What do you do when nothing seems to work?
I suffer from depression and anxiety and at the moment I am just trapped in a vicious cycle: I sleep really badly and am constantly exhausted, which makes the depression and anxiety worse, which them makes it even more difficult for me to sleep.
I have tried CBT which didn't work - the therapist thinks it is because I am not sleeping well, meaning that I can't consolidate the learning bits of CBT. I am not sure I agree with this, I think that it's because CBT is based on changing my core beliefs about myself and so is based on the assumption that the beliefs are wrong - but what if they're true? There don't seem to be any alternatives to CBT, other then group therapy (which makes me anxious just thinking about it). I am in the UK so am limited to what the NHS in my area offers as I can't afford to go private. The psychotherapist suggested counselling and gave me a list of numbers to try, but most of them deal with trauma or abuse which are not relevant to me (and just makes me feel ridiculous for asking for help when there are so many people who need and deserve it more than me)

I have tried several different antidepressants, but none of them have had any positive effect on my mood, and for each one I just end up with a different list of side-effects. I am seeing a psychiatrist about medication and even she says we are running out of options. I get the feeling (from the letters she sends my GP) that she doesn't think it is particularly serious as I am well-dressed, not showing any signs of self-neglect and can hold a conversation.

Right now, I feel like I am running out of options and I just want to give up