep depression in place, ACT to help you act on your values even when motivation is low, and psychodynamic therapy to understand the deeper roots of how you feel. For depression that has not responded to other treatments, we also offer ketamine-assisted therapy. Your therapist builds a plan with you and works at a pace you can manage.
Therapy alone helps many people recover from depression, and for moderate to severe depression a combination of therapy and medication often works best. We focus on the therapy side and coordinate with your prescriber when medication is part of the picture, so you are not managing it in isolation.
Many people feel meaningful relief within a few months of consistent work, though it varies with severity and how long the depression has been present. The goal is not only to lift the current episode but to build skills and understanding that lower the chance of it returning.
Yes. Therapy for depression translates well to secure video, and when low energy makes leaving the house hard, virtual sessions remove a real barrier to getting started. We see clients in person in San Pedro and virtually across California.
We work with insurance, and many clients use their benefits toward therapy with us. Call (424) 536-3002 to learn how your insurance can help cover the cost of therapy.
Depression is treatable, and you do not have to wait for it to pass on its own. Call us for a free, confidential consultation and we will match you to a clinician who treats it.
Call (424) 536-3002 Get Started