Yes it's a vicious circle. If you have any type of illness mental illness and have poor work history or worse currently unemployed then it is tough to impossible to find a full time job with insurance. I am 43 essentially unemployable due to a poor work history, on mass health which is second class coverage. The newest and better anti depressants are not covered so I continue on Prozac, Lexapro which make me unmotivated and indifferent.