Mood and behavior
See how activity, withdrawal, and mood influence one another.

depression
Depression can affect energy, attention, hope, relationships, and the ability to imagine a different future. Therapy offers a place to understand what is happening without reducing you to a diagnosis.
about this concern
Depression can affect energy, attention, sleep, motivation, relationships, and the sense that anything will make a difference. It is not a character flaw or a failure of willpower; it is a pattern that can be understood and met with practical support.
recognize yourself
You may be doing only what is necessary or pulling away from people. You may judge yourself for not feeling motivated. Depression can be quieter too: numbness, irritability, or disconnection.
You may feel that life is passing by while you watch.
We can notice the loops between mood, thoughts, behavior, relationships, and circumstances, then identify manageable places where movement can begin.
Even ordinary tasks can feel like they require more effort than you have available.
Withdrawal can feel protective while also deepening disconnection.
Depression often brings harsh conclusions about worth, motivation, or responsibility.
A narrow sense of the future can make the next step feel out of reach.

moving forward

We can look at the links among mood, thoughts, behavior, relationships, and circumstances.
I can help identify small, useful steps that do not depend on forced positivity.
We can make room for values, relationships, and parts of life that have gone quiet.
Therapy can create a more accurate and less punishing way to understand your experience.
See how activity, withdrawal, and mood influence one another.
Explore beliefs about worth, belonging, responsibility, and hope.
Keep the work connected to what is actually happening in your week.
We may adjust the focus as your energy and needs change.
a possible pathway
The sequence is flexible. We may return to earlier steps or change the focus as we learn what is useful.
We discuss what brings you to therapy and whether my approach is a good fit.
We begin to identify recurring thoughts, emotions, behaviors, and experiences.
We connect present difficulties with patterns that may be maintaining them.
We apply understanding to the situations and choices that matter in your current life.
We continue refining what is useful and helping you become more effective in navigating your life.
understanding the work
Low mood may include exhaustion, numbness, irritability, loss of interest, or disconnection.
Depression can make contact feel effortful and self-judgment louder.
Understanding the pattern and finding realistic ways to reconnect with life.
Sessions take place by secure video, subject to PSYPACT/APIT authorization by location.
experience and context
40+
years in practice
10,000+
sessions
ABPP
board certification
Publications
listed in the CV
I bring more than four decades of clinical experience to work that stays personal, practical, and grounded in real life.
“The goal of therapy isn't lifelong dependence. It's helping you become your own therapist, equipped with the skills to navigate life's challenges with confidence.”
common questions
a possible next step
A brief screening is a chance to discuss whether online depression therapy with Dr. Berchick fits your situation.
Direct contact
A brief phone call is the first step. These links open your own phone, messaging, or email app; this page does not collect an enquiry form.
from the publication list
This article reports replication work examining the relationship between hopelessness and ultimate suicide in psychiatric outpatients.
View citationThis article examines whether self-reported depressive symptoms differentiate recurrent major depression from dysthymic disorders.
View citationother services
The first step is a brief phone call to get a rough idea of whether we are a good fit before the Diagnostic and Treatment Evaluation. You may call, text, or email simply to request a conversation.
A brief phone or video screening can help us get a rough idea of whether the work may be a good fit before the Diagnostic and Treatment Evaluation.