Somedays, I don't know how I cope at all. I spend every day inside all alone. It can be difficult, and despite all of my efforts to increase my social contacts, I have been unable to make any friends. Social isolation, for me, is one of the worst causes of my depression. I'm lonely and sad most days, with this "black cloud" hanging over me that just will not go away. My life has to change, and I am trying to find outlets to increase my presence in the world. I can't continue to live this way any longer, it really is Hell. My medications don't appear to be working, and I don't seem to have many bright days at all.