This is how I'm feeling lately. Any time I try to talk to someone when I'm feeling down it always ends in a list of "things I need to work on". Sometimes I just want to talk and be heard and not given a bunch of you statements and a to do list (which in turn raises my anxiety level, and makes me feel like I'm not doing enough). In my experience it seems like it's ok for individuals with physical problems to make excuses for why they can't do things. Everyone seems to rally around them with the utmost sympathy. If I can't do something because of my depression it becomes a source of disappointment and ridicule. Personally I don't see much difference. Pain is pain.