I've tried hundreds of things over the years, but it's like playing whack-a-mole or trying to slay the mythical hydra. For every improvement I manage, I fail two. No matter what I do, it isn't enough. I can barely take basic care of myself, treatment is unachievable.
I fooled myself into thinking it'd get better when I started PAP, regularly working out. But it just wasn't enough to function. And then extreme post-meal fatigue hit, and everything has gone to shit.
At this point, I'm not even able to try psychologically. I've given up. It's over. Each of my problems has a realistic fix, but none are achievable for me. I can't even do my own groceries or prepare food half of the days.
I'll be seeing a gasteologist who has published papers on FMT (most here haven't even heard of it), and if that fails, I'd definitely like to DIY.
You're putting it off because deep down your subconscious still knows that you are important and have innate value. When things are dark it's easy to forget it but the world needs you, people you know need you and love you. I suspect it's a trick of the mind that hides that from us temporarily.
Anything you do will help and it will get better. Take each day as it comes and note every small win.
Try, fail, try again, fail again but better.
What you are feeling will slowly pass and fade as unlikely as that may sound.
Like a cut healing, one day you just notice that you can remember good things again. Then you wonder why you ever felt that way and you'll be able to keep an eye out in case it ever happens again.
My own sleep problems are caused by allergies, I think. Nasal inflammation stops me sleeping but I also suspect it plays a direct role in depression.
Little things that have helped me:
How much of that is just anecdotally helpful I don't know but it's simple and cheap to do.Oh and don't forget that you can talk to people confidentially when you need to:
https://www.psychologytoday.com/us/basics/suicide/suicide-pr...