Once again, I agree that shame and guilt go hand in hand with depression and anxiety. In addition to my 20 mg Lexapro I am also on 3mg of Xanax a day just to function. But just the meds alone would not have "cured " me - it takes work with a T, lots of hard, hard work - saying things you thought you would never voice, remembering things buried so deeply you never could have gotten them out without the help of a skilled T. So, the two together can work woners, provided you have a T you can bond with and that you can trust has your best intererests at heart. Mine read me what I call his "gentle, compassionate riot act" last week in order to finally reach me. He talked for an hour and a half to me, asked me questions I had to answer (no avoidance allowed) and pushed me very hard. It was what I needed at the time or I would not have been here today to answer this post. He knew what I was planning and had to do something drastic to get me through it. He promised me I would never be locked up and if anyone ever tried he would come immediately and get me released and I trust his promise. so this was his only alternative when he knew how serious I was and the situation was. A good T is one of life's blessings.