205-538-3099
Depression Counseling in Birmingham, AL
Depression can make everything feel heavier—motivation drops, sleep changes, and even simple tasks feel uphill. Alexander & Associates Counseling Services takes a holistic approach: we consider your story, routines, relationships, responsibilities, health, and values, then mobilize the supports that fit your life. We help regular people going through difficult times—grief, caregiver stress, academic pressure, role transitions, and more.
How we treat depression
We use evidence-based strategies such as behavioral activation, CBT, interpersonal work, and mindfulness. When past experiences are part of the picture, we can collaborate with our EMDR-trained clinician for an integrative plan. You’ll learn small, achievable steps that build momentum—sleep routines, connection, purpose, and skills to shift unhelpful thought patterns.
Who we help
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Adults (18+) with recurrent or situational depression
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Teens and college students experiencing academic or social stress
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Parents navigating exhaustion and identity shifts
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Professionals balancing high responsibility and burnout
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Your lead clinicians for depression (openings available)
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Angela Underwood, LPC — Depression, anxiety, caregiver support, parenting issues, self-esteem, spirituality. (18+; currently taking new patients.)
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Ashley Loeb, LPC — Depression, anxiety, self-esteem, ADHD/ODD, parenting & mood disorders, women’s issues. (Ages 5+; currently taking new patients.)
What to expect
We’ll define what “better” means for you (e.g., improved sleep, more energy, reconnecting with people
and activities). You’ll leave early sessions with concrete practices to try between visits. If medication is part of your plan, we can coordinate with your prescriber at your request.
In-person & telehealth
You can meet at our Birmingham/Mountain Brook office or via secure telehealth anywhere in Alabama. Many clients use a hybrid schedule for flexibility.
When grief or trauma is involved
Grief and depression can overlap. We’ll help you sort through what you’re feeling and choose a path—grief-focused care, depression-focused care, or both—with optional EMDR collaboration when indicated.
Getting started
You deserve relief and support. Book a free 15-minute consult or request an appointment online with Angela, Truli, or Ashley.
FAQs: Depression Counseling in Birmingham, AL
Q: Do you serve Homewood, Vestavia Hills, and Hoover?
Yes. Our Birmingham location is convenient to nearby neighborhoods, and we offer telehealth statewide.
Q: Can therapy help if I’m already on medication?
Yes. Many people benefit from combining therapy and medication. With permission, we coordinate with your provider.
Q: How long does therapy take?
Length varies. Some people feel better within weeks; others prefer a longer course. We’ll set a plan and review progress regularly.
Q: Do you offer evening appointments?
We have a range of times and will work with your schedule.
Q: Are you accepting new patients in Birmingham?
Yes—Angela, Truli, and Ashley currently have openings.