How I see this presentation
Most of the depression I treat in private practice sits at the intersection of low mood and sustained professional pressure: a City professional who has been functioning at reduced capacity for months, sometimes years, before deciding that managing it alone is not going to be enough. By the time people get in touch, they have usually already tried adjusting the load, taking time off, leaning on people who care, or completing a short course of therapy that did not hold. The presentation is often tangled with anxiety, grief, or the pattern of sustained over-working that runs through the City.
How I tend to work with it
CBT for depression is structured and evidence-based. The early work typically focuses on behavioural activation: rebuilding the activity and engagement that depression systematically strips away. Depression reduces motivation and narrows the range of what feels possible; the behavioural activation work interrupts that cycle by reintroducing structured activity and small evidence of agency. I draw on REBT to address the rigid evaluations that often sit underneath, and on ACT where the work is about the relationship to difficult internal experience rather than the content of it. I do not prescribe medication; where psychiatric input is part of the picture, the therapy runs alongside it.
What a course might look like
Sessions are 50 minutes, typically weekly. We agree an initial framework at the first session and review progress every four to six sessions. A course of CBT for a defined depressive presentation often falls in the range of twelve to twenty sessions, though this is not a fixed rule and varies per person. Outcomes are not promised in advance; the work is done collaboratively and reviewed honestly.
Next step
If what you have read here fits what you are experiencing, getting in touch is straightforward. Henry responds to all enquiries personally, typically within one working day. An initial call carries no commitment.