I have been doing weekly therapy for about 3 months and I am not improving.  I have textbook depression symptoms primarily precipitated by my current financial problems, an abusive wife and a debilitating injury.  I am completely isolating myself, not exercising, unable to perform simple and routine tasks and unable to enjoy anything. It's affecting my work and my attention to my children (two fifteen year olds).  

Being a health care professional, I have reservations about starting on an antidepressant.  I don't want to become dependent and I've hear that it is hard to taper off them.  But my current state is impacting everything and I am worried that it is affecting my kids.  My therapist also thinks it's time to start but respects my hesitation.

Appreciate any thoughts about my dilemma.