I have been seeing my psychologist for the past couple of months (10 sessions) and we had been working on cognitive behavioural therapy techniques. Now it seems that I’ve grasped the concept of changing my thoughts and challenging my anxiety but I somehow feel more depressed than when I went into this treatment. My anxiety is still something that bothers me pretty frequently but dealing with it seems much more manageable.

What do I do with this depression now? My psychologist has made the mention that we will only have a few more sessions and that we are already over the suggested amount of sessions for this kind of treatment. I have a bit of fear and anxiety about what I will be left with if I continue to feel this lingering depression.

I have considered contacting her and cancelling future sessions as prolonging the inevitable seems kind of silly but at the same time I have considered telling her that this is how I’m feeling in hopes she has a solution for me. I just fear her rejection.

I think an outside perspective on this would be very helpful at this point. (From Canada)

A:  I am glad the individual session CBT has been helpful to some degree, but it may not be the only course of treatment that can help — particularly when you are feeling this amount of anxiety and depression at the end of the treatment sessions.

Ask your therapist to help you put together a relapse-prevention plan. Unfortunately, there is a high degree of relapse with treatment that doesn’t include a prevention plan. I would also highly recommend the book The Resilience Factor, as it will give you some additional tools for coping. You may also want to find an ongoing group to help develop some additional coping skills. Talking with your therapist about an aftercare plan and what to do if there is a relapse can be very important in your recovery.

Wishing you patience and peace,
Dr. Dan
Proof Positive Blog @ PsychCentral