If you're battling depression but don't feel ready to seek therapy from a psychiatrist, psychologist, or social worker, there are plenty of less formal approaches to counseling that are still quite helpful.
The clergy and the congregation. One option, especially for those with limited finances, is to seek counseling from a member of the clergy. Your own church, temple, or mosque may be able to provide significant help, whether or not you seek professional counseling from a psychologist or social worker. For those who draw strength from God and religious teachings, this is an obvious step to help improve a mood disorder. And those who feel too self-conscious to seek help from their own congregation can certainly visit a neighboring group. Even if you aren't very religious or don't believe in God, most clergy are happy to help, and the welcoming companionship of the congregational family can still provide an extra boost—often with no questions asked and no commitment required.
A good friend. Just talking about your problems with a good friend is often very helpful. Be aware, however, that friends and family sometimes love us so much, it's hard for them to serve as truly impartial listeners. And sometimes it's easier to be completely open and totally honest with a stranger than with a loved one, especially when relationships and/or deep secrets are involved in the mood problem.
Social groups you belong to (or that you can join). In addition to religious congregations, social groups are a good source of help. Consider the members of your exercise class, book club, or any other group gathering as a component of your therapy. Even if you aren't discussing your specific problems and concerns, the companionship, support, and social interaction will help lighten your mental load, and provide a distraction from things that may be troubling you. There are even a few "Depression Anonymous" 12-step groups around the country, and one of the keys to their success is this kind of social support.
Alternative approaches. Another consideration is to explore alternative approaches, such as hypnosis, acupuncture, guided imagery, mindfulness-based stress reduction, and similar holistic treatments. Of course, these can also be combined with counseling to further improve overall healing.
There is no single approach to treating mood disorders that is right for everyone. My advice is to maximize at-home treatments, then consider a combination of antidepressant medication—to help you feel better faster—with some type of counseling—to help you feel better longer.




