I am just dumb and useless. I just want to be at peace. I just don’t have the courage to do anything about it. My depression has come back hardcore. My lithium level was high so I had to lower my dose. Work stress is mostly what triggered this. I bothered my T a lot yesterday and saw her today so I think she has heard enough from me. I see my pdoc in a few hours. I talked to him last night so he said he would think of a new approach. We have been through so much the last 3 years. I am not sure what there is left to try. I am just so tired from the insomnia. I just want to give up.