Depression is often a mismatch —
not an illness.
Between how you're living and what you're actually built for. That's a different problem, with a different solution.
"I'm most interested in philosophy, art, music, and deep, connected relationships. I don't think those are separate from therapy. They're precisely what it's about."
Some people come in clinically depressed. Some come in high-functioning but hollow — everything is objectively fine and yet something is deeply wrong. Some come at a transition point: they've achieved what they set out to and it didn't feel like they thought it would.
These are questions of meaning, not pathology. They require a different kind of inquiry — philosophical, honest, curious — not symptom management.
I believe that most suffering which doesn't resolve through conventional therapy is existential suffering. You're not broken. You're asking the right questions and haven't found the right space to ask them.
- Depression not responding to conventional approaches
- "Everything is fine" — and yet something is missing
- Loss of direction at major life transitions
- Spiritual or existential questioning
- Grief — for relationships, identities, paths not taken
- The gap between who you are and who you present
A free 20-minute conversation is the right first step — no forms, no intake packet.
Schedule a consultation"Until you make the unconscious conscious, it will direct your life and you will call it fate."
Virtual sessions in Delaware, Maine, and Utah; telehealth nationwide. James is particularly interested in philosophy, meaning-making, and the questions most therapists don't have language for.
Schedule a free consultation