Thanks. When I feel this depressed there is almost nothing that can make me feel better. This is how I know that it is not circumstantial or situational. It feels more clinical. I do things just to pass the time and keep busy, but no matter what I am doing I feel depressed, anxious, worthless, and hopeless. Therapy is not helping but it gets me out of the house and lets me get things off my chest. And my medication is not working. When I do feel good and stable I can do anything and enjoy and appreciate what I am doing. But this is where I am at now. There is also substance abuse to escape but it is only temporary, sometimes I am fine with taking a break and temporarily escaping.