How much does depression therapy cost in Cincinnati?

Individual sessions at Lumenso Wellness range from $125 to $175 depending on your provider. We are an out-of-network practice and can provide a superbill for you to submit to your insurance for potential reimbursement.

Do you accept insurance?

We are out-of-network with all insurance providers. Many clients receive partial reimbursement through their insurance's out-of-network benefits. We are happy to provide a superbill so you can pursue reimbursement directly with your insurer.

How long does depression therapy take?

It depends on you, your history, your goals, and what's underneath the depression. Some people experience meaningful relief within a few months. Others, especially those whose depression is rooted in earlier experiences or chronic patterns, choose to go deeper over a longer period. We check in regularly and adjust together.

Do I need to be on medication to do depression therapy?

No. Some clients find medication helpful alongside therapy, others do not, and that decision is between you and a prescriber. We do not require medication, and we do not pressure clients in either direction. If you're interested in exploring medication, we can refer you to trusted prescribers in the Cincinnati area.

What's the difference between depression and just being sad or burned out?

Sadness is usually tied to something specific and tends to move through. Burnout is often a response to ongoing demands and tends to lift with sustained rest and change. Depression is more persistent, more pervasive, and often shows up without an obvious cause, or settles in long after the original cause has passed. If your low mood has lasted for weeks or months, doesn't lift with rest, or is affecting your ability to function, sleep, eat, or feel pleasure, therapy can help.

Can depression actually go away?

Depression isn't always something that gets cured like an infection, but it can shift, often significantly. Many of our clients reach a point where the heaviness lifts, where they reconnect with their own life, and where the patterns underneath the depression no longer hold the same grip. That kind of change is real, and it's possible.

Is depression therapy the same as regular therapy?

At Lumenso, we tailor our approach to what you're actually dealing with. When depression is the primary concern, we draw from modalities that go beyond surface-level mood management: IFS, EMDR, ACT, Jungian approaches, and somatic work, depending on what fits you. The framework adapts to the person.

Life Transitions Therapy in Cincinnati

For the space between who you were and who you're becoming.

Schedule a Free Consultation

Everything is changing. Or maybe everything already has, and you're still catching up.

Whether it's a career shift, a breakup, a move, a coming out, or a loss you didn't see coming, transitions have a way of shaking the ground under everything you thought you knew about yourself. The job that gave you a title. The relationship that gave you a role. The city that knew you. The person who witnessed your life. When those go, something else goes with them, and it's usually harder to name.

You might be handling it. From the outside, you're probably handling it well. And underneath the handling, there's a question you haven't been able to answer: who am I now?

That question isn't a symptom. It's the work.

The Transitions We Work With

Some transitions are chosen. Some arrive without asking. Both can leave you disoriented, and neither one needs to be a crisis to be worth bringing into therapy.

Career change and job loss. The identity you built around what you do, and what happens to it when the work ends, changes, or stops meaning what it used to.
Divorce and relationship endings. The grief of losing a shared future, alongside the strange and unspoken grief of losing the version of yourself that only existed inside that relationship.
Moving to a new city. New geography, no witnesses. The particular loneliness of being somewhere nobody knows the story of how you got here.
Becoming a parent. The joy is real. So is the disappearance of the self who existed before, and the guilt that comes with missing them.
The empty nest. Twenty years of purpose organized around someone else's needs, and then a house that's quiet in a way you weren't prepared for.
Coming out. Later or earlier, to family or to yourself. Coming out is not one moment. It's a reorganization of identity that keeps unfolding for years afterward.
Losing a loved one. Grief that doesn't move in stages, doesn't follow a schedule, and doesn't end when other people expect it to.
Quarter-life and midlife recalibration. You did the things. You met the markers. And something underneath is asking whether you built a life that's actually yours.
Faith transitions. Leaving, questioning, or reconstructing a religious framework that shaped your morality, your community, and your sense of who you were supposed to become.

If what you're moving through isn't on this list, that doesn't mean it doesn't belong here. The mechanics of transition are the same whatever set them in motion.

Why Transitions Are So Destabilizing

There's a reason a change you chose can still leave you unmoored.

The organizational theorist William Bridges made a distinction that most people find clarifying the moment they hear it. Change is external. Transition is internal. Change is the new job, the signed papers, the boxes in the truck. Transition is what happens inside you afterward, on a timeline that has nothing to do with the calendar.

Bridges described transition as having three parts.

The ending. Something is over. Even when the ending is good, something is lost with it: a role, a routine, a version of yourself, a future you had already partly lived in your imagination. Endings are grieved whether or not the loss is legible to anyone else.
The neutral zone. The old identity has ended. The new one hasn't formed. You're in between, and the in-between has no name, no structure, and no reassuring sense of progress. Everything feels ambiguous. Motivation is strange. Your sense of yourself keeps flickering.
The new beginning. Not the moment the change happened. The much later moment when something new has actually taken root, and you recognize yourself in it.

Many who come to therapy during a life transition come in during the neutral zone. It's the part nobody warns you about, the part that feels like failure because it looks like nothing is happening, and the part where the temptation to rush forward into any available certainty is strongest.

The neutral zone is uncomfortable. It is not a malfunction. In depth-oriented work, it's understood as the place where the actual reorganization happens, and it's worth having company in it.

How We Work With Transition

Most therapy approaches a life transition as a problem in adjustment. Reduce the distress, restore the functioning, return to baseline.

We're interested in a different question. Not just how do you get through this, but what is this asking of you.

Who This Work Is For

Adults in Cincinnati, across Ohio, and across Kentucky who are standing somewhere between an ending and whatever comes next. This work fits if:

You've made a change you wanted and can't understand why you feel this unsteady.
You're functioning fine on the outside and coming apart quietly.
You're facing a decision you keep circling and can't commit to.
You've been told you should be over this by now.
You're grieving something that other people don't recognize as a loss.
You're not sure whether what you're feeling is depression or the ordinary weight of a life reorganizing itself.
You want to come out of this transition as someone more yourself, not just someone recovered.

You don't need a diagnosis. You don't need the transition to be dramatic enough to justify the appointment. If the ground has moved, that's enough.

In Jungian terms, transitions are individuation events. The moment an old identity stops working is the moment the psyche starts insisting on something more whole. The restlessness in a life that should feel settled, the dream that keeps returning, the pull toward a question you didn't have time for at thirty, these are not noise to be managed. They're information about who you're becoming, and they tend to arrive precisely when the persona that carried you this far can't carry you further.
Transitions demand choices, and they demand them at exactly the moment you're least sure who's choosing. Drawing on ACT, we work on locating what actually matters to you, separately from what you're afraid of and separately from what you think you're supposed to want. The goal isn't certainty. It's the ability to move in a direction you can stand behind while the uncertainty is still present.
Some part of you wants the new thing. Some part of you is holding onto the old one with both hands. Some part is furious the change happened at all. Working from Internal Family Systems, we don't override the parts of you that are resisting. We get curious about what they're protecting, and about the younger part underneath who learned, somewhere along the way, that change was dangerous.

None of this rushes you toward the new beginning. It keeps you company in the neutral zone, and it takes seriously the possibility that the transition is not just something to survive.

Drew Simri, LPCC-S, LICDC-CS

Yvette Nepper, LPCC

Sara Krueger, LPC

Learn more about our team

Frequently Asked Questions

Yes, and it's one of the most common reasons adults start therapy. Transitions strip away the structures that usually hold a sense of identity in place: the role, the routine, the relationship, the sense of a predictable future. Feeling destabilized by that is not a sign of fragility. It's a sign that the thing you lost mattered. Therapy during a transition isn't only for people in crisis. It's for anyone who wants to move through a significant change with more awareness than they'd manage alone.
There's real overlap, and the distinction matters clinically. Adjustment difficulties are tied directly to an identifiable change, tend to ease as the new circumstances become familiar, and usually leave your sense of yourself intact underneath the distress. Depression tends to persist beyond the transition, spread into areas of life that the change didn't touch, and carry a heavier weight of hopelessness, worthlessness, or loss of pleasure in things that used to matter. If you're finding it hard to tell, that ambiguity is worth bringing into a first session rather than resolving on your own. If you're having thoughts of harming yourself, please reach out to the 988 Suicide and Crisis Lifeline, by call or text, right away.
Therapy isn't the place where someone tells you what to do. It's the place where you find out who's actually making the decision. Often the paralysis around a major choice isn't a lack of information. It's a conflict between parts of you that want different things, or a fear underneath the choice that hasn't been named. When those become visible, decisions tend to clarify themselves in a way that no pro and con list produces.
It depends on the transition and on what it's touching. Some clients work for a few months around a specific change and leave with what they came for. Others find that the transition opened a larger question, and they stay longer to follow it. We check in regularly so you can decide what makes sense at each stage rather than committing in advance to an arc neither of us can see yet.
Individual sessions at Lumenso Wellness range from $125 to $175 depending on your provider. We are an out-of-network practice and can provide a superbill for you to submit to your insurance for potential reimbursement. For more details, visit our Rates and Payment page.
Individual sessions at Lumenso Wellness range from $150 to $175 depending on your provider. We are an out-of-network practice and can provide a superbill for you to submit to your insurance for potential reimbursement. For more details, visit our Rates and Payment page.
We are out-of-network with all insurance providers. Many clients receive partial reimbursement through their insurance's out-of-network benefits. We are happy to provide a superbill so you can pursue reimbursement directly with your insurer.

The in-between isn't a place you're stuck. It's a place you're passing through.

It rarely feels that way from inside it. The old life has ended and the new one hasn't announced itself, and the temptation is to grab the first available certainty just to have solid ground again.

You don't have to figure it out alone, and you don't have to figure it out quickly. The work from here is staying present to what's ending, listening to what's asking to begin, and becoming someone on the other side of this who you'd actually want to be.