oh michele! i'm so sorry that you are feeling so terrible. I wish I had something to add, but I do not have experience with depression, and my psychology training is all related to children (manic depression is something that is very rare in childhood, so we haven't learned much about it).
I would look online though, and search for the DSM-IV-TR definition of manic depression, and talk to your therapist about it. if you can't find the DSM info online, let me know and i'll provide it (I have the DSM). I don't know a lot about your symptoms but I would also look into bipolar syndrome as well, because manic depression sometimes mirrors bipolar with the depressed moods, and very high highs.
I agree with what everyone has said as well. you are an amazing woman, and you bring light to so many others lives despite your own pain. take care of yourself and take things one day at a time.
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