Depression Therapy | Long Island & Virtual NYIt's been a long time since you've felt like yourself.
Depression isn't just feeling sad. It's a persistent, heavy weight that makes even the smallest tasks feel like a marathon. If you've been going through the motions while the world feels like it's on the other side of a thick pane of glass, you're in the right place.
You deserve to feel more than just okay.
•
You deserve to feel more than just okay. •
The three patterns we see most.
What We'll Work On TogetherThe Persistent Fog
You're functioning but everything feels muted. You're hitting your deadlines and showing up where you need to be, but inside you feel completely hollow. We help you strip away the shame and recognize that this fog is a response to what you've been through, not a flaw in your character.
The Numbing Effect
You've learned to shut down your feelings just to keep moving. The things that used to bring you joy don't anymore and you can't quite remember when that changed. We help you clear the fog in small, manageable steps so you can actually feel present in your own life again.
The Invisible Weight
You're toughing it out because you don't know what else to do, but you're running on empty. We work with you to break the cycle of exhaustion and isolation and find a path forward that actually feels possible, not just a list of things you should be doing differently.
Past the generic advice. Into what's actually keeping you stuck.
How We WorkWhen you're in the middle of a depressive episode, life doesn't feel like something you're living. It feels like a series of obligations you're barely managing. That's not a character flaw or a lack of positivity. It's a clinical shutdown where your nervous system has simply run out of fuel. Using CBT to interrupt the self-defeating thought loops and DBT to address the physical numbness and withdrawal, we look at the full picture, your biology, your environment, and the daily friction keeping you stuck, to help you rebuild your capacity at a pace that actually respects your limits. The goal isn't to hustle your way back to happiness. It's to help you find a path back to yourself that actually feels possible. This is the one hour a week you will actually look forward to.
Therapist with this speciality -
![A young woman with long brown hair smiling, sitting by a window in a bright room, wearing a blue dress with white trim.]()
Alicia Italiano, LCSW
E. Setauket | Virtual NY
-
![A woman with wavy brown hair sitting on a black sofa by a window, smiling at the camera, with a green plant behind her.]()
Jamie Edwards, LCSW-R
E. Setauket | Virtual NY
-
![A young woman with glasses and straight brown hair, wearing a teal blouse and black pants, sitting on a wooden stool near a window with sunlight, smiling at the camera, with a green leafy plant in the background.]()
Samantha Alotta, LMSW
E. Setauket | Virtual NY
-
![A woman with wavy brown hair, glasses, and tattoos on her arms, wearing a green tank top and jeans, sitting indoors and smiling.]()
Johanna Schwartz, LCSW
Brooklyn | Virtual NY
-
![A man with glasses, a beard, and short dark hair, wearing a black short-sleeve collared shirt and a watch, is standing indoors near a window with natural light, smiling at the camera.]()
Rob Edwards, LMSW
E. Setauket | Virtual NY
-
![A woman sitting indoors, smiling, holding a blue mug with both hands, with a large potted plant in the background.]()
Maria Montelione, LCSW, PMH-C
E. Setauket | Virtual NY
Imagine the heavy feeling finally lifting.
The Work Pays OffBecause that version of you that felt present, light, and genuinely okay is still in there.
The fog starts to clear.
Trading the constant exhaustion and hollowness for genuine energy and the actual desire to engage with your life again. Not just going through the motions. Really there.
The isolation cycle ends.
Dropping the shame, reconnecting with the things that used to bring you joy, and letting the people you love back in without it taking everything you have.
The world comes back into color.
Reclaiming your natural sense of hope and possibility. Seeing a future that actually looks like something instead of endless gray.
However you show up, the work is the same.
IN-PERSON THERAPY
Hang at The Nest. Visit our East Setauket office, inside Revival Strength & Recovery Wellness Center or at our new Brooklyn office.
ONLINE THERAPY
The comfy pants option. Virtual sessions anywhere across New York State.
A few things people usually want to know.
frequently asked questions-
That's one of the cruelest parts of depression, it makes the thing that would help feel completely impossible to access. The vibe check call is free, it's thirty minutes, and it's just a conversation. No intake forms, no homework, no pressure to commit to anything. You show up exactly as you are and we take it from there. One small step is still moving forward.
-
Honestly, that's exactly what we're here to help you figure out. You don't need a formal diagnosis to reach out and you don't need to have hit rock bottom to deserve support. If something feels persistently off, heavier than it should, or like the color has drained out of your everyday life, that's enough of a reason to talk to someone. We'll help you make sense of what's actually going on before anything else.
-
Yes, and we'd actually argue that "think positive" is one of the least helpful things anyone has ever said to someone with depression. What we do is fundamentally different. We use CBT and DBT to interrupt the actual thought loops and nervous system responses that are keeping you stuck, not to tell you to look on the bright side, but to help you build a real pathway out of the void. It's clinical, it's strategic, and it's built around what's actually happening in your brain.
Still have questions? We have answers.
You've been trying to survive this on your own for long enough.
One free vibe check call is all it takes to see if The Nest is the right fit. No commitment, no pressure, just a real conversation.