Depression Therapy in Marylebone
Depression does not always look the way it is portrayed. You may be getting through each day, managing your responsibilities and appearing fine to others, while privately feeling flat, empty, disconnected or unable to experience pleasure in things that once mattered. Therapy offers a space to explore what underlies your depression, not just manage its surface symptoms.
Depression is more than feeling sad
Depression can manifest as persistent low mood, emotional numbness, exhaustion, loss of interest or a deep sense of emptiness. It can also appear as irritability, difficulty concentrating or a quiet withdrawal from life, which can make it hard to recognise, and harder to ask for help.
Low mood
Persistent sadness, emptiness or emotional flatness that doesn't lift, regardless of circumstances.
Loss of interest
Things that once brought pleasure, connection or meaning no longer seem to reach you in the same way.
Physical heaviness
Fatigue, disturbed sleep, changes in appetite or a body that feels difficult to inhabit or motivate.
Exploring the roots of low mood, not just the symptoms.
Depression often has layers, shaped by loss, relationships, self-belief, early experience and the accumulation of difficulties that were never fully processed. Therapy offers a space to explore these layers, rather than simply treating symptoms.
The aim is to develop a fuller understanding of your depression and, over time, a more grounded and resilient relationship with your emotional life.
Depression often sits inside repeated patterns
Withdrawal: Pulling away from relationships, activities and things that once brought pleasure or meaning.
Self-criticism: A persistent inner voice that attributes difficulties to personal failure, weakness or unworthiness.
Loss of meaning: A sense that nothing matters, or that the future holds little promise, even when life looks okay from the outside.
Rumination: Repetitive, circular thinking about what has gone wrong, what you should have done, or what you fear is coming.
Difficulty with motivation: Tasks that once felt manageable now feeling insurmountable, not from laziness, but from genuine depletion.
Moving through depression with support
Therapy for depression offers more than symptom relief. It can help you understand the emotional and relational patterns that contribute to low mood, and begin to build a different relationship with yourself and your life.
- Explore the origins and meaning of your depression
- Reduce self-criticism and develop self-compassion
- Reconnect with motivation, pleasure and meaning
- Improve relationships and reduce withdrawal
- Build a more grounded and resilient inner life
In-person in Marylebone W1 or online
Sessions are available from therapy rooms in Marylebone W1, close to Harley Street, Queen Anne Street and Manchester Square. Online therapy is also available for those who prefer to work from home.
Marylebone W1
Private in-person therapy at 37 Queen Anne Street and 4 Manchester Square, W1.
Online Therapy
Confidential remote sessions for those who need flexibility or prefer to work from home.
Articles on depression, low mood and recovery
Depression and Identity
When success doesn't feel like enough: depression in high-performing professionals.
Low Mood and Meaning
Understanding depression as more than a chemical imbalance, and what therapy can offer.
Recovery and Relationships
How depression affects the people around you, and how therapy can help.
Looking for therapy in Marylebone?
Contact Jonathan Cullen MBACP to ask about availability, fees, in‑person sessions in W1 or online therapy.
