Anne, they come and go in cycles for me. I am seldom so depressed that I can't do anything, and I'm almost never tearful except in response to someone else's pain, or when praying with my kids. My suicidal thoughts are a real nuisance. Occasionally they are rooted in hopelessness, but often they seem to pop up for no obvious reason. Thinking about it now, they do seem to coincide with derealisation, feelings of suspiciousness and acute startle responses.

I hope yours clears up soon.