It's a long story so I'll just give you the gist

Friend of mine has severe depression in my opinion, he won't see a doctor (says he's not a pill popper so he doesn't want medicine) And that's fine if that's the way he feels but he's refusing that form of help

I talked to him as much as I can but I live 10 states away, I've known him for 15 years and it seems like the side of him is just getting worse. 

He doesn't find anything fun anymore, won't play games, won't go outside, won't watch TV. It's just work and sleep for him.

Last night was the first time I actually heard him cry in my whole life saying he wants to be another person and live a different life. 

All I can do is talk to him, but when I tell him things that may help him whether it's something simple like going for a walk it always gets shot down.

What can I do to help him if he refuses help? All I can do is listen, but I almost feel guilty that I can't do more