The absolute biggest symptom and complaint I have always had about depression is no energy and no motivation. I truely believe that in my case it is biological and screwed up wiring in the brain. Cognitive therapy has never gotten me out of a deep depression. I am all for cognitive therapy and use it all the time but rewiring a defective circuit takes years.

As someone else noted for me sometimes the best thing to do is just accept it and ride it out. I have been being treated for 20 years and the depression has not went away.

When i can finally get myself into the shower (sometimes after weeks) I feel better and know i am coming out of it. For me it cycles.