We’ve all felt sad at times but these feelings usually pass relatively quickly. When a person has a depressive disorder, it interferes with daily life, normal functioning and causes pain. Depression is not something you can just snap out of and most who experience it need treatment to get better.

The first step in fighting depression is to understand what it is, how it affects you and what causes it.

Common Symptoms of Depression


  • Persistent, sad or empty feelings

  • Feelings of hopelessness and/or pessimism

  • Feelings of guilt, worthlessness and/or helplessness

  • Irritability and restlessness

  • Loss of interest in activities or hobbies once pleasurable, including sex

  • Fatigue and decreased energy

  • Difficulty concentrating, remembering details and making decisions

  • Insomnia, early morning wakefulness, or excessive sleeping

  • Overeating or appetite loss

  • Thoughts of suicide, suicide attempts

  • Persistent aches and pains, headaches, cramps or digestive problems that do not ease even with treatment

Together we will come up with an action plan to treat your depression. I will provide you with the tools you need that will help you stop thinking bad thoughts about yourself and your life so that you may return to a happier, more rewarding way of living.


Elma Pisano, LCSW-R

Experienced Depression Therapist / Counselor in Smithtown, NY
267 East Main Street, Suite 22B, Smithtown, NY 11787
Phone: 631-724-0266