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I appreciate the response. I didn't mean to imply I would do this myself, only that I want to understand the issues going in. I have a reasonable company HMO health plan and would be following standard professional guidance. Advice such as you offer on choosing a professional is helpful.

this is the most important battle of your life, nothing else matters.

That's the part that's hard for me. I'm not sure that nothing else matters. My fear (mythic?) is that I'll be able to find a treatment that makes me happy, but at the cost of giving up my current and perhaps unrealistic goals of having a positive effect on the world. The new self will rationalize this as a worthwhile tradeoff, while the current one would lament the lack of purpose.

Your depression is stopping you from having a positive effect on the world.

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