Mental health is complicated at times, with emotions and feelings that we may not always know how to experience and process. For example, there is a symptom of several disorders known as “anhedonia” that is difficult to describe to those that have not had it before, but impactful for those that have.

Anhedonia is the inability to experience pleasure from activities that were once enjoyable or meaningful. The person is not necessarily sad, “down,” or otherwise experiencing anything negative. Rather, they simply cannot experience feelings of pleasure or joy as though those feelings do not exist.

Anhedonia is often associated with conditions like depression, but it can also occur alongside anxiety, PTSD, or other mental health challenges. Unlike temporary sadness or fatigue, anhedonia feels pervasive and deeply disconnecting, affecting how a person engages with the world around them.

For those experiencing anhedonia, it’s not just about feeling sad or bored – it’s a complete lack of emotional engagement that can be difficult to articulate.

The Emotional Experience of Anhedonia

Anhedonia feels like a loss of connection to joy, excitement, or even basic satisfaction. It can manifest as:

  • Apathy Toward Activities You Used to Enjoy – Things that once brought happiness—spending time with loved ones, hobbies, or even favorite foods—now feel flat or uninteresting.
  • Lack of Motivation – Anhedonia can make it hard to muster the energy or enthusiasm to start or continue activities, even when they seem important or necessary.
  • Emotional Numbness – Instead of feeling sad, happy, or excited, you may feel emotionally blank, as though you’re simply going through the motions of life.

When it occurs, anhedonia can also feel “normal.” The body doesn’t know that it misses feelings of pleasure. So someone can experience anhedonia and not necessarily be aware that something is wrong. Remember, anhedonia doesn’t necessarily mean you’re feeling sad. During periods where you would normally experience pleasure, you may simply not experience anything at all.

Physical Manifestations of Anhedonia

Anhedonia doesn’t just affect emotions – it can also impact physical sensations and responses. For example:

  • Diminished Physical Pleasure – Activities like eating, exercising, or physical intimacy might feel less rewarding or enjoyable.
  • Fatigue and Low Energy – The lack of emotional engagement can lead to exhaustion or make even small tasks feel overwhelming.
  • Flat Affect – You might notice that your facial expressions or body language no longer match your internal feelings – or you may not feel much internally at all.

When a person doesn’t or can’t experience pleasure, many things become less interesting and lead to less energy for enjoyable activities, which in turn can create a sense of tiredness and disinterest that may be physically visible.

Cognitive Changes With Anhedonia

In addition to emotional and physical changes, anhedonia can influence the way you think:

  • Pessimism or Hopelessness – It can feel like joy is impossible to experience, or that the future holds nothing to look forward to.
  • Difficulty Concentrating – Tasks that require mental focus might feel tedious or harder to engage with.
  • Loss of Purpose – Without the ability to find pleasure in daily activities, you might question the value or purpose of your efforts.

For those with depression, anhedonia can have a sense of being self-sustaining and feed into depressive symptoms. Even if the person doesn’t feel “down” when they’re experiencing anhedonia, it’s easier to feel down in future when you cannot experience pleasure with life’s activities.

How Anhedonia Differs From Sadness

While sadness is an emotional state characterized by feelings of sorrow or grief, anhedonia is more about the absence of feelings altogether. You may feel disconnected from the world around you and from your own emotions, even during events that you would typically find moving or exciting.

Breaking Free From Anhedonia

Although anhedonia can feel isolating and unending, it’s important to remember that it is a symptom, not a permanent state. Treatment and coping strategies can help restore a sense of connection and enjoyment. Common approaches include:

  • Therapy – Cognitive Behavioral Therapy (CBT) or other therapeutic methods can help address the underlying causes of anhedonia.
  • Medication – Antidepressants or other medications may be helpful, particularly if anhedonia is linked to depression or another mental health condition.
  • Mindfulness Practices – Engaging in mindfulness or grounding exercises can help rebuild awareness and appreciation of small, pleasurable experiences.
  • Gradual Re-engagement – Starting with low-pressure activities and building up to more challenging ones can help ease feelings of disconnection.

If you’re experiencing anhedonia, you don’t have to navigate it alone. Getting help from mental health professionals can provide guidance and tools to help you reconnect with the joy and meaning in your life. While it may not feel like it right now, recovery is possible and with the right support, you can find your way back to a fuller emotional experience.

Reach out to Skycloud Mental Health today. We have a team that can provide psychiatric care in 6 states, accepts many forms of insurance, and are available to schedule an appointment with no referral needed. If you feel like you may be experiencing anhedonia, reach out to Skycloud today.

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We are taking patients ages 13-17 with certain specified insurance panels in OR, WA, and UT. “You” in the following slides refers to the potential patient.

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We are currently accepting new clients for psychiatric evaluations. Our psychotherapy caseload is full but you can contact us to learn more and join the waitlist.

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Our psychotherapy caseload is full. Patients in OR, WA and UT can join our waitlist by clicking the button below.

Learn more about psychiatric evaluations, which can help you determine a treatment plan. Call us at 503-694-3391 or email admin@skycloudhealth.com with any questions.

Limitations of Skycloud:

  • – We do not offer evaluations for disability or legal reasons.
  • – Opioid use disorder treatment is only offered in Oregon, Washington, and Utah.
  • – We do not see clients under 13.
  • – At this time, we don’t provide pre-surgery evaluations for minors. See our Resources page for additional support.
Resources

Have you attempted suicide in the past?

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Unfortunately we do not have clinicians who are able to treat you via telehealth at this time. Please contact clinic at (503) 694-3381 with questions and check our list of resources.

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We are only offering services in Oregon, Washington, Utah, New Mexico, Arizona, Minnesota, and Nevada at this time.

Are you currently prescribed a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) and seeking to continue it?

Are you currently prescribed a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) and seeking to continue it?

Are you currently prescribed a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) and seeking to continue it?

Are you currently prescribed a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) and seeking to continue it?

We prescribe controlled substance medications (i.e. stimulants, benzodiazepines) only to patients in OR, WA and UT with a required minimum once yearly in-office visit in Clackamas OR, Issaquah WA, Lehi UT, or Layton UT when clinically appropriate (please view our stimulant policy). It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g. Xanax, Ativan, Klonopin). Contact admin@skycloudhealth.com with questions.

In-office visits are required once a year in Clackamas OR, Issaquah WA, Lehi UT, or Layton UT for patients who are prescribed controlled substances. Click “Okay” to continue.

We prescribe controlled substance medications (i.e. stimulants, benzodiazepines) only to patients in OR, WA and UT with a required minimum once yearly in-office visit in Clackamas OR, Issaquah WA, Lehi UT, or Layton UT when clinically appropriate (please view our stimulant policy). It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g. Xanax, Ativan, Klonopin). Contact admin@skycloudhealth.com with questions.

In-office visits are required once a year in Clackamas OR, Issaquah WA, Lehi UT, or Layton UT for patients who are prescribed controlled substances. Click “Okay” to continue.

 

 

We do not prescribe stimulant, benzodiazepines, Suboxone, or other controlled substances in Minnesota. If you would still like to schedule, click Okay. To see other Resources, click “Resources.”

Which insurance plan do you have?

Which insurance plan do you have?

Which insurance plan do you have?

Which insurance plan do you have?

Which insurance plan do you have?

Which insurance plan do you have?

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

Our provider is in process of panelling with your insurance. You can see him at a discounted self pay rate until he is contracted. Click below to schedule.

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Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Schedule Appointment

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Dose/Med

Our providers will review your submission to determine if we are a good fit for your needs. Please submit the following required information for the potential patient (yourself or your child): insurance, age, current medications names and dosages. If the potential patient is taking a benzodiazepine, specify if they are looking to taper off of the medication. If the potential patient is a minor, please specify whether or not they have a history of self-harm. *It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g., Ativan, Xanax, Klonopin).

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Med/Dose

Our providers will review your submission to determine if we are a good fit for your needs. Please submit the following required information for the potential patient (yourself or your child): insurance, age, current medications names and dosages. If the potential patient is taking a benzodiazepine, specify if they are looking to taper off of the medication. If the potential patient is a minor, please specify whether or not they have a history of self-harm. *It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g., Ativan, Xanax, Klonopin).

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Are you currently prescribed a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) and seeking to continue it?

We do not prescribe stimulant, benzodiazepines, Suboxone, or other controlled substances in Arizona. If you would still like to schedule, click Okay. To see other Resources, click “Resources.”

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If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

We are accepting self-pay patients for psychotherapy in Oregon and Utah. Our provider is in process of credentialing with several insurances. We have a waitlist for clients in Washington.

 

Resources

Psychotherapy Consultation (OR and UT)

We are accepting PacificSource, Aetna and self-pay patients for psychotherapy in Oregon and Utah. Our provider, Nat Day LCSW, is also in process of credentialing with other insurance panels - Cigna, BCBS, and Moda. Please provide your contact information for a 15 minute free consultation phone call.

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Psychotherapy Waitlist

Our psychotherapy waitlist is open for patients located in Oregon, Washington, and Utah with Cigna, Aetna, PacificSource, United, Moda, and self-pay pay sources only. The waitlist is currently closed for Regence (BCBS) and Providence insurance. Our psychotherapy providers treat ages 18-64. This waitlist is currently 6-12 months out, depending on age, state and insurance. Please provide the information requested below. Note: do not use this form in an emergency.

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We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Schedule Appointment

Are you currently prescribed a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) and seeking to continue it?

We prescribe controlled substance medications (i.e. stimulants, benzodiazepines) only to patients in OR, WA , UT, and NM with a required minimum once yearly in-office visit in Clackamas OR, Issaquah WA, Lehi UT, Layton UT, Albuquerque NM when clinically appropriate (please view our stimulant policy). It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g. Xanax, Ativan, Klonopin). Contact admin@skycloudhealth.com with questions.

Which insurance plan do you have?

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

 

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

*All times are in Pacific Standard Time (PST).

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

*All times are in Pacific Standard Time (PST).

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

We prescribe controlled substance medications (i.e. stimulants, benzodiazepines) only to patients in OR, WA , UT, and NM with a required minimum once yearly in-office visit in Clackamas OR, Issaquah WA, Lehi UT, Layton UT, Albuquerque NM when clinically appropriate (please view our stimulant policy). It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g. Xanax, Ativan, Klonopin). Contact admin@skycloudhealth.com with questions.

In-office visits are required once a year in Clackamas OR, Issaquah WA, Lehi UT, or Layton UT for patients who are prescribed controlled substances. Click “Okay” to continue.

Which insurance plan do you have?

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Dose/Med (UT)

Our providers will review your submission to determine if we are a good fit for your needs. Please submit the following required information for the potential patient (yourself or your child): insurance, age, current medications names and dosages. If the potential patient is taking a benzodiazepine, specify if they are looking to taper off of the medication. If the potential patient is a minor, please specify whether or not they have a history of self-harm. *It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g., Ativan, Xanax, Klonopin).

Name(Required)
Name(Required)

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

*All times are in Pacific Standard Time (PST).

Schedule Appointment

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Schedule Appointment

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

We do not see clients under 13.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

*All times are in Pacific Standard Time (PST).

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Which insurance plan do you have?

Are you currently prescribed a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) and seeking to continue it?

We do not prescribe stimulant, benzodiazepines, Suboxone, or other controlled substances in Nevada. If you would still like to schedule, click Okay. To see other Resources, click “Resources.”

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

We do not see clients under 13.

In-office visits are required once a year in Clackamas OR, Issaquah WA, Lehi UT, Layton UT, or Albuquerque NM for patients who are prescribed controlled substances. Click “Okay” to continue.

Which insurance plan do you have?

Dose/Med (NM)

Our providers will review your submission to determine if we are a good fit for your needs. Please submit the following required information for the potential patient (yourself or your child): insurance, age, current medications names and dosages. If the potential patient is taking a benzodiazepine, specify if they are looking to taper off of the medication. If the potential patient is a minor, please specify whether or not they have a history of self-harm. *It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g., Ativan, Xanax, Klonopin).

Name(Required)
Name(Required)

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

We do not see clients under 13.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

 

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

 

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

We do not see clients under 13.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

 

Your information is kept confidential and helps us ensure we can provide you with care. Assistance: 503-694-3381admin@skycloudhealth.com

If you are in a mental health crisis, do not use this form, call 988.