### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi. I am a 29 year old female and I notice lately that I can never get excited about anything...I just started a new dream job Oct 2011 and within a few weeks, I moved into a new apt. About a month after that, I got into a new relationship with a guy who I love very much and is perfect for me. But, I have always had low self esteem ever since I was young and I notice as time goes by, these feelings always come back-the result is me feeling like I dont deserve my job,relationship,good friends(I dont have many as there is, that is another story)..its like I cant trust anyone anymore and I gave up on trying to be happy. What can I do about this?

### output:

HI Allison. THANKS FOR YOUR QUESTION. YOUR ARE SUFFERING BY DEPRESSION AS YOU HAVE SYMPTOMS LIKE-LOW ESTEEM.GUILTY FEELING. FEELING OF WORTHLESSNESS. BUT YOU TOLD YOU CANNOT TRUST ANYONE BUT YOU CANNOT MENTION THE REASON DO YOU THINK THEY ARE CONS PIRATING AGAINST YOU. I AM ASKING THIS QUESTION TO CLARIFY DO U HAVE DELUSION OR NOT.IF YOU HAVE DELUSION THEN YOUR DIAGNOSIS IS DEPRESSION WITH PSYCHOTIC FEATURE AND IN THIS CASE YOU NEED A ANTIDEPRESSANT AND ANTIPSYCHOTIC COMBINATION.IF YOU HAVE PURE DEPRESSION THEN YOU ONLY NEED ANTIDEPRESSANT SO PLEASE GO TO A PSYCHIATRIST AND TELL YOUR DETAILHISTORY HE WILL HELP YOU. REMEMBER IN DEPRESSION COGNITIVE BEHAVIOR WORK VERY WELL SO IF DOCTOR WANT TO DO IT ON YOU PLEASE GIVE HIM CONSENT. THANK YOU Chat Doctor. 