I understand what you mean about ups and downs. I also have a smiliar experience. I can't quite seem to target what causes good days verses bad days.

I think every depression cycle is a little bit different. Maybe that's just me, but in my experience I have had different symptoms. I thought I was even a little bit bipolar there for a while, but that simply wasn't the case. Mood disturbances come along with depression. My doc said if my moods are up and down, then we might want to consider tweaking the medicine I'm on.

I don't know if maybe tracking your moods in an attempt to identify triggers might be helpful?? Maybe bring that info to your next doc appt and be open and what you can to do get help.