I'm a grad student in my early twenties, and I've been struggling with depression ever since I was 13. Recently, I started losing touch with the people around me, and isolating myself much more than I used to. Today, my boyfriend of 2 1/2 years broke up with me because I'm "distant" and not affectionate anymore. This event seemed to be some sort of breaking point, because I feel as though my brain has shattered.

Over the past few weeks, I've had severe depressive episodes that confined me to my bed for days. I no longer have motivation or desire to socialize or attend school. I used to be a straight-A student, but all of a sudden, grades are no longer important to me. Nothing is really important to me anymore. I'm not suicidal, but I feel like my life has no direction, and I don't want to talk to anyone anymore.

Also, I'm starting to lose touch with reality. My mind goes blank; sometimes I spend hours doing nothing, and I'm not bored. The thoughts in my head feel all jumbled and nonsensical, and sometimes when I speak, I don't make sense. It's like something is taking away my thoughts and putting new ones in. I've had two psychotic episodes in my life, and this feels kind of like it. The world is starting to look very strange to me, and I can't describe it.

This doesn't feel like just another depressive episode. Should I get help?