Anxiety & Depression Therapy for Adults | Online Counseling in Georgia | Routly Counseling

Anxiety & Depression Therapy for Adults

A question worth getting out of the way: is this bad enough to justify therapy?

People ask it constantly, usually about themselves and usually with the answer already decided. They're still going to work. They haven't fallen apart. Other people have it worse. So they wait.

You don't have to be in crisis to be helped. If you're spending Sunday evening bracing for Monday, running conversations in your head at 1 am that already happened and went fine, or noticing that the things you used to like just feel like more tasks — that's enough. Nobody's going to assess whether you earned it.

Anxiety and depression are among the most common reasons adults seek therapy, and among the most treatable. They also travel together, each making the other worse. Anxiety keeps you scanning for threat. Depression takes the energy you'd need to cope with it. Both at once feels like being revved up and shut down in the same body.

With over 21 years of clinical experience, I help adults move from managing to actually functioning — and past that.

Depression therapy

Depression isn't sadness, and it doesn't always announce itself. Sometimes it's obvious — you can't get up, nothing lands, everything is gray. More often it's quieter than that. You're still working. You're still answering texts, eventually. You've just noticed that the things you used to like now feel like items on a list, and that you're tired in a way sleep doesn't touch.

Depression is also a convincing liar, and it uses your own voice. It doesn't say "you have an illness." It says you're lazy. It says people are being polite. It says this is just what you're like and always were, and that reaching out would be a lot of fuss over nothing. Those thoughts feel like clear-eyed realism. They're symptoms.

You don't have to be in crisis for this to be worth treating. Plenty of people wait until things get bad enough to justify the appointment, and "bad enough" keeps moving. If it's dimming your life, that's the answer.

What I work with:

  • Major depressive disorder

  • Persistent depressive disorder (dysthymia)

  • Depression alongside anxiety

  • Grief and loss, including grief that has become tangled with depression

  • Depression during life transitions, chronic illness, or caregiving

  • Low self-worth and chronic self-criticism

  • Anhedonia — the loss of pleasure in things you used to enjoy

  • Burnout and exhaustion that hasn't responded to rest

Grief belongs in that list with a caveat: it isn't depression, though the two overlap and get confused, sometimes by the person grieving. There's no correct timeline, whatever people around you may start to imply around month six, and grief is often complicated by the relationship itself — a parent you loved and fought with, a loss that arrived with relief mixed in, things you never got to say. If that's what brought you here, it's worth room in therapy without being treated as a disorder.

Depression treats motivation as a prerequisite when it's actually a result — you wait to feel like doing something, and the feeling doesn't arrive. A lot of our work is about getting underneath that, along with the self-criticism that tends to pile on top, and reconnecting with things that matter to you rather than things you think you should want.

Anxiety therapy

Anxiety isn't worry with the volume up. It's a threat response running in a body that isn't in danger — which is why talking yourself out of it doesn't work. You already know this, because you've tried. Being told to stop worrying has never once helped anyone.

It shows up as a mind that won't stop rehearsing, a chest that won't unclench, conversations replayed at 1am that went fine, or a sense that something bad is coming that you can't attach to anything. It also shows up as avoidance — which works beautifully in the short term and is precisely what makes anxiety grow.

Social anxiety deserves a word of its own, because it's often misread as shyness and it isn't. It also isn't always global. Plenty of people can present to a room of two hundred and freeze at a table of six. What it tracks is being evaluated, not being seen — which is why the small, unstructured, no-script situations are frequently the hardest ones.

What I work with:

  • Generalized anxiety and chronic worry

  • Panic attacks and panic disorder

  • Social anxiety

  • Health anxiety

  • Perfectionism and fear of failure

  • Difficulty tolerating uncertainty

  • Anxiety tied to work, relationships, or life transitions

  • Anxiety that shows up physically — tension, nausea, sleep problems

The goal isn't to argue with anxious thoughts until they surrender, which is a fight nobody wins. It's to change your relationship to them, get your nervous system out of permanent alert, and stop letting avoidance quietly shrink the shape of your life.

How I work

My approach is collaborative and practical. Whatever's going on, you don't have to have it named or organized before you call. Working that out is part of the job.

I am a Licensed Professional Counselor (LPC) with over 21 years of clinical experience, and I hold a Board Certified Telemental Health Provider (BC-TMH) credential reflecting specialized training in delivering effective care through digital platforms. All sessions are conducted via HIPAA-compliant teletherapy for adults in Georgia, Florida, Vermont, South Carolina and New Hampshire.

You do not have to keep managing this alone.

Anxiety and depression are highly treatable — and the fact that you are reading this means you are already taking a step. I offer a free consultation with no pressure and no obligation. Call (470) 299-7866 or send a message to schedule yours.