dan, u say u've tried therapy and meds. perhaps the meds were not the ones best for you. i' d seek out a pdoc and see if u can be put on something else. as for the therapy, we get out of it what we put into it. are u able to open up and talk about your depression with your t? if you did and didn't get any suggestions of how to deal and cope with your depression, jme, but i'd identify another t and schedule an appt. we don't have to live with depression. there are effective meds out there and with a helpful t we can learn new skills to cope and help us to throw out "old tapes" that give us a feeling of worthlesness. i hope u can get the help you need. i did and i can't tell you how much better my life is because of that. keep u posted please. we care and u do matter to us.