Now Accepting Referrals
Depression is one of the most common presentations in general practice, and one of the most frequently missed when it doesn’t look the way clinicians expect. The classic picture of persistent sadness and low mood is present in many patients. It’s absent in many others.
Atypical presentations to watch for
- Irritability, anger or emotional reactivity rather than sadness
- Reporting conflict with spouse or work colleagues
- Fatigue or low energy that doesn’t improve with rest
- Physical complaints, including chronic pain, headaches or gastrointestinal symptoms without a clear medical cause
- Sleep disturbance, particularly early morning waking
- Withdrawal from activities, relationships or responsibilities that were previously meaningful
- Difficulty concentrating or making decisions
- Increased alcohol use or reliance on substances to manage mood
- A persistent sense of emptiness, numbness or meaninglessness rather than overt distress
In men, particularly, depression frequently presents as irritability, risk-taking, increased alcohol use or emotional shutdown rather than low mood. Using the PHQ-9 alongside clinical observation is recommended.
When to refer
Consider a referral to therapy when depression symptoms have persisted for more than two weeks, are interfering with daily functioning, or have not responded adequately to lifestyle changes or medication alone. Earlier referral consistently produces better outcomes. Therapy and medication together are more effective than either alone for moderate to severe depression.
What therapy for depression involves at The Therapy Hub
Our team works with adults experiencing depression using evidence-based approaches including CBT, ACT, schema therapy and EMDR. We work with the full picture, including grief, trauma, relationship difficulties and life transitions that often underlie or maintain a depressive presentation.
Currently accepting referrals
We are accepting new referrals for depression with no waitlist for daytime appointments. Sessions from $200. Medicare rebates apply with a valid Mental Health Care Plan.
How to refer
Contact us at hello@thetherapyhub.com.au or (03) 9958 8772.
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