Louisville · Murray · Telehealth across Kentucky
Depression counseling in Louisville, Murray and online across Kentucky
When getting through the day takes everything you have, you don’t have to carry it alone.
Depression can make simple things feel heavy. Getting out of bed, answering a text or making dinner can take more energy than you have. Acadia Counseling offers depression counseling at our offices in Louisville and Murray, and by telehealth anywhere in Kentucky. Six counselors who focus on depression and mood are taking new clients.
Not sure who to see? Call and we’ll help you choose.
Good to know
- Where
- Louisville and Murray offices, and telehealth for Kentucky residents
- Taking new clients
- Six counselors with a depression or mood focus
- Cost and insurance
- Kentucky Medicaid, commercial plans and EAPs. Medicare with two open counselors. $25 supervised sessions. See plans and fees
- Sessions
- About 50 to 55 minutes, usually weekly or every other week at first
Signs you might want support
Depression looks different from person to person. You might notice:
- A low, flat or empty mood most days
- Losing interest in things you used to enjoy
- Sleeping much more or much less than usual
- Feeling tired, slowed down or restless
- Trouble focusing or making decisions
- Feeling guilty, worthless or hopeless
- Pulling away from friends and family
If some of this sounds familiar and it has lasted more than a couple of weeks, it’s a good time to talk with someone. You don’t need to be sure it’s depression. Your counselor can help you sort out what’s going on and what might help.
What depression counseling looks like
Your first session is a conversation. Your counselor will ask about your mood, sleep, energy and relationships, and what you hope will change. Together you’ll set a few goals that matter to you.
Over time, counseling for depression can include:
- Noticing thought patterns that pull your mood down, and practicing other ways to respond
- Building small, steady routines around sleep, movement and connection
- Working through grief, stress or life changes that sit underneath the low mood
- Making a plan for hard days, so you know what helps
Several counselors here use cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT). Anna Miller also uses acceptance and commitment therapy (ACT). You and your counselor will check in on progress along the way and change the plan when something isn’t working.
Counseling and medication
Acadia’s counselors provide talk therapy. They don’t prescribe medication. Some people find it helpful to see a counselor and a medical provider at the same time. If you’re curious about medication, talk with your primary care doctor or a psychiatric provider. You’re welcome to tell your counselor about any medication you take.
Depression counselors taking new clients
Every counselor below includes depression or mood in their focus. All of them offer telehealth to people who live in Kentucky.
Melissa Rueff
Neurodivergence (including autism and ADHD), LGBTQ+ affirming care, anxiety and depression.
Taking new clients
Anna Miller
Anxiety, depression, OCD, burnout and life transitions, using CBT, DBT and ACT.
Taking new clients
Currently full
In Louisville, in Murray or online
In Louisville, John Bush is taking new adult clients and Melissa Rueff is taking new clients 12 and up, both at our Dupont Circle office. In Murray, Anna Miller sees adults and Sarah Smith sees teens 14 and up and adults, both at 308 S 12th Street. Brittany Elkins and April Cornett meet with adults by telehealth only, so they can see you wherever you live in Kentucky.
If you’re looking for depression treatment near Murray, Anna and Sarah also offer telehealth for days when the drive is too much. Visit our Murray office page, our Louisville office page or learn how online counseling works.
Cost and insurance
Brittany Elkins, John Bush, April Cornett, Anna Miller and Melissa Rueff take Kentucky Medicaid plans from UnitedHealthcare, Wellcare, Passport by Molina, Aetna Better Health and Humana, plus Anthem, Cigna, Aetna and MedBen commercial plans. Brittany and John also take Medicare. Sarah Smith is a supervised counseling intern, so her sessions are $25 and self-pay only. Self-pay rates with our licensed counselors run from $50 to $100. See insurance and payments for details.
Questions about depression counseling
How do I know if it’s depression or just a hard stretch?
Everyone has low days. Depression tends to last longer, often two weeks or more, and it gets in the way of work, school, sleep or relationships. If you’re not sure, a first session is a good place to talk it through.
Can I start with telehealth and come to the office later?
You can ask about it. Our Louisville and Murray counselors see clients both ways. Brittany Elkins and April Cornett work by telehealth only.
What if I’m also dealing with drinking or drug use?
Brittany Elkins and John Bush both focus on mood and substance use. John is also a licensed clinical alcohol and drug counselor (LCADC). Read more about substance use counseling.
How many sessions will I need?
There’s no set number. Some people come for a few months and others longer. You and your counselor will review progress together and adjust as you go.
What should I do if I’m thinking about suicide?
Please reach out now. Call or text 988 any time, day or night. If you are in immediate danger, call 911. Once you’re safe, we’re here to talk about counseling.
More answers are on our FAQ page.
Related support
Take the first step
Request an appointment online, or call either office. If you’re not sure which counselor fits, we’ll help you choose.
Email us at info@acadiacounseling.com.
If you are in crisis, call or text 988. In an emergency, call 911.