p { margin-bottom: 0.1in; line-height: 120%; }a:link { } I think that it is definitely possible to recognize and stop the downward spiral. The method may not always be obvious. Sometimes, paradoxical interventions work best. Like participating in some extreme sports/events. Obviously, energy level can be an issue. But sometimes it is possible to find activity that doesn't require much energy, like an amusement ride. But yeah, I actually used old good Cipralex to get through some difficult times in college. So I would never discount that type of intervention as well.