Depression & Burnout Therapy

Low mood, exhaustion, and a sense that nothing is worth the effort can make ordinary days feel heavy. Depression and burnout overlap, but they are not the same, and both respond to treatment. Our clinicians offer evidence-based therapy for adults experiencing depression, or burnout from work, caregiving, or parenting, in person and online.

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Understanding Depression and Burnout

Depression is a mood condition marked by persistent low mood or loss of interest, along with changes in sleep, appetite, energy, concentration, or sense of self-worth. When symptoms last at least two weeks and affect daily life, it is worth seeking support. Depression is common and treatable.

Burnout is generally understood as the result of prolonged, unmanaged stress. It involves exhaustion, detachment or cynicism, and a drop in effectiveness. It is not a formal psychiatric diagnosis, but it is real, and it is most often described in work, caregiving, and parenting.

The two can overlap, and one can lead to the other. Understanding which you are experiencing helps determine the right kind of support.

Signs You May Want Support

Persistent Low Mood

Sadness, emptiness, or irritability that lasts most of the day, most days.

Loss of Interest

Activities, people, or work that used to matter now feel flat or not worth the effort.

Exhaustion That Rest Does Not Fix

Deep fatigue that sleep and time off do not relieve.

Difficulty Concentrating or Deciding

Trouble focusing, remembering, or making even small decisions.

Changes in Sleep or Appetite

Sleeping much more or less than usual, or eating much more or less.

Detachment or Cynicism

Feeling numb, distant, or increasingly negative about work, family, or yourself.

Where Burnout Comes From

Work

Long hours, heavy workloads, little control, or a lack of recognition, often with no clear boundary between work and the rest of life.

Caregiving

Caring for an aging parent, or for a partner or family member with illness or disability, often alongside work and other responsibilities and without enough rest or help.

Parenting

The constant, often unseen demands of raising children, especially when you carry most of the load or are short on sleep and support. Parent-focused therapy can also help with your child's behavior and development.

An Integrative Approach

We combine insight-oriented, psychodynamic therapy with practical tools from cognitive behavioral therapy. Insight helps you understand where your low mood or exhaustion comes from, including your history, your expectations, and how you treat yourself. Tools give you concrete ways to change what you do day to day.

We believe the two work best together. When you understand why a pattern exists, the skills tend to stick better, and when you have skills to practice, insight turns into change.

How We Treat Depression and Burnout

Insight-Oriented Therapy

Psychodynamic work explores how your history, relationships, and ways of coping shape your mood and energy now. For many people with burnout, this includes why it is hard to set limits, rest, or ask for help.

Cognitive Behavioral Therapy

CBT helps you identify the thought and behavior patterns that maintain low mood and exhaustion, and practice alternatives. For depression, this includes behavioral activation: gradually rebuilding activities that bring meaning and energy, even when motivation is low.

DBT-Informed Skills

Practical skills for tolerating distress, regulating strong emotions, and communicating your needs, useful when feelings seem too big to manage.

Mindfulness & MBSR

Mindfulness-based approaches, including Mindfulness-Based Stress Reduction, help you notice stress in your body, step out of rumination, and build moments of calm. Chronic stress affects the body as well as the mind.

What to Expect

You don't need to have it all figured out before you reach out.

  1. 1

    A Free Consultation

    A brief call to learn what you are looking for, answer your questions, and match you with a clinician whose training and style fit your needs.

  2. 2

    Understanding What Is Happening

    You and your therapist explore your symptoms, stressors, and history, and agree on goals for treatment.

  3. 3

    Skills and Change

    Sessions combine understanding with practical skills and steps to try between sessions. Your therapist reviews progress with you regularly, and the plan changes as you do.

Care That Connects Across Specialties

Depression and burnout often overlap with other concerns. If worry or panic is part of the picture, see our anxiety and panic care. If a loss or major life change is involved, our grief and transitions care may help. Past experiences can also play a role, and we offer trauma and EMDR therapy. For persistent exhaustion or trouble concentrating, assessment such as neuropsychological testing can sometimes identify ADHD or other learning and attention differences, and we offer neuro-affirming care as well. With your consent, your therapist can coordinate with a colleague, your physician, or a prescriber.

Your team

Meet our specialists in this area

Eva Leighton, PhD

Eva Leighton, PhD

CFO, Training Director

Dr. Leighton is a licensed clinical psychologist who works with adults, couples, children, and families on trauma recovery, substance use, parenting and behavioral concerns, and relationship difficulties. Her style is warm and supportive, with a natural sense of humor.

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Lily Brown, PhD

Lily Brown, PhD

Clinical Psychologist, Postdoctoral Resident

Dr. Brown is a postdoctoral resident in clinical psychology who works with adolescents and adults on trauma, anxiety, depression, and life transitions. Her approach is collaborative, integrative and grounded in CBT and other evidence-based models.

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Marissa Caldarola, LCSW

Marissa Caldarola, LCSW

Licensed Clinical Social Worker

Marissa is an EMDR-trained therapist with more than seven years of experience treating trauma, substance use, anxiety, and depression in children, adolescents, adults and couples.

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Emily Bly, PhD

Emily Bly, PhD

CEO, Clinical Director, Licensed Clinical Psychologist

Dr. Bly founded Psychology Partners Group on the idea that people do best when they're matched with the right expertise and feel at ease with their clinician. She works with adults, adolescents, and couples on anxiety, depression, ADHD challenges, relationship strain, and major life transitions, including infertility, adoption, and divorce.

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Gerard Micera, PsyD

Gerard Micera, PsyD

Licensed Clinical Psychologist

Dr. Micera is a licensed clinical psychologist and performing arts educator who works with children, adolescents, adults, couples, and families on anxiety, depression, and life transitions. His style is warm, humorous, and engaging.

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Jessica Duffy, LCSW

Jessica Duffy, LCSW

Licensed Clinical Social Worker

Jessica is a licensed clinical social worker with twelve years of experience supporting adolescents, adults, couples, and families through anxiety, ADHD, trauma, and family or relationship conflict.

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Melissa Klay, PhD, LCAT, ATR-BC

Melissa Klay, PhD, LCAT, ATR-BC

Licensed Clinical Psychologist, Director of Art Therapy Program

Dr. Klay is a licensed psychologist and board-certified art therapist with more than 25 years of experience treating complex trauma, eating disorders, anxiety, and emotional dysregulation in children, adolescents, and adults. She directs PPG’s art therapy program.

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Lorens Hidalgo, LCSW

Lorens Hidalgo, LCSW

Licensed Clinical Social Worker

Lorens is a bilingual therapist who offers care in English and Spanish to adults, adolescents, couples and families dealing with trauma, anxiety, depression, and relationship conflict. Her approach is attachment-focused and psychodynamic.

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Megan Sedita, PsyD

Megan Sedita, PsyD

Licensed Clinical Psychologist

Dr. Sedita is a licensed clinical psychologist who works with adults, adolescents, and couples on trauma, anxiety, mood, and relationship difficulties. She trained at the VA Hudson Valley Health Care System, working with Veterans.

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Emily Mudge, LCSW

Emily Mudge, LCSW

Licensed Clinical Social Worker

Emily is a licensed clinical social worker and parent coach who works with children, adolescents, adults and families on anxiety, depression, and emotional dysregulation. She helps parents turn what happens in therapy into everyday strategies at home.

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FAQ

Common questions

What is depression?

Depression is a mood condition involving persistent low mood or loss of interest, along with changes in sleep, appetite, energy, concentration, or self-worth, lasting at least two weeks and affecting daily life. It is common, and it is treatable.

What is burnout?

Burnout is a state of exhaustion, detachment, and reduced effectiveness that develops after prolonged stress, most often at work but also in caregiving and parenting. It is not a formal psychiatric diagnosis, but it is real and can seriously affect health, relationships, and daily functioning.

What is the difference between depression and burnout?

Burnout is usually tied to a specific source of ongoing stress and often eases when the demands change. Depression tends to affect mood and interest across all areas of life, including activities you used to enjoy, and it does not necessarily lift when circumstances change. The two can overlap or lead to one another, and an assessment can clarify which fits.

What does an integrative approach to therapy mean?

It means combining more than one kind of therapy. We pair insight-oriented, psychodynamic work, which explores where your patterns come from, with practical tools from cognitive behavioral therapy and related approaches. We find that understanding why a pattern exists helps the skills last.

Can I have both depression and anxiety?

Yes. They commonly occur together, and treatment can address both. Our anxiety and panic therapy covers the anxiety side.

Can therapy help if I cannot change my situation?

Yes. Therapy can help you manage stress, set limits within what is possible, change how you respond to pressure, and recover your energy, even when the source of stress stays in place. It can also help you decide whether and how to change the situation.

Do you treat caregiver and parenting burnout?

Yes. Burnout can come from work, from caring for a family member, or from raising children, and we treat it in all three settings. For parents, we also offer parent-focused therapy for questions about your child's behavior and development.

Is medication part of treatment?

Our clinicians provide therapy and do not prescribe medication. Many people benefit from therapy alone, and others from therapy combined with medication. If medication might help, we can coordinate with your primary care doctor or a psychiatric prescriber, with your consent.

How long does treatment take?

It depends on your goals and on how long and how severe the symptoms are. Your therapist will discuss a timeline with you after the first few sessions and review progress with you regularly.

Can I do therapy online?

Yes. Sessions are available in person at our Chappaqua and Hartsdale offices and by secure video.

What should I do if I am in crisis?

PPG provides outpatient care and is not an emergency service. If you are having thoughts of suicide or of harming yourself, call or text 988 (the Suicide & Crisis Lifeline), call 911, or go to your nearest emergency room.

How do I get started?

Schedule a free consultation. We will talk briefly about what you are looking for and match you with a clinician whose training and style fit your needs.