Andy,

I just wanted to let you know that I do understand where you are coming from. I've struggled with major depression for years and the cycle keeps repeating itself. I'm sorry you're feeling like your lowest low is coming back. Maybe it is time for a brief hospitalization. Maybe your therapist has some ideas as to how to help you open up. Perhaps start there and see how things go. Let your pdoc know what is going on too, maybe he/she can adjust your meds to help.

Love and Hugs,
Tara