Effective Strategies for Combating Depression: How to Cope, Treat, and Manage Symptoms
Depression is a diagnosable mental health condition characterised by persistent low mood, loss of interest, and functional impairment. This article outlines evidence-based strategies people can use to cope, treat, and manage symptoms. Readers will learn how to recognise common depression symptoms, compare therapeutic approaches including attachment-based therapy and mentalization-based treatment, adopt lifestyle changes that support recovery, and build a local support network. The focus here is practical: from symptom checklists and therapy comparisons to step-by-step coping tools and relapse-prevention tactics geared toward sustained well-being. This resource combines current research perspectives with clear how-to guidance on therapy selection, emotional regulation techniques, exercise and sleep routines, and community resources for those seeking mental health support. Sections map to what to watch for, which depression treatments are most effective, lifestyle and resilience-building strategies, local support options in Birmingham and Michigan, and when to seek professional help. Throughout, terms such as depression symptoms, depression treatment, CBT for depression, attachment-based therapy depression and mentalization based treatment depression appear naturally to help readers find actionable paths toward recovery.
What Are the Common Symptoms and Causes of Depression?
Depression is a clinical condition defined by persistent emotional, cognitive, and physical changes that impair daily life; biological vulnerability, psychosocial stressors, and disruptions in interpersonal functioning often explain why it develops. Mechanistically, altered mood regulation, disrupted sleep, and changes in reward processing produce symptoms that reduce motivation and social engagement. Recognising these patterns quickly enables timely mental health support and targeted depression treatment that addresses root causes rather than only surface complaints. The following subsections break down emotional and physical signs, common triggers, and how functional impact signals need for intervention.
How Can You Recognize Emotional and Physical Signs of Depression?
Emotional and physical signs of depression include persistent sadness, marked loss of interest, pervasive guilt, slowed thinking, and physical symptoms such as fatigue or appetite change that last for weeks. Depression symptoms often cluster: cognitive slowing and indecisiveness accompany emotional numbness, while somatic complaints like aches or disrupted sleep may be the first reason someone seeks help. Red flags include suicidal thoughts, inability to care for oneself, or rapid functional decline; these situations require urgent assessment and possible crisis intervention. Observing symptom patterns over two weeks or more helps differentiate transient low mood from major depressive disorder, guiding timely referral for mental health support.
What Life Events and Factors Commonly Trigger Depression?
Common triggers for depression include bereavement, relationship breakdowns, job loss or legal stressors, chronic illness, and sustained caregiving strain; genetic and developmental vulnerabilities interact with these events to produce sustained low mood. Stressful life transitions often overwhelm coping capacity, while adverse attachment histories can amplify sensitivity to relational losses, linking attachment-based therapy depression to many presentations. Recent studies indicate that cumulative stress exposure increases risk, and early-life adversity shapes emotion regulation patterns that predispose to relapse. Identifying the proximal trigger and the background vulnerability helps clinicians tailor depression treatment and relapse-prevention planning.
How Does Depression Impact Daily Functioning and Well-being?
Depression commonly impairs concentration, work performance, and motivation, reducing ability to maintain routines, social roles, and self-care, which in turn deepens low mood and isolation. Functional impact shows up as missed work or school, avoidance of valued activities, strained relationships, and physical health decline from poor sleep and nutrition. The practical consequence is reduced problem-solving capacity and increased risk for comorbid conditions if symptoms persist untreated. Early intervention and a combined approach that includes psychological treatment, lifestyle adjustments, and social support can restore functioning and reduce long-term consequences.
Depression presents across emotional, cognitive, and physical domains; understanding triggers and functional impact establishes the need for targeted interventions and informs the choice of therapeutic approach next.
Which Types of Therapy Are Most Effective for Treating Depression?
Effective depression treatment includes several evidence-based psychological treatment options, each working through distinct mechanisms such as cognitive restructuring, relational repair, or capacity to mentalize, and choosing the right approach depends on symptom profile and history. Mechanistically, CBT for depression targets maladaptive thoughts and behaviours, attachment-based therapy focuses on relational patterns that shape mood, mentalization-based treatment improves understanding of mental states to reduce rumination, and psychodynamic therapy explores unconscious relational themes affecting mood. The table below summarises these approaches for quick comparison, and the following subsections explain how each works in practice and when individual therapy is recommended.
Different therapy types act through different primary mechanisms and suit different clinical presentations.
| Therapy Type | Main Mechanism | Typical Benefits / When Recommended |
|---|---|---|
| Attachment-based therapy for depression | Targets relational expectations and internal working models | Improves mood regulation in those with attachment-related vulnerabilities; recommended when interpersonal patterns drive symptoms |
| Mentalization-based treatment for depression | Enhances understanding of thoughts and feelings | Reduces rumination and interpersonal conflict; useful when emotional confusion and misreading others sustain depression |
| Cognitive behavioural therapy for depression (CBT) | Modifies negative thinking and increases behavioural activation | Rapid symptom reduction, structured skill-building; ideal for moderate depression and relapse prevention |
| Psychodynamic therapy | Explores unconscious patterns and past relational influences | Deep personality-level change for chronic or complex depression; recommended when long-term patterns maintain symptoms |
This comparison clarifies which therapeutic mechanism aligns with a person’s primary difficulties and helps inform choices about depression treatment.
How Does Attachment-Based Therapy Help Combat Depression?
Attachment-based therapy helps combat depression by identifying and changing relational patterns and expectations formed in early relationships, which often shape current mood regulation and coping strategies. The mechanism is relational: insecure attachment styles promote heightened sensitivity to perceived rejection and difficulty seeking support, which can perpetuate low mood; therapy works to revise internal working models and create new relational experiences. Typical goals include increasing secure connection, improving emotion regulation, and reducing interpersonal triggers of depression. People who struggle with chronic relational conflict, abandonment fears, or persistent loneliness often benefit most from this approach, which directly addresses the interpersonal roots of depressive states.
Attachment-focused work prepares clients for enhancing mentalization capacity, which the next section describes as complementary because understanding mental states underpins healthier relational change.
What Is Mentalization-Based Treatment and Its Role in Depression?
Mentalization-based treatment reduces depressive rumination and interpersonal friction by strengthening the capacity to understand one’s own and others’ mental states, thereby improving emotion regulation and social problem-solving. The core mechanism is cognitive-emotional insight: enhanced mentalization interrupts automatic negative interpretations and decreases reactive withdrawal that maintains low mood. Clinically, therapists use reflective questions, role-play, and careful attunement to help people notice thoughts and feelings before acting, which reduces maladaptive cycles. This method is particularly effective when depression is sustained by interpersonal misunderstandings or chronic self-critical thinking.
Improved mentalization often complements cognitive approaches, which target thought patterns directly and are described next for comparison.
How Do Cognitive Behavioural Therapy and Psychodynamic Therapy Compare?
Cognitive behavioural therapy for depression primarily targets thoughts and behaviours through structured interventions like behavioural activation and cognitive restructuring, delivering measurable symptom reduction in a time-limited format. Psychodynamic therapy, by contrast, focuses on unconscious relational patterns and attachment history, aiming for deeper personality and relational change over a longer course. CBT tends to be recommended for moderate depression and for rapid functional recovery, while psychodynamic approaches suit chronic, complex, or personality-related depression. Practical choice depends on goals: short-term symptom relief and skill acquisition favour CBT, whereas long-term changes in interpersonal patterns may favour psychodynamic therapy.
Matching therapy to presentation improves outcomes; when immediate functional return is needed, CBT or combined approaches often accelerate recovery and link naturally to individual therapy decisions discussed next.
When Is Individual Therapy Recommended for Depression?
Individual therapy is recommended when symptoms are moderate to severe, when there is a complex personal history, comorbid conditions, or when one-to-one exploration of attachment and mentalization processes is necessary for change. The mechanism is personalised intervention: focused assessment sessions allow clinicians to map depressive triggers, symptom patterns, and relational vulnerabilities and design tailored interventions. Examples include persistent suicidal ideation, treatment-resistant symptoms, or significant interpersonal trauma where group formats might be less safe; in such cases individual therapy provides stability and intensive support. When combined approaches are needed—such as therapy plus medication or coaching for life transitions—individual therapy often serves as the central coordinating treatment.
Choosing the right format begins with clear assessment and a discussion of goals, frequency, and expected outcomes; the next section addresses lifestyle complements that enhance therapy gains.
What Lifestyle Changes Can Support Depression Recovery?
Lifestyle changes support depression recovery by altering biological and behavioural systems that influence mood, such as neurochemistry, circadian rhythm, and social routine, producing measurable benefits when combined with therapy. Mechanisms include behavioural activation from regular activity, sleep stabilisation for emotional regulation, nutritional support for brain function, mindfulness for attention regulation, and nature exposure for stress reduction. Practical interventions are incremental and targeted to the individual’s functional level; the table below outlines core activities, recommended frequency, and expected benefits for mood and energy.
The table summarises key lifestyle activities that reliably complement depression treatment.
| Activity | Recommended Frequency | Expected Benefit for Mood/Energy |
|---|---|---|
| Structured Exercise (aerobic + strength) | 3–5 times per week, 30 minutes | Increases endorphins and energy; supports behavioural activation |
| Sleep Hygiene Practices | Daily bedtime routine, consistent schedule | Stabilises mood regulation and reduces fatigue |
| Balanced Nutrition (whole foods) | Daily meals emphasising protein, omega-3, fibre | Supports neurotransmitter synthesis and energy |
| Mindfulness Practice | 10–20 minutes daily | Reduces rumination and improves attention control |
| Time in Nature | 2–3 times per week, 20–60 minutes | Lowers stress and boosts mood via restorative exposure |
These lifestyle actions produce synergistic effects with therapy and medication, creating a backbone for sustained recovery and relapse prevention.
Exercise, nutrition, and sleep each deserve specific guidance in the subsections that follow.
How Does Regular Exercise Alleviate Depression Symptoms?
Regular exercise alleviates depression symptoms by combining neurochemical effects—such as increased endorphins and BDNF—with behavioural activation that interrupts avoidance patterns and restores routine. Practically, moderate-intensity aerobic exercise three times weekly for 30 minutes produces consistent mood improvements in controlled studies, while starting with short, achievable sessions helps overcome low motivation. Examples include brisk walking, cycling, or simple home-based strength routines adapted to current fitness; building social activity into exercise amplifies benefits through social support. When motivation is low, scheduling, pacing, and small goals focus on consistency rather than intensity to create momentum for recovery.
Exercise complements sleep and nutrition strategies by increasing daytime energy and improving sleep quality, which we describe next.
What Role Does Nutrition and a Healthy Diet Play in Managing Depression?
Nutrition influences mood via gut-brain interactions, inflammation modulation, and provision of nutrients needed for neurotransmitter synthesis, and a balanced diet rich in omega-3s, B vitamins, and fibre supports mood regulation. Practical adjustments include prioritising whole foods, regular protein at meals, oily fish or plant-based omega-3s, and reducing processed sugars that exacerbate mood swings. Evidence suggests that dietary improvements can yield moderate reductions in depressive symptoms and support overall energy—particularly when combined with therapy. Supplements should be considered under clinical guidance when deficiencies are suspected, since clinician-directed decisions ensure safety and integrate with broader depression treatment.
Good nutrition enhances other recovery behaviours, including sleep hygiene, which has a strong reciprocal relationship with mood.
How Can Sleep Hygiene Improve Mood and Energy Levels?
Sleep hygiene improves mood and energy by stabilising circadian rhythms, supporting emotional regulation, and enhancing daytime concentration; consistent sleep-wake schedules and sleep-promoting behaviours reduce insomnia-driven mood deterioration. Key steps include fixed wake and bed times, reducing evening screens, limiting stimulants, and creating a calming pre-sleep routine that cues the nervous system to down-regulate. Behavioural strategies such as brief daytime activity, exposure to morning light, and avoiding prolonged daytime naps strengthen night-time sleep. When insomnia persists despite hygiene changes, seeking medical or specialist sleep support is warranted to avoid chronic sleep disruption undermining depression treatment.
Improved sleep multiplies benefits from exercise and psychotherapy, and mindful practices offer another accessible tool described next.
How Does Mindfulness and Time in Nature Help with Depression?
Mindfulness and time in nature reduce depressive symptoms through attention regulation and stress reduction mechanisms that interrupt rumination and restore cognitive flexibility. Simple practices—such as a five-minute grounding breath or a ten-minute mindful walk—train attention to present-moment sensations and lower physiological stress markers, while nature exposure increases restorative experience and reduces negative affect. Starting with brief, regular practices that fit daily routines makes them sustainable and supports long-term resilience. Combining mindfulness with social or outdoor activity integrates several recovery mechanisms to strengthen mood and motivation.
Mindfulness skills readily integrate into coping strategies and support networks, which the next section explores.
How Can You Build a Support Network to Manage Depression?
A robust support network improves depression outcomes by reducing isolation, increasing adherence to treatment, and providing practical help during low periods; social connection acts through emotion regulation and accountability mechanisms. Building support involves identifying trusted people, communicating needs clearly, and balancing closeness with healthy boundaries to avoid overwhelm. Local resources and structured groups provide peer support and access to community services; the following subsections outline why social connection matters, local resource options for Birmingham and Michigan, and how support groups help prevent relapse.
Why Is Social Connection Important for Depression Recovery?
Social connection improves depression recovery by buffering stress, providing practical assistance, and modelling adaptive coping, which together reduce feelings of loneliness that exacerbate depressive symptoms. Research shows that people with stronger social ties have better treatment adherence and lower relapse rates, and simple actions—reaching out to a friend, scheduling regular social activities, and joining a group—can jump-start reconnection. When energy is low, pacing contact and choosing predictable, low-demand interactions protects against overwhelm and builds confidence gradually. Strengthening social networks also offers opportunities for behavioural activation, reinforcing therapy gains and improving mood over time.
Social resources connect individuals to formal support options in their area, summarised next with local signposting.
What Local Mental Health Resources Are Available in Birmingham and Michigan?
Local resources in Birmingham and Michigan include outpatient psychological services, primary care mental health pathways, and community support groups, and people can access these via local directories, clinician referral, or teletherapy options when in-person access is limited. As one local resource, Dr. Lena Agree, JD, PsyD – Licensed Psychologist and Associates provides individual therapy, coaching, and personality assessment from a practice located at 800 N. Old Woodward Ave. Ste 110 Birmingham, MI 48009, and can be reached at 248-219-2548 for assessment and appointments. For urgent crisis help, local emergency services and crisis lines provide immediate support; for non-urgent needs, community mental health centres and peer-led groups can be entry points for ongoing care. Teletherapy expands options for people across Michigan who need flexible access to mental health support.
Listing local resources helps people find accessible pathways to professional depression treatment and community supports.
How Can Support Groups and Community Help Prevent Relapse?
Support groups and community programs prevent relapse by offering ongoing peer accountability, normalising recovery struggles, and providing shared coping strategies that reinforce adaptive behaviours. Group formats include psychoeducational groups, peer-led mutual aid, and structured relapse-prevention programs that teach coping plans and early warning sign recognition. Joining a group safely involves checking facilitator credentials, group aims, and confidentiality rules, and trying a few options to find the best fit. Participation maintains social connection, reduces isolation, and supplements one-to-one therapy by offering practical role models and mutual encouragement that support long-term recovery.
Peer support complements professional care and integrates well with structured relapse-prevention plans used in therapy.
What Are Effective Coping Mechanisms and Resilience-Building Strategies?
Effective coping and resilience-building combine emotional regulation techniques, stress management methods, and coaching-based goal-setting to sustain recovery and prevent relapse, acting through cognitive reappraisal, physiological calming, and strengthened behavioural routines. Techniques such as grounding, paced breathing, and cognitive reframe reduce immediate distress, while pacing, activity scheduling, and problem-solving build durable coping capacity. Coaching supports long-term resilience by clarifying values, setting achievable goals, and reinforcing behavioural steps that maintain mental health gains. The following subsections provide step-by-step techniques, stress-management programmes, and practical guidance on how coaching complements therapy.
How Can Emotional Regulation Techniques Reduce Depression Symptoms?
Emotional regulation techniques reduce depression symptoms by calming physiological arousal and shifting attention away from rumination toward adaptive behaviours, using methods like paced breathing, grounding, and cognitive reappraisal. A simple grounding exercise involves naming five things you can see, four you can touch, three you can hear, two you can smell, and one you can taste to reorient attention; a paced breathing routine uses a 4–6 second inhale and 6–8 second exhale for two to three minutes to lower anxiety. Cognitive reappraisal asks people to identify an automatic negative thought, evaluate evidence for and against it, and generate a balanced alternative, decreasing rumination. These techniques are portable, can be practised in short sessions, and provide immediate relief while therapy targets deeper patterns.
Regular practice of regulation skills integrates into daily routines and supports stress-management strategies described next.
What Stress Management Methods Are Recommended for Depression?
Recommended stress-management methods for depression include pacing activities to avoid overload, behavioural activation to reintroduce rewarding experiences, relaxation practices such as progressive muscle relaxation, and structured problem-solving to address solvable stressors. A practical daily programme mixes short activation tasks, scheduled rest, and brief relaxation breaks to stabilise mood and energy across the day. Problem-solving involves defining a concrete problem, brainstorming possible actions, selecting one option, and testing it with small steps—this reduces perceived helplessness. When stress is driven by external factors like legal or occupational issues, combining therapy with coaching or specialist advice produces more comprehensive stress reduction.
Stress-management alone may not suffice for moderate-to-severe depression, but integrated with therapy and coaching it supports measurable functional gains.
How Does Coaching Support Long-Term Resilience in Depression?
Coaching supports long-term resilience by translating therapeutic insight into concrete goals, accountability structures, and practical plans for career, relationship, and lifestyle changes that reduce relapse risk. Coaching focuses on future-oriented goal clarity, stepwise habit formation, and tracking progress, which complements therapy’s focus on underlying mechanisms and emotion processing. Examples of coaching goals include rebuilding daily routine, returning to work gradually, or developing assertive communication skills for stressful transitions. When coordinated with clinical therapy, coaching helps sustain behavioural activation, reinforces relapse-prevention strategies, and targets practical barriers to recovery.
Combined therapy plus coaching creates a synergy where clinical change enables functional progress and coaching consolidates new behaviours in everyday life.
When and How Should You Seek Professional Help for Depression?
Seek professional help for depression when symptoms persist beyond two weeks, significantly impair daily functioning, include suicidal thoughts, or when self-help strategies fail to produce improvement; prompt assessment enables appropriate depression treatment and safety planning. Mechanistically, assessment identifies symptom severity, comorbidity, risk factors, and suitable treatment pathways such as psychotherapy, medication, or combined care. The checklist below helps decide when to seek help and what steps to take, and the subsections explain how to find the right provider, what to expect in sessions with Dr. Lena Agree, and how therapy plus coaching can be coordinated.
Use this checklist to identify when professional assessment is appropriate and to guide first steps.
- Persistent low mood or loss of interest lasting more than two weeks.
- Significant decline in work, school, or daily functioning.
- Suicidal thoughts or behaviours, or inability to care for oneself.
- Symptoms that do not improve with basic self-care and lifestyle changes.
- Complex history, trauma, or comorbid mental health conditions.
Acting on these signs leads to timely assessment, diagnosis, and initiation of appropriate depression treatment to reduce risk and restore function.
How Do You Find the Right Psychologist or Therapist for Depression?
Finding the right psychologist involves checking credentials, therapy approach, experience with depression, logistics like location or teletherapy options, and initial fit through a consultation that assesses rapport and treatment plan. Important criteria include whether a practitioner uses evidence-based methods such as CBT, attachment-based therapy, or mentalization-based treatment and whether they provide clear information about assessment and expected course. Useful questions to ask in an initial call include the therapist’s experience with depression, typical session structure, coordination with other professionals, and availability for crisis planning. Choosing a provider who matches your needs and preferences improves engagement and outcomes, and teletherapy offers flexible access when in-person options are limited.
A clear intake conversation sets expectations and allows comparison across providers before committing to treatment.
What Should You Expect from Therapy Sessions with Dr. Lena Agree?
Therapy sessions with Dr. Lena Agree typically begin with a structured assessment to map symptoms, triggers, and goals, then proceed with targeted interventions based on attachment- and mentalization-based approaches and other evidence-based techniques. Sessions focus on understanding relational patterns that influence mood, improving mentalization to reduce rumination, and developing practical coping skills; progress is reviewed regularly and treatment adjusted to client needs. The collaborative model emphasises safety, clarity about goals, and integration of coaching elements when appropriate to support functional recovery. Practical next steps after an initial session include a personalised plan for therapy frequency, suggested lifestyle supports, and coordination with other providers when needed.
Knowing this structure helps clients prepare for focused, mechanism-driven work that links therapeutic insight to daily behaviour change.
How Does Combining Therapy and Coaching Enhance Depression Treatment?
Combining therapy and coaching enhances depression treatment by pairing deep emotional and relational work with pragmatic goal-setting and accountability that accelerate return to functioning. Clinically, therapy targets internal mechanisms such as attachment patterns and mentalization deficits, while coaching supports actionable steps—scheduling, goal breakdown, and real-world problem-solving—that implement therapeutic gains. Coordinated plans might stage therapy for symptom reduction and mentalization capacity building, then introduce coaching for work re-entry or relationship goal attainment, creating a seamless pathway from insight to action. This blended approach reduces relapse risk by embedding new skills into everyday routines and maintaining momentum toward meaningful life goals.
When appropriate, the practice coordinates therapeutic and coaching support to align clinical and practical recovery objectives and to sustain resilience.
At this point, if you are considering professional assessment or combined therapy and coaching, Dr. Lena Agree, JD, PsyD – Licensed Psychologist and Associates is available for evaluation and treatment planning at 800 N. Old Woodward Ave. Ste 110 Birmingham, MI 48009; call 248-219-2548 to enquire about services and appointment availability.
What Makes Dr. Lena Agree’s Approach Unique in Combating Depression?
Dr. Lena Agree’s approach is distinctive because it blends attachment- and mentalization-based therapy with certified coaching skills and legal training to address the emotional mechanisms of depression alongside practical life transitions and stressors. The mechanism-focused model targets relational patterns and mentalizing capacity to produce measurable changes in mood regulation and interpersonal functioning while coaching translates therapeutic gains into goal-directed behaviour. Services include Individual Therapy, Coaching, and Personality Assessment tailored to each person’s history and objectives, forming an integrated pathway from assessment to sustained recovery. The following subsections detail mechanisms of change, how cross-disciplinary skills support treatment, and anonymised vignette-style illustrations of typical pathways to improvement.
How Does Attachment- and Mentalization-Based Therapy Deliver Real Results?
Attachment- and mentalization-based therapies deliver results by changing internal relational expectations and improving the capacity to understand and regulate thoughts and feelings, which decreases rumination and reactive interpersonal behaviours that sustain depression. Mechanistic triples describe this pathway: (Attachment-based therapy) – [targets] – (relational patterns that influence mood) → [leading to] → (improved emotion regulation). Clinically, therapy creates corrective relational experiences and teaches reflective skills that generalise to daily interactions, producing measurable gains in mood, relationship satisfaction, and relapse prevention. Outcome-focused work emphasises skill acquisition, tracking symptom reduction, and strengthening social supports to maintain progress.
Translating mechanism into daily action makes therapeutic gains durable and prepares people for coaching-based consolidation of goals.
How Does Dr. Agree’s Legal and Coaching Background Enhance Treatment?
Dr. Agree’s legal and coaching background enhances treatment by bringing structured problem-solving, negotiation skills, and practical life-transition planning into clinical work, which helps clients navigate career, legal, or role changes that often precipitate or maintain depression. Coaching techniques are applied to set clear goals, create stepwise plans, and build accountability, while legal training contributes analytical clarity for complex stressors and informed support during transitions. Examples include designing phased return-to-work plans, clarifying options during career shifts, and coaching for assertive communication that reduces ongoing stress. This integrated skillset ensures therapy addresses both emotional mechanisms and the external problems that impact recovery.
Combining these disciplines supports comprehensive care that attends to inner change and concrete life challenges simultaneously.
What Client Success Stories Demonstrate the Effectiveness of This Approach?
Anonymised vignettes illustrate typical pathways: a client presenting with recurrent depression linked to relationship avoidance engaged in attachment-based therapy to revise internal models, practised mentalization to reduce misinterpretation of partner cues, and used coaching to reintroduce social activities; over months they regained energy, improved communication, and reduced depressive episodes. Another example involves a client with career-related depression who combined therapy to address perfectionistic self-criticism, with coaching to implement a gradual job transition plan; improved emotion regulation and structured action reduced stress and restored function. These vignettes show mechanism → intervention → outcome sequences that reflect realistic progress without promising specific timelines, emphasising individual variation.
These illustrative cases demonstrate how mechanism-focused therapy plus coaching translates into practical, measurable improvements for people facing diverse depressive challenges.
This article presents practical, mechanism-driven strategies for recognising, treating, and managing depression, integrating evidence-based therapies, lifestyle changes, and social supports while offering local signposting and options for assessment and coordinated therapy-plus-coaching care with Dr. Lena Agree, JD, PsyD – Licensed Psychologist and Associates at 800 N. Old Woodward Ave. Ste 110 Birmingham, MI 48009 (248-219-2548).