Abby,
I'm so sorry you are in so much pain right now. It's such an awful place to be. I have to agree regarding the doctor, I think you can find better doctors that will be willing to listen to you. Please don't give up because of one bad doctor.

Yes, teeenage years are troublesome. They invloved shyness, uncertainty, being hormonal and emotional, feeling like you don't fit in, etc. However, I dont' recall ever feeling "worthless" - even with the crappy life I've had. It seems you possibly do suffer from depression - it's certainly not unheard of in teenagers. The fact that you came here probably means you know something is wrong - that what you feel might not be "normal" feelings of sadness.

Here is the advice I would offer - you need to speak to a counselor. I understand it is difficult for you, believe me it is not easy for anyone really. You will be amazed at the difference it can make! Also, maybe if the counselor deems you as suffering from clinical depression, you will feel more validated, more confident to go to another doctor and ask for the prescription. At that point, all you would have to say is "My counselor advised me I need medication because I am suffering from depression".

Ok, so on to the counselor...you have trouble talking to people when it's "personal". How about this? - you write down the feelings you are having, tell the counselor it's difficult for you to talk about them, and hand her/him the paper and have them read it. Then, they could give you feedback and ask questions. I think you would feel more at ease if you "got it all out" on paper, then sort of worked your way into the conversation. I know that may sound silly, but I have been to and known many counselors, and I dont' know of one that wouldn't respect that. There are certain things I've had to give a counselor to read because it was too painful for me to say it or read it myself, and they were very understanding of that.

Well, I hope I have been helpful to you in some way. Please hang in there and don't give up!