You wander through life as if half-awake, time passing by. Activities you used to enjoy are now trite, exhausting, and empty of meaning. You feel alienated from others, who now seem far away, belonging to an inaccessible, alternate world where happiness is still possible. You are pushed further into the dark, hateful place inside yourself, where your thoughts– abusive, apathetic, and pessimistic– swirl relentlessly: I hate myself, it’s all pointless, I want to die. From where you are, there seems to be no hope, no relief, no escape. You are depressed.