I'm not really sure how helpful therapists are most of the time for chronic severe depression. I'm not saying there might not have been something more helpful she could have offered, but it's hard to think of what. I do think therapy could perhaps be helpful in resolving chronic depression in some cases, but the issue is that addressing the underlying cause will almost certainly make clients feel even worse for a while. And if you're already feeling extremely depressed and struggling with suicidal thoughts, it's not really safe to do all that. Plus, I'm personally skeptical that the average therapist has any idea of how to deal with everything once they've opened Pandora's Box.

So really, they'll probably always come back to suggesting hobbies and activities as coping skills and as ways to pull yourself up. I would probably look more to your psychiatrist for help to get your head above water. I think I read somewhere recently where you said your psychiatrist spends less than 5 minutes with you. That's crazy to me. You are on a lot of meds and you have severe symptoms. Seeing you for 2-3 minutes (I think that's what you said) every few months is completely negligent. The psychiatrists I've seen spend more time than that even when things are going well, let alone when they aren't.