There is no clear dividing line between parents' disappointment with their children and their doubts about life and the purpose of life.
On the other hand, promising cases include women who are depressed because of something that makes sense in depression.
She will worry about not keeping the house clean. Here we can easily understand that fantasy and reality are interwoven; Depression prevented her from finishing her work, and procrastination depressed her.
If depression is due to something, then this case is still promising. This provides us with a therapeutic approach. It is not our job to help this woman find the real source of her guilt, because it may take years of psychoanalysis. What we can do is to give a little help over a period of time, and convey hope in such work where individuals report failures.
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