I am currently diagnosed with Dysthymic Disorder as well as episodes of MDD - having been diagnosed w/that as well. Currently I am having a long episode of 'double depression' and can't seem to get around it. The truly unfortunate thing is... I work in the Mental Health field, so I deal w/these things daily and should know what to do for myself, yet feel completely helpless and exhausted to even try right now. My job is such a major trigger for me due to the overwhelming politics and pressure to meet "quotas", it's removed me from feeling as if I am actually being of benefit to anyone else any longer - which was my biggest source of "self-help therapy" - to be able to pay that "Hope" forward to others. Now, the light has just dimmed, then blown out at the end of the tunnel, making me dread each day... to even move some days is just a task. There is this constant melancholy that just lingers at my peripherals at all times that seems to never go away... and days just get darker & darker. Thanks for letting me share my "double D" experience I am currently having.