1) What it is
Treatment-resistant depression is when depressive symptoms continue despite trying standard treatments. It does not mean recovery is impossible, but that the treatment plan needs review.
2) What it feels like
- “Nothing works.”
- “I’m exhausted from trying.”
3) Common signs & symptoms
- ongoing depression
- low energy
- numbness
- sleep and appetite changes
4) Why it happens
- untreated trauma
- misdiagnosis
- hormonal or physical factors
- chronic stress
- medication mismatch
5) Triggers
- burnout
- hopelessness
- repeated treatment disappointment
6) What helps now
- support basics
- micro goals
- track symptoms
- reduce isolation
7) Daily self-help support
- consistent routine
- gentle expectations
8) Professional treatment options
- GP review
- specialist mental health referral
- alternative therapy models
- medication adjustments
9) Medication
Medication review or combinations may be needed, specialist-led.
10) Practical tips
- needing review is not failure
- persistence matters
11) When to seek urgent help
Urgent help if:
- suicidal thoughts occur
- functioning collapses
12) Where to get help (UK)
- GP (request review)
- NHS Talking Therapies
- Samaritans 116 123 if unsafe

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