Our expert says:
OK. A deep Major Depressive Episode does not last 5 years, though it may come and go. There's a variation called Dysthymia which is less severe but much more long lasting, and that is also a possibility to consider.
I rather like your characterization of shrinks. The "ones who just nod and make notes" are usually psychoanalytical typers and utterly useless. In many decades there's still no good evidence that their endless and passive methods are of any value at all. The method that currently has the largest amount of good quality scientific evidence of its effectiveness in Depression and many other proble conditions, is Cognitive-Behaviour Therapy. CBT, which is shorter, and far more active and involves youi in actively devising, testing and revising your own solutions.
And the advantage of CBT is that it would apply just as well to the issues of your relationship with ood, eating, shape, etc. These problems are ones involving maladaptive behaviour, but are NOT addiction of the traditional chemical sort, and thus don't need treatment other than CBT which aims at revising your unhelpful behaviours and habits of thought
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