1. For me it is the darkness that clouds my perceptions. Depression changes how I view things, and I don't think about the positive and focus on all the negatives.
2.Anhedonia (inability to feel pleasure) is a huge psychological mind f***. To do something you know you enjoy and not feel any satisfaction from it.
3. To tell yourself that you are feeling depressed now, and that this won't last forever. Even though when I get depressed I feel utterly hopeless.
4. The lack of motivation to do anything. Fighting through the fatigue to get things done. Trying to think and focus when my mind wants to shut down.
5. My inability to be able to make people understand what I'm going through that have never suffered from depression. To get it through people that it is not just a feeling of sadness, but a real medical condition, that impairs me. For the most part I act like everything is fine, because it is easier to deal with most people that way.
6. The toll it takes on my self esteem. To do work and try to build my self-esteem up, then only to start going down, and feel like a totally useless thing.