My depression is suddenly worsening.
Nightmares have replaced nighttime dreaming,
and all the nightmares point to the helplessness and despair
that are presented in depression.

I'm afraid it will take something more than
a change in my dosage of meds
to intervene with my depression.

I am confident that I will survive this crisis,
but I am not so confident of how
my relationship with this instution will survive this crisis.