Journaling is a good therapy to express your feelings also you can write the friend in hospice to show your concern and support.You can decide to give it to her or read it to her or keep to yourself. The important thing is to get some feelings out and you will feel better. Here is also a support system and try to stick to a routine that helps some it gives you purpose no matter how big or small the task.Knowing you're not alone is a comfort, writing your feelings, concerns, needs and goals will help guide you to understanding yourself. Love and prayers

I would get your dr to consider prescribe zoloft. It lowered my anxiety considerably. Zoloft offers treatment for depression too

Go to google, type in Anxiety Sisters Survival Guide. They both have and had severe depression and learned some ways to deal with it. They also have a book by the same name. I thought it was helpful.

I felt that paralysis today too. Like my brain wasn't working right. It's like I know I need to get up, take care of chores but my soul just was not having it.

It is really difficult to build trust in someone regardless of the fact that what is said stays confidential. Throughout the whole time I've dealt with depression, I have quit 3 different therapists after some sessions thinking I'm fine now, I don't need you. Then I'd find myself in the same rut some time down the road.

I come across your story many times through a support group I admin for kidney disease. Nobody will understand them, they can't build trust with others because of the things they suffer through. Alot of the times when seeking a confidant within their sphere of influence, they are met with indifference, being patronized, or being to to "suck it up" because there are other people in this world who have it worse.

As a couple of other people had mentioned, writing in a journal can help center yourself, and allow you to focus on one thing, you. Taking your journal with you to your next session and allow your therapist to read through it will take some courage, because they don't know who you are, yet. As GraceN mentioned that your therapist can read through and ask you questions about what you had written. This may be beneficial because the questions they are asking are as a result of what you've written down in your journal, so the questions are tailored to you, not the social norm, or their guesstimation about what you are feeling.

Be encouraged that there are others in these groups that are going through similar situations as yourself. And simply because one member suggests this while another suggests against it, you have the power to choose. YOU have the power to trust.