Depression Therapy in St. Louis – Telehealth with Dr. Larry Shapiro, PhD

Feeling stuck, unmotivated, or like a cloud is always hanging overhead? Depression can drain your energy, dim your sense of purpose, and make even the smallest tasks feel overwhelming. But it doesn’t have to stay that way.

I’m Dr. Larry Shapiro, a licensed clinical psychologist offering telehealth depression therapy for adults in St. Louis and across Missouri. With over 30 years of experience, I help individuals navigate the depths of depression and rediscover clarity, connection, and hope—no matter how long they’ve been struggling.

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Signs You May Be Experiencing Depression

Depression looks different for everyone. You might relate to some of the following:

  • Feeling persistently sad, numb, or emotionally flat

  • Loss of interest in activities you used to enjoy

  • Trouble sleeping—or sleeping too much

  • Low energy or constant fatigue

  • Difficulty concentrating or making decisions

  • Irritability or isolation from others

  • Feeling hopeless, worthless, or stuck

Whether your symptoms are new or long-standing, you don’t have to face them alone.

How Depression Therapy Can Help

Therapy offers a safe, non-judgmental space to understand your experience and begin creating change. My approach goes beyond symptom management—we work together to address the root causes of your depression and build lasting emotional resilience.

In therapy, we might explore:

  • Patterns of thought that fuel self-criticism or hopelessness

  • The impact of early experiences or past relationships

  • Stress, burnout, or chronic overwhelm

  • Tools for improving motivation, mood, and focus

  • How to reconnect with meaning and purpose

Sessions are individualized and always guided by your goals. Whether you’re new to therapy or have tried it before, I offer support that’s both evidence-based and deeply human.

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Why Work With Me

I specialize in treating depression that hasn’t responded to traditional methods or medications. Many of my clients come to me feeling like they’ve tried everything—and are still struggling. Through a blend of cognitive-behavioral therapy (CBT), depth-oriented work, and supportive coaching, we identify what’s keeping you stuck and gently begin to shift it.

I also offer:

  • Over 30 years of clinical experience

  • A direct but compassionate approach

  • Expertise in complex, treatment-resistant depression

  • Telehealth therapy across St. Louis and Missouri

What to Expect from Telehealth Therapy

All sessions are offered via secure, HIPAA-compliant video, giving you the flexibility to attend from the comfort of your home or office. Many clients find teletherapy convenient, private, and just as effective as in-person care.

You’ll receive a personalized treatment plan and ongoing support tailored to your unique needs.

Frequently Asked Questions About Depression Therapy

  • Yes. While I’m based in Missouri, I also offer telehealth to residents of other PSYPACT states.

  • Absolutely. Numerous studies have shown that teletherapy can be just as effective as in-person treatment for many mental health concerns, including depression.

  • That’s exactly why many people seek me out. I specialize in working with individuals who haven’t responded to traditional approaches.

  • I blend structured, evidence-based tools with insight-driven conversation. My style is honest, warm, and tailored to your goals.

  • Use the contact form or phone number to schedule a free 15-minute consultation. We’ll talk briefly about what you’re looking for and whether we’re a good fit.