In the depths of depression, I felt the same inability for self care. My therapist understood that, but he also understood continuing to do the same thing was going to keep me stuck, if not even make my condition worse. So yes, he pretty bluntly confronted me about the need to do something, anything, differently.

He did go a step further than what you are telling us your therapist did maybe (or maybe you just didn't add that information). He helped me come up with one small thing I could do differently to work toward my health. In my case, it was walking. Right away I said no way. I can't walk. I don't have the energy, etc. So we made a plan. Just walk out the door and one house down and back. Do that once a day (more times if I started feeling able, but not longer or I might get overwhelmed). Do that for a few days and after a few days if I felt able, add another house distance or so and back, etc.

Sure, the short distance wasn't really doing much for my physical health, but it was a small goal that was attainable, and it DID do something for my mental health. It took guts and choice.

Sometimes when you are in the depths of depression, you have to force yourself to move - just take it in small steps, whatever the task. It doesn't have to be walking. This week I've had to do some of this to get my butt out my chair and fight the anxiety I am feeling about returning to work (teaching) - been feeling a bit paralyzed. So Monday, I picked one cabinet in my kitchen to organize. Tuesday I did a couple more. It's Thursday now and my mental energy has improved and I've just about reorganized my cabinets. Small steps.