Depression Therapy
Virtual therapy for high-functioning depression across Connecticut, Florida, Illinois, New York, and Virginia
You’re getting everything done. You just don’t feel anything when you do.
You still show up. You still deliver. Most people would never guess anything is wrong.
But the things that used to bring you joy feel flat. Wins don’t register. You go through the motions at work, with friends, even on vacation, and wonder why it all feels so gray.
You tell yourself you have no reason to feel this way. You have a good job, people who love you, a life you worked hard to build.
What would change if you stopped waiting to feel like yourself again and got support to get there?
You know you should be happy. So why do you feel so empty?
Depression doesn’t always look like sadness.
You’re used to pushing through, so you’ve probably tried to push through this too. You’ve exercised more, cleaned up your sleep, tried gratitude journaling, maybe even taken time off. Some of it helped a little. But the heaviness keeps coming back.
That’s because high-functioning depression hides in places that are easy to miss:
In the effort it takes to answer a simple text
In the numbness you feel after a big win
In the weekends spent recovering from the week instead of enjoying them
In the voice that tells you to stop complaining and keep going
In my practice, we make room for what’s underneath the performance. I draw on ACT, CBT, narrative therapy, IFS, EMDR, and somatic work to help you reconnect with yourself, not just function better.
The goal isn’t just to get through the day. It’s to feel like you’re actually living it.
Depression doesn’t always look like depression.
According to the National Institute of Mental Health, an estimated 21 million U.S. adults, or 8.3%, had at least one major depressive episode in 2021, and the rate was higher among women (10.3%) than men (6.2%). But many of the high-achievers I work with didn’t come to therapy saying, “I’m depressed.” They came because they felt tired, disconnected, or strangely indifferent to a life that looks good on paper.
That’s because high-functioning depression rarely looks like staying in bed. It looks like checking every box while feeling nothing.
It might look like:
Staying busy so you don’t have to notice how you feel
Canceling plans you used to look forward to
Feeling irritable or numb instead of sad
Achieving a goal and immediately feeling hollow
Wondering if this is just what adulthood feels like
If any of this sounds familiar, you’re not ungrateful or lazy. You’ve been carrying something heavy without anyone noticing, sometimes not even you.
Why High-Functioning Depression Is So Hard to Recognize on Your Own
For the high-achievers I work with, the biggest obstacle is that they’re still functioning, so they don’t think they deserve help. You might find yourself:
Comparing your pain to people who have it worse
Telling yourself it’s just stress, or just a phase
Hiding how you feel because you’re the one everyone counts on
Using work as a way to avoid the quiet
If you’re wired to perform, you’ll often keep performing long after the joy has drained out. Because you’re still getting things done, it’s easy to dismiss what you’re feeling. But the longer you push through, the more disconnected you feel, and the more disconnected you feel, the harder it is to remember what you even want.
Being high-functioning doesn’t mean you’re fine.
It means you’ve gotten very good at carrying it alone. Real change starts when you don’t have to.
You May Benefit From Depression Therapy If…
You’re excelling at work and feel empty when you get home.
You’ve lost interest in hobbies, friends, or things that used to light you up.
You feel tired all the time, even when you’re sleeping enough.
You’re hard on yourself in a way you’d never be with anyone else.
You’ve started to wonder what the point of all your hard work is.
You smile and say “I’m good” while feeling the opposite.
You’ve built the life you wanted, and you’re waiting to feel something about it.
Does this sound familiar?
You feel more like a manager of your life than someone living it
You’re always tired, but rest doesn’t help
Your achievements feel meaningless once they’re done
You withdraw from people, then feel lonely
You can’t remember the last time you felt really excited
You worry that if you slow down, everything will fall apart
Depression Therapy Can Help You:
Feel more than just “fine”
Reconnect with what brings you joy and meaning
Quiet the inner critic that never lets up
Rest without guilt
Let the people close to you actually see you
Build a life that feels good from the inside, not just the outside
Meet Your Depression Therapist
Katie Schloss, AM, LCSW
Hi, I’m Katie, a Licensed Clinical Social Worker and psychotherapist in New York City. I work with high-achievers, executives, and entrepreneurs who are still performing on the outside and running on empty inside. If you’re tired of pretending you’re fine, you’re in the right place.
My approach draws on ACT, EMDR, IFS, narrative therapy, and somatic work. Most of the people I see already understand their patterns, often in detail. What they need is for something to actually shift. Together, we work with the body and the stories you tell about yourself, not just the thoughts, to get underneath what you’ve already tried to think your way out of.
I also bring a personal lens to this work. Before I became a therapist, I built a career in New York publishing. Then, at 30, I was diagnosed with a brain tumor and had to rebuild my life from the ground up. That taught me what it costs to keep pushing past your limits, and what becomes possible when you stop measuring your worth by what you produce. Since then, I’ve built my own practice, and I know firsthand the pressure of carrying a business, a reputation, and everyone’s expectations.
That experience shapes how I show up for every client.
This is a space where you don’t have to be impressive, have the answers, or keep it all together. You can just show up as you are.
How Does Depression Therapy Work?
Step 1:
We Bring Your Nervous System Back to Baseline
Depression can leave your body stuck in shutdown, even while you keep pushing forward. We start with mindfulness and nervous system regulation so you can begin to feel present, and feel something, again.
Step 2:
We map your trap doors
Trap doors are the moments that drop you into numbness, self-criticism, or withdrawal. Together, we trace where they came from, whether that’s family roles, past losses, or years of putting your needs last. Then you learn to spot them before you fall through.
Step 3:
We build a life that feels like yours
We set goals for what you want to be different, like reconnecting with people, finding joy again, or changing how you talk to yourself. Then we work toward them. When something feels sticky, we treat it as information, not failure, and adjust until the change feels real.
Frequently Asked Questions
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Most people I work with are high-achievers who are still functioning and quietly struggling. In our work, we start by helping your nervous system come out of shutdown. Then we map your “trap doors,” the moments that drop you into numbness or self-criticism, and build changes that last. I draw on ACT, CBT, narrative therapy, IFS, EMDR, and somatic work. Sessions are virtual for adults in New York, Connecticut, Florida, Illinois, and Virginia. In NYC, you can also choose walking sessions: Wednesdays in Prospect Park and Thursdays in Central Park.
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Individual sessions are $230 for 53 minutes. Couples sessions are $275. I’m a private-pay provider, so I don’t bill insurance directly, but many clients get partial reimbursement through their out-of-network benefits. I can provide a superbill for you to submit to your insurance. If you’re not sure what your plan covers, call your insurer and ask about out-of-network outpatient mental health benefits. I also offer a free 15-minute consultation so we can see if we’re a good fit before you commit.
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It isn’t a formal diagnosis, but it describes something many people live with: symptoms of depression, like low mood, fatigue, or loss of interest, that don’t stop you from functioning. You keep working, keep showing up, and keep meeting expectations, so the depression goes unnoticed, sometimes even by you.
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No. As a Licensed Clinical Social Worker, I provide therapy, not medication. If you’d like to explore medication, I’m happy to help you think it through and coordinate with a psychiatrist or your primary care provider.
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Please reach out for immediate support. Call or text 988 to reach the Suicide & Crisis Lifeline, or call 911 or go to your nearest emergency room if you’re in danger. Therapy with me is not an emergency service, but once you’re safe, I’d be glad to talk about ongoing support.
Depression Therapy in Connecticut, Florida, Illinois, New York, and Virginia
I offer depression therapy across New York City, with in-person walking sessions in Manhattan and Brooklyn: Thursdays in Central Park and Wednesdays in Prospect Park. Virtual sessions are available for clients in New York, Connecticut, Florida, Illinois, and Virginia, from Fairfield County to Chicago to Miami.
Most of the people I work with are executives, founders, and high-performing professionals who are carrying more than anyone can see. They expect a lot of themselves; they deliver while wondering how much longer they can keep it up. As someone who has built businesses and rebuilt my own life after a brain tumor at 30, I understand what it’s like when the way you’ve always operated stops working.
You don’t have to keep running on adrenaline and obligation. The version of you who can slow down, trust yourself, and actually enjoy what you’ve built is still there. Let’s find them together.