Depression is ranked as most common type of mental illness by the World Health Organization (WHO in Depression and other common mental disorders: Global health estimates. World Health Organization, Geneva, 2017). Although cognitive behavioural therapy is recommended as the evidence-based psychological treatment of choice, this applies mostly to youthful, attractive, verbal, intelligent and successful persons with medical aid support in high income countries. More holistic counselling that includes holistic, verbal and non-verbal, expressive therapeutic modalities are more suitable for the planetary majority. Consequently, this study describes the process and effectiveness of philophonetics counselling with a sample of ten depressed clients (6 Black African, 2 Indian, 2 White; 7 women, 3 men; mean age 32, age range 22–43 years) seeking clinical psychological services in Zululand, South Africa, a region and country beset with considerable violence, crime illness and unemployment. Client reports of effectiveness of philophonetics counselling warrants further intervention and evaluative research, with special reference to wider community psychological applications of this expressive therapeutic modality via primary health care facilities, online courses and mobile technology.