Please visit a psychologist with all the relevant details and past treatment histories and start therapy sessions. It can help you to get better.

Connect

Hi, Based on your description of chronic difficulty maintaining routines, fluctuating motivation, emotional numbness, anhedonia, reduced social connection, persistent worry, nightmares, and feelings driven primarily by obligation, it may be helpful to consider several differential diagnoses. Conditions such as persistent depressive disorder (dysthymia), complex PTSD, or an underlying personality disorder (e.g., avoidant, dependent, or schizoid personality traits) could be contributing to your symptoms. Given the history of depression and anxiety that did not improve with previous treatment, comprehensive assessments including structured clinical interviews, personality assessments, and possibly neuropsychological testing may be beneficial. Evidence-based treatments like tailored psychotherapy—such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), or Acceptance and Commitment Therapy (ACT)—can help address emotional regulation, motivation, and interpersonal difficulties. Pharmacotherapy might also be considered, especially if mood or anxiety symptoms persist. Engaging with a mental health professional who can provide a thorough evaluation and personalized treatment plan is crucial. Additionally, exploring cultural and social pressures with a therapist can help in developing coping strategies and improving emotional resilience.

Hi U seem to be a psychologist yourself. Hence my advice to u is kindly do not ask for such advice if ur treating patients because u cannot treat patients by proxy.. If u are facing problems kindly refer to other psychologists instead of asking on such forums. Ur doing a great disservice to ur patient!

When difficulties with motivation, routine, and emotional engagement persist over many years, it often reflects a deeper pattern in how the mind manages stress, expectations, and emotions, rather than a short-term episode of depression or anxiety. Feeling numb, disconnected, or driven mainly by duty can develop when effort has been sustained for too long without emotional reward. Cultural and family pressures can further intensify this exhaustion. What you describe is not uncommon and not a personal failure, especially when earlier treatment did not fully address the underlying pattern. It does suggest that a more detailed and thoughtful evaluation would be helpful.

Consultation with me is advised

You should consult a clinical psychologist.

Hi, Consult a clinical psychologist

formal adult ADHD assessment (developmental history is key) Screening for autistic traits if social fatigue, sensory overload, or rigid burnout cycles are present Shifting from motivation-based strategies to external structure, body-based regulation, and low-friction systems

I hear that you are experiencing a severe dip in energy and motivation. That it's consistent and I can imagine the mental exhaustion one would feel with persistent mental fatigue.It's understandable that this state of mind is triggering death related thoughts. The impulse to escape that trapped feeling makes sense. I also see that you are actively trying to get out of this state and had sought therapy before without any lasting results. If you are seeking for further assessment for a differential diagnosis it's important to seek a clinical psychologist as only are qualified to diagnose. And if you are seeking a different modus of therapy, in my professional opinion might be of benefit then you could look for trauma informed therapist whose style is more body based, experiential.While CBT is great and is evidence based if the symptoms are persistent and treatment resistance is seen, working on deeper layers could address the core content. Therapies like EMDR/somatic work are proven to be effective for treatment resistant depression.

Hi What you are describing suggests long-term emotional and mental exhaustion, where your nervous system has been overwhelmed for years, leading to cycles of brief motivation followed by shutdown, avoidance, numbness, anhedonia, disconnection, chronic worry, and functioning mainly out of obligation. When depression and anxiety treatments have not helped much, it often points to deeper factors such as persistent depressive patterns, burnout, trauma-related stress, adult ADHD traits, or emotional regulation difficulties that need careful assessment. Passive death-related thoughts in this context usually reflect exhaustion rather than a wish to die, but they still deserve serious attention. A proper evaluation with structured interviews, mood and attention screening, trauma assessment, and life-history exploration can clarify this. Evidence-based treatment such as CBT, ACT, trauma-informed therapy, behavioral activation, and sometimes medication review can help restore motivation, emotional connection, and stability, while also addressing cultural pressure around career and marriage. You are not lazy or failing—you are stuck in a survival pattern, and with the right support, this can improve. Take therapy. You can connect with me on nine two six six seven two six zero six five.

I want to start by saying this clearly: what you’re describing is serious, real, and understandable and it does not mean you are lazy, broken, or failing at life. It sounds like you’ve been surviving for a long time on depleted emotional reserves. A pattern of brief motivation followed by shutdown, difficulty sustaining routines, emotional numbness, and living mainly from obligation often points to something deeper than simple depression or anxiety. When standard treatment doesn’t help, that’s an important clinical clue — not a personal failure. possible differential considerations (not labels, but directions to explore) include: Chronic depression with burnout or anhedonia (where energy and pleasure systems are blunted) ADHD in adults, especially the inattentive or combined type often missed, especially in people who internalize distress rather than act out Trauma-related conditions (including complex trauma), which can present as emotional numbness, avoidance, nightmares, and shutdown Dissociative or stress-related coping patterns, where the mind “powers down” under pressure Existential depression, intensified by cultural expectations around marriage and career.