Hi all I'm new to this specific forum on depression. I'm wondering how do you know when you need meds as oppose to just changing your circumstances and environment in order to get rid of the depression. First off, I've been in a relationship with my schizophrenic boyfriend for 8 years I feel like that and my own physical health which I'm having issues with, is contributed to my depression. My bf has never been a bad, mean man nor ever harmed me in anyway. He's a nice cool guy. But he has been mainly selfish, his needs go first. He's never actually said his needs go first that's just how it has ended up. A little over a year now he's been busy with work and school and he lives in another city and I've been feeling so neglected in the relationship. I've always been there for him and he's always been there for me until he just changed over a year ago. I understand the nature of SZ that one can change and they may never be the same from any given time period. I've told him what i want from him which was to have a set time we could talk together. But he won't do it. All I really want from him is to have a dependable man and he's not anymore. He says he's stressed from work and it takes a lot out of him which I believe I just but i feel like he's not there for me like he use to be. He's also use to us being apart because when I was gone 2 years for college he was super involved and supportive and it was just like we were together with video chat and calls and stuff. He stayed up with me all night to comfort me when i was sick for a few days back when i was at college it was so sweet and i felt super connected with him. Now the good times seems to be gone forever. The stress, sadness, anxiety and anger is weighing heavy on me. Especially lately. I am so tired, I have been crying on and off each day for a week, I dont want to see or talk to barely anyone,I just feel like crap. This has been going on for over a year since my bf has been so wrapped up in his stuff. Is this something that needs meds? or if I leave my bf or either lower my expectations and developed coping skills could that help with no meds? My depression has not reached any dangerous level yet and I doubt it will. Do you think this is just sadness or depression?