I may have asked this before; as, I am very concerned by your level of Depression. I recognise what you are saying. I suffered treatment resistant Depression much of my life.

What treatments have you taken? How does your psychiatrist (note I do not say therapist) feel about this? Have they suggested other treatment options to you? Have they discussed ECT? A good doctor would be offering you some alternatives regarding medications, therapies, and treatments.

What about your own approach? Are you being proactive regarding your treatment. What I am getting at is are you taking your medications as directed? Following any nutritional or exercise directions? Participating in any required therapy? And generally following your doctor's recommendations.

The time then may have come to take some drastic steps. If your psychiatrist hasn't done so already, discuss ECT.

It gave me my life back.