well, discussing these feelings/thoughts/signs with your t would be the first step. I don't know what happened for me. all those years of depression I prayed for that magic wand and then I was hit over the head with it and I saw the light finally. I don't know what made it better. the right antidepressant, the right t, a combination of them both. the full realization that I was going to be dead if something didn't change. what helps me the most is the balance scales in my signature. life gets out of balance and we start feeling depressed and anxious. if we can find resources/coping skills for each of the things weighing us down then we will be better off. that is what I do when I am feeling out of wack.....I hope you get to feeling better.