Mate, I think depression is indicative of the urgent need to change something.

If you don't have other health issues and/or disabilities, then what's left is to either change your job, or the people you are surrounded by.

> feeling trapped and bound to the golden handcuffs to try and survive this expensive world while being forced to work on things I have little care for

I consider this just work. I've worked my entire career for other people, in corporate settings, doing the work they want me to do for a paycheck. I enjoy some aspects of my job, enjoy working with many of the people but when it comes down to it, I'm just a worker bee. Many people in many industries do this. I think social media and the tech culture of "passion" and "save the X" mission statements probably contribute some to thoughts that if you don't have those things that its bad or depressing. Work for humans hasn't changed much in a long time, you're usually working for someone on things they prioritize. The fact that you have "golden handcuffs" means you at least have the perspective that you're better off than most. If someone (or combined with a partner) makes $200k gross they are in the top 1% globally of earners, probably top 5% in the US.

I like building things in software and have found building physical things enjoyable as well, lots of problem solving and usually a finished project that you can look at. Try taking up a hobby or spending time outside of work on things you enjoy.

You are not depressed because you don’t care about your work.

You don’t care about your work because you’re depressed.

Same with everything else.

Your brain will show you opposite rationalizations if you’re really depressed.

This doesn’t mean you can’t influence it by changing external factors.

This means you need to take it seriously and find a good psychiatrist to help with it. Not random dudes on the internet who think their boredom is a depression and brag how they fight it with gym.

I go get my dick wet on backpage. Hey, you asked.

purpose. survival mode lacks that.

i guess for most people this comes down to connection: social, romantic, whatever.

best you can do is leave the house, interact with people, (re)connect with friends and family. no shortcuts.

A good dose of anti-depressants, leaving your job and a year of debauchery in Thailand? everything will be fine :)

not an MD or shrink

Depression is interesting because it exists and a state, feeling depressed/down and a condition Major Depressive Disorder, this is pretty common knowledge.

The things you have tried all work in varying degrees for both, though I believe Were still not exactly sure how SSRIs work.

There's been some buzz about depression being a sub-optimal adaptation humans use to protect themselves, logic being that withdrawal and reflection prevents exposure to risk and allows time to process and reorient.

Cognitive Behavioural Therapy (ies) are a type of treatment based on varying levels of awareness of thoughts and behaviours, some encourage labelling and challenging, some acknowledgement and seperation, instead focusing on the valued action or habit.

CBT is generally considered the best for "mood disorders" like depression, there's probably a whole host of reasons why, but my personal take is that it deals with the root causes of the suffering as opposed to solely management of symptoms.

"my job, feeling trapped and bound to the golden handcuffs to try and survive this expensive world while being forced to work on things I have little care for"

That reads to me like grief, a loss of control and an unhappy dependence on something you clearly have no passion for, and, when you put it like that, it's not hard to feel shit.

The reason those interventions likely failed is because the stressor, likey your job, or your current relationship to it remains, kind like treating a splinter with antiseptic cream and a band-aid, even though that's the correct treatment, first the splinter has to come out.

Maybe have a look for someone in your area that does Acceptance and Commitment Therapy alternatively you could check out The Happiness Trap by Russ Harris it's a book but I believe there is also an online course.

Alternatively you could look at some eCBT like ThisWayUp, or go down your own rabbit hole on CBT and maybe look at David Burns stuff (I think that's his name)

Either way you need to address the root cause of your distress which is your job and/or the way you feel about it.

Good luck my dude, you've got this and will be better off for it once you come out the other side of it.

Please excuse my shit spelling and punctuation I'm on mobile and half asleep.

Take time off work, take a break, travel.

Don't burn yourself out.

I'm in the same boat, well actually much darker, no golden handcuffs, lot of student debt, health problems. I'm losing hope. I'm hoping the AI bubble bursts so that interest rates come down so I can get an interest rate on loans that is affordable. If I don't refinance it is game over. Honestly, I'm not sure I will be able to get through this.