Can you negotiate hours? Personally, I wouldn't take sick days 'cos I know I can't recover like that. In my last job crisis, I may have waited too long to call my boss to tell him that the job was taking too much of me. It was after some time of winter depression, I stuck it out, I knew and I had been proving that I could do the job just fine, but things change, I just told myself that the position there was toxic for me, about half an year later, I still work for the same boss.

Unshowred for days, who hasn't done that? You're afraid to make a mistake, which everyone knows that we do. A little over due hair cut at a new place improved my mood last week. Was a little unexpected surprise to have gotten me out of the funk, it may be just the time for you to face your depression under the different light, it has nothing to do with your ability to perform on your job.

You could talk to someone even if you don't feel like it and see how you do. You spend long hours there, if you can't be who you like to be at work, I guess you could try to see if it is really you that you need to work on. The strong ties between you and your current job may not be what you think it is. It might give you a little room to breathe.

That debilitating feeling that you won't make it, especially when you get yourself out of bed, for me it's not real. A challenge that could come down on me anytime in this cold winter months.

I would keep the daily routine, that's paramount in my life. I hope I gave you enough to think about. Lastly, on/off medication, personal choice, don't give a crap about it. A little encouragement, anyone could use that, I wish you well.