Well, my depression has continued to slide downhill this week. I saw my doctor yesterday, and she got me in to a partial hospitalization program which will start tomorrow. It's a good program... but I'm feeling rather humiliated that this will be the 3rd time I've done the partial hospitalization program in the last 18 months! I'm also feeling embarrased about asking for a medical leave from work AGAIN. At least I have good health insurance that will pay for this stuff... I'm grateful for that much. (Assuming that I don't get fired).
I started a twice a month depression therapy group this week... it seems like that will be helpful. My doctor is also changing my antidepressant (from Zoloft to a tricyclic).

As humiliated and awful as I've been feeling, I think I'm getting back just a glimmer of hope. The partial hospital has gotten me out of a bad depression twice before. Maybe it will work again. As I've been feeling completely hopeless, having a teensy, tiny bit of hope that I'll get through this is worth something, I suppose.