Severe depression most of the time, probably since birth. Feelings of hopelessness, loneliness, despair and worthlessness. I feel so badly for others that suffer this as well. I wear my sadness on the exterior now, no longer able to conceal it, as I once was capable of doing. Depression triggered by progressive disease processes maybe, I'm not sure or it could be life's very painful experiences and a permanent shattered heart, no longer to repair itself on it's own. The fragility of life scares me.