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Reflections on Depression: Insights from My Journey as a Therapist
  • August 20, 2025
  • Comments: 41
  • Posted by: cbtkeadmin

Years on, I can confidently say the impact depression has on people’s lives is profoundly debilitating. Long before working in a psychiatric hospital, I held strong reservations about the role of medication. I assumed that depression was something people could simply be talked out of.

Even worse, during my time on campus, I was exposed to narratives claiming that medication was ineffective and even harmful. In hindsight, however, I have realized that this does not mean medication never works, nor that it works in the same way for everyone.

Over the years, working under the supervision of seasoned mental health practitioners, my personal and professional experiences have led to a complete 360-degree shift in my views and attitudes. On a more personal note, I believe that if my family had known about treatment options over 20 years ago, my father’s brother might not have died by suicide.

Moreover, between 2020 and 2021, when my father was struggling with cancer-related depression, antidepressants significantly improved his ability to cope. These experiences challenged the myths I had learned even as a professional in the field and opened my eyes to the complexity of treatment.

Today, I continue to witness people’s transformation: from isolation and self-loathing to productivity, hope, and reconnection with family and friends. That said, the journey to recovery is rarely straightforward. Working collaboratively with patients and their support networks is essential for achieving accurate diagnosis, effective treatment, and sustained progress.

Unfortunately, personal beliefs, myths, and stigma can hinder the effectiveness of both therapy and medication. Whenever in doubt, it is best to work closely with healthcare professionals and even conduct personal research before committing to a treatment plan.

Indeed, research shows that in some instances of mild to moderate depression, Cognitive Behavioral Therapy (CBT) is effective as medication. However, it must be delivered under close supervision.

It is also crucial to recognize that one size does not fit all. Every situation must be assessed individually. For some, combining therapy with medication works best. For others, therapy alone or medication alone may be the preferred path. Over time, monthly check-ins or “booster sessions” often help clients internalize the skills learned in therapy.

Meanwhile, professionals are encouraged to ground their work in thorough assessments. Key questions might include:

  • When did the changes begin?
  • Have you lost interest in the things you enjoyed?
  • How long have you been feeling low in mood?
  • How many hours do you sleep, stay awake at night, or do you sleep too much most of the time?
  • Do you have ideas, thoughts, or plans about dying?
  • Is there a history of mental health issues in your family?
  • Do you have a support network?

Above all, it is a rule of thumb to respect the desires of clients and their families regarding treatment options. This respect builds trust and confidence, guiding the healing journey.

The upshot of my experience is this: consult allied professionals or the referring doctor whenever you are unsure. At the risk of belaboring the point, we must always approach depression cautiously and compassionately, ensuring that our interventions do not harm those who turn to us for help.

CBT Kenya, Counselling services in Kenya, Counselling services in Nairobi, Psychologists in Nairobi, Reflections on Depression: Insights from My Journey as a Therapist, Therapists in Lavington
Author: cbtkeadmin

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