Letters to the Editor
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I may be wrong, but . . .
This sounds to me very much like clinical depression, with repeated cycles of depression, each time becoming worse.
This sounds very much like a letter I could have written twenty years ago. Friends and family become a burden. You cannot draw water from the well for them because the well is dry for you. Everything becomes "too much," even as you carry on, mostly through force of habit.
Though it is impossible to "diagnose" someone through the content of a brief letter, I would urge the LW to see a psychiatrist, and perhaps consider going on some medication for a while. There is a great variety of medication available, much of it relatively inexpensive, and it is possible that the right med could make a huge difference. Or maybe not. But it seems to me that it would be a simple thing to try. If it works, great. If not, well, at least he or she would know that's not the problem.