High-Functioning Depression Therapy in Ottawa

Therapy for high-functioning depression in Ottawa — in person and online.

✓ Same-week ✓ Direct billing ✓ Sliding scale ✓ Licensed therapists

Book a free consultation
(613) 518-6072
hello@aurenwellness.ca
Registered therapists

Every clinician is registered with a regulatory college — the College of Registered Psychotherapists of Ontario (CRPO), the Ontario College of Social Workers and Social Service Workers (OCSWSSW), or the College of Nurses of Ontario (CNO).

Sliding scale options

We want therapy to be financially accessible for everyone. Reduced rates are available case-by-case based on need and availability.

Direct billing

We submit directly to most major insurers, so you don't pay out of pocket upfront.

Ottawa-based and Canadian-owned

Our office is in Ottawa. All client records are stored in Canada and handled under PIPEDA and PHIPA.

What brings people to therapy for high-functioning depression

Therapy is a space to slow down and look at what's underneath. These are some of the patterns people bring into the room.

FOR WHEN SOMETHING FEELS OFF

Functioning, but running on empty

Meeting every deadline, answering every message — then having nothing left. Competence on the outside can mask how depleted someone feels underneath.

Going through the motions

Days pass in a grey, joyless routine. You're not in crisis, but you're not really present either — and that flatness has quietly become normal.

It feels like it might just be you

Long-standing low mood can start to feel like a personality trait rather than something that can change. It doesn't have to be.

How we approach high-functioning depression

OUR APPROACH

High-functioning depression is easy to dismiss — including by the person living it — precisely because life still works. Sometimes it takes the form of persistent depressive disorder (dysthymia): a lower-grade but long-lasting depression that can feel like just your personality. Therapy at Auren Wellness starts by naming what's actually happening, which is often a relief in itself. We draw on Cognitive Behavioural Therapy (CBT) to work with the chronic self-criticism and the sense that you have to earn rest, and on approaches that look at where the pattern of over-functioning and under-feeling came from. Because you're already carrying a lot, we pace the work realistically and focus on rebuilding genuine energy and meaning rather than just maintaining the performance. You don't have to justify being here by how bad things are.

Book a free consultation
What happens when you reach out

Four small steps. No pressure at any of them.

01

You Reach Out, on Your Terms

Email, phone, or fill out our booking form. There's no script and no pressure. You can share as much or as little as you want.

02

We Get Back to You Quickly

A real person, not a bot, will reply as soon as we can with a few options for a free 15-minute consultation.

03

A 15-Minute Call to See If We're a Fit

We listen. You ask questions. No paperwork, no obligation. If we're not the right match, we'll point you toward someone who might be.

04

If You Choose to Book, We Make the Next Step Simple

Direct billing where possible. Evening and weekend availability. Virtual or in-person in Ottawa.

Book a free consultation
SESSIONS & BILLING

How Sessions and Billing Work

Sessions are 50 minutes in length. Rates vary by therapist and are confirmed during your free consultation. We accept e-transfer and credit cards, and direct-bill most insurers.

Individual therapy

One-on-One Sessions

Sliding-scale spots are available based on need. Ask during your free consultation.

Couples therapy

Two People, One Shared Session

$190 per 50-minute session

Same 50-minute format, structured for two participants and shared concerns.

Insurance, Billing, and What to Expect

Insurance coverage

Registered Psychotherapist and Registered Social Worker services are covered by most extended health plans in Canada. We recommend confirming your specific coverage before your first paid session. Sun Life, Manulife, Canada Life, Green Shield, and most major insurers include coverage.

Direct billing

We direct-bill where your insurer allows it. Otherwise, you pay at the time of session and submit the receipt for reimbursement.

Receipts

Every session generates a receipt listing the provider's license number, suitable for insurance reimbursement.

In-person or virtual

In-person sessions are held at our Ottawa office. Virtual sessions use a secure, PIPEDA-compliant video platform. You can switch between the two.

Cancellation

We ask for 24 hours notice on cancellations. Late cancellations and no-shows are charged the full session fee.

Your first session

After the free 15-minute consultation, your first paid session is intake-focused. Bring questions, anything you have already tried, and any goals you have in mind.

Book a free consultation

QUESTIONS

Common Questions About High-Functioning Depression Therapy

1

Is high-functioning depression a real diagnosis?

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'High-functioning depression' isn't a formal diagnostic label, but it usually describes real, diagnosable depression — often persistent depressive disorder (dysthymia) — in someone who's still meeting their responsibilities. The functioning doesn't make the depression less real or less worth treating.

2

Do I really need therapy if I'm still coping?

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Coping and thriving aren't the same thing. If you're persistently low, joyless, or exhausted even though life looks fine, that's a good reason to get support — not something you have to wait to worsen. Earlier help often means shorter, easier work.

3

Why do I feel depressed when nothing is wrong?

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Depression doesn't require an obvious cause. It can come from biology, long-standing patterns, chronic stress, or reasons that aren't clear at all. Part of therapy is understanding your particular picture — but you don't need to explain it to deserve help.

4

Will therapy interfere with my ability to keep functioning?

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We build the work around your real life and capacity. The aim isn't to break down the functioning that's holding things together — it's to make it sustainable and to bring back energy and meaning, so you're living rather than just performing.

5

How long does this take?

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Long-standing, lower-grade depression often benefits from steady, longer-term work, though many people feel relief early simply from naming it and starting to shift the self-criticism. We'll give you an honest sense of timing as we go.

6

What can high-functioning depression look like day to day?

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Often it looks like getting everything done while feeling flat, drained, or joyless underneath. Many people describe performing well at work, keeping up with family, and still feeling like they're running on empty, or that they're pretending. If that sounds familiar, it's a common reason people seek this kind of support.

7

How much does therapy cost, and is it covered by insurance?

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Sessions are 50 minutes and typically range from $150 to $225 depending on the therapist, confirmed during your free consultation. OHIP generally doesn't cover psychotherapy with Registered Psychotherapists or Social Workers, but most extended health plans do. Auren offers direct billing to many insurers and provides receipts for reimbursement, and sliding-scale spots are available case-by-case based on need.

8

Can I do sessions online around a busy schedule?

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Yes. Secure video sessions can fit around work and family commitments, and many clients find them easier to sustain than travelling to an office. You can also meet in person at our Ottawa office, or move between the two as your schedule changes.

9

What approaches do you use for high-functioning depression?

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Therapists at Auren Wellness draw on evidence-based approaches such as cognitive behavioural therapy (CBT), matched to what fits you rather than a one-size template. With high-functioning depression the work often includes the perfectionism, self-criticism, and over-responsibility that can keep you running on empty.

10

What if it turns out I'm not depressed, just stressed or tired?

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You don't need to be certain, and you don't need a label to benefit. If you've been feeling flat, exhausted, or disconnected for a while, therapy is a place to sort out what's going on and what would help. Whatever it turns out to be, you won't have wasted anyone's time by asking.

Book a free consultation
If you need help right now

Therapy is a longer-term relationship. If you're in acute distress, please reach the services below first. They are free, confidential, and available right now.

We're not the right fit for crisis moments.

Suicide Crisis Helpline
Call or text 9-8-8

24/7, free, available in English and French, across Canada.

Distress Centre of Ottawa and Region
613-238-3311

24/7 local Ottawa crisis support, in English and French.

Immediate danger or medical emergency
Call 9-1-1

For situations needing emergency responders right now.

Book a free consultationCall
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