Stallatum, I am glad you asked this question. I know exactly how you feel. I have many blessings in my life that would not result in depression but it is a feeling you can't hardly describe. It is like crying on the inside but no tears and smiles on the outside. I too dread having to go to appointments. I am tired and I get overwhelmed when I know I have to do things after work. I have thought about counseling, but I honestly don't know what to say. I do get somewhat depressed when people hand over responsibilities to me when I don't want to be involved in the first place. I began to feel overwhelmed. I have been hoarse since last October and when I get tired my voice almost leaves me. It is better since starting Mestinon but my voice doesn't last too long if used. Annie and Alice are very smart people and their advice/suggestions are wonderful. Thank you for asking your question. busybusy