Like "Hi Rachael, I am sorry that you are feeling so down right now. I am wondering if you might be experiencing some depression. Is that possible? Here is a link to a discussion on depression that I started awhile back: It might help to talk to a counselor who is experienced in helping people facing chronic illness. You might benefit from a listening ear who can help you to get a perspective on what's going on with your self-care, maybe help you to pick up your outlook and your motivation. Just a suggestion. Support is power! I hope that you will stay in touch with us and let us know how we can help. Take care! Gary "