Hi Madeline, Welcome to Healthcare Magic and thanks for your question... I understand how distressing it can be to go through such difficult times. Firstly, it is a good thing that you are able to have an insight about your problems and your current emotional state. I would appreciate you for gathering the initiative to seek help despite feeling low and dejected. From the description that you have given me, you seem to be going through a depression. The depression also seems to be causing you significant social and occupational disturbances. Hence it is quite important that you seek professional help at the earliest. I would suggest that you have a consultation with a psychiatrist who would be able to assess you in detail and advice you the appropriate management plan. There are various treatment options available - medication, psychological / talking therapies, etc. Personally, I feel that since you seem to be having significant interpersonal difficulties also, you may benefit from psychological therapy, in addition to medication. It is also important to keep talking to and sharing your feelings with someone close to you, so that, in times when you are unable to think clearly or lack motivation or initiative, they will be able to guide you. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist