Treatment-Resistant Depression and Recovery: How Therapy, Medication, and Self-Compassion Can Change Everything

After years of living with depression — through countless ups, downs, and failed treatment attempts — Caryn finally found light again. In this episode of Giving Voice to Depression, she opens up for the first time about what it’s like to live with treatment-resistant depression, the exhaustion of constantly “trying,” and the unexpected relief that came when she finally found the right therapist and medication.Caryn describes how depression shows up not just mentally, but physically — the aching body, the heavy fatigue, the simple impossibility of getting off the couch or into the shower. She explains how she learned to live minute by minute when the pain became unbearable, and how giving herself permission to rest became an act of survival.With honesty and strength, Caryn shares what helped her finally stabilize: a supportive therapist, compassionate friends, medication that worked, and the belief that she was worth the effort it took to heal.Co-hosts Terry McGuire and Carly McCollow reflect on Caryn’s story, exploring how depression can become habitual, why it’s so hard to break free from its patterns, and why persistence — even when you’re exhausted — can save your life.If you’ve ever felt hopeless after trying therapy or medication that didn’t work, Caryn’s story is proof that there’s still reason to keep going.Primary Topics Covered:What treatment-resistant depression really feels likeHow to find the right therapist after years of tryingPhysical symptoms of depression and why they’re realLearning to ask for help without shame or guiltThe power of supportive friends and “letting yourself cry”When to rest and when to push forward during depressive episodesWhy depression can feel like a habit — and how to retrain your brainHow seasonal changes can trigger depressionWhy finding hope doesn’t mean pretending you’re okayThe importance of giving yourself grace and patienceTimestamps:00:00 – Introduction: The importance of real conversations about depression01:15 – Meet Caryn: a listener sharing her story for the first time02:17 – Caryn’s turning point: finally finding the right therapist03:27 – The physical toll of depression and exhaustion05:10 – Living minute by minute when suicidal thoughts creep in06:24 – Why finding a therapist who truly listens changes everything07:01 – The physical exhaustion of depression: “Even walking hurts”08:45 – The “damn shower”: small tasks that feel impossible09:01 – Accepting that you’ll never be the same — and that’s okay10:35 – The storm quote that helped Caryn redefine recovery11:05 – Retraining your brain after years of living in depression11:49 – Preparing for depressive episodes before they hit12:07 – How supportive friends helped Caryn through crisis moments13:34 – The freedom of knowing when to reach out for help14:10 – A breakthrough with new treatment after years of resistance14:50 – Medication that worked: “It was the best I’ve felt in years”15:59 – Learning self-compassion and patience through recovery17:33 – Why rest and self-acceptance are not weakness17:52 – Celebrating progress and small victories19:01 – Caryn’s message: “There’s always some form of light”20:18 – Reflection: habits of depression vs. habits of recovery22:37 – The seasonal triggers of depression and self-awarenExplore mental health and addiction treatment options at recovery.comFacebook Community: https://www.facebook.com/GivingVoiceToDepression/Terry's LinkedIn: https://www.linkedin.com/in/givingvoicetodepression/

This episode of Giving Voice to Depression features  licensed therapist Carolina Bracco and a candid conversation about the profound, long-term effects of growing up with emotionally immature or overly critical parents. Co-hosts Terry McGuire and Carly McCollow explore this often-overlooked area of childhood experience, highlighting how these parental patterns can contribute to depression and shape an adult's life, relationships, and even their own parenting style.Carolina, a childhood trauma survivor herself, shares her personal journey of being scapegoated and constantly criticized, which led to deep-seated toxic shame and a powerful inner critic. She explains that as children, it's a survival mechanism to turn anger and blame inward rather than directing it toward the primary caregivers, resulting in core beliefs like "I'm not enough" and "I'm worthless"—the exact phrases often heard during a depressive episode.The discussion defines highly critical parenting as a consistent pattern of never meeting expectations and explores how this, along with the role reversal seen with emotionally immature parents, counts as childhood trauma—an emotional wound and neglect that can be as impactful as physical abuse.More importantly, the episode focuses on healing. Carolina introduces the concept of reparenting our inner child as a continuous process of self-compassion, connection, and attunement. This involves acknowledging the feelings of the "wounded inner child" and providing the comfort and safety that was lacking.Carly concludes by offering non-blaming context, emphasizing that parents are often doing the best they can, but that sometimes "best isn't good enough." She shares empowering strategies from Dr. Lindsay Gibson's work, including accepting that you cannot "fix" your parents and affirming your own importance and inherent worth ("I have good stuff inside me").This episode provides listeners with essential language, context, and practical steps to understand and begin healing from the emotional legacy of their upbringing.Explore mental health and addiction treatment options at recovery.comFacebook Community: https://www.facebook.com/GivingVoiceToDepression/Terry's LinkedIn: https://www.linkedin.com/in/givingvoicetodepression/

Depression in older adults is one of the most under-discussed — and most misunderstood — mental health challenges today. In this moving episode of Giving Voice to Depression, 93-year-old Mary shares what it’s like to experience depression in later life — when most of her peers have passed away, her body feels unfamiliar, and her generation still believes that “you just don’t talk about those things.”Mary’s story challenges stereotypes about aging and mental health. She speaks candidly about loneliness, self-stigma, and the quiet grief of losing friends and independence. Her reflections reveal the emotional costs of silence — and how simply being present for an aging loved one can make all the difference.Hosts Terry McGuire and Bridget also discuss shocking statistics:Over 6 million Americans over 65 experience late-life depression.Only about 10% seek treatment.The suicide rate among those aged 80–84 is more than twice that of the general population.This episode sheds light on what older adults truly need — connection, empathy, and understanding — and offers ideas for family members, caregivers, and communities to better support them.Primary Topics CoveredHow depression manifests differently in older adultsThe stigma around mental health in older generationsLoneliness, loss, and isolation in senior livingHow grief and physical decline contribute to depressionSelf-stigma and shame: “I should be coping better at my age”Why many seniors refuse therapy or medication for depressionHow families can offer support without overstepping boundariesSuicide risk and prevention for older adultsThe healing power of presence and consistent connectionHow to have mental health conversations with aging loved onesTimestamps00:00 – Introduction: Why late-life depression matters01:12 – Discussing the stigma around mental health in seniors02:00 – Introducing Mary, a 93-year-old sharing her story03:05 – Mary describes feeling depression for the first time at her age04:20 – Growing up in a generation that discouraged emotional expression05:06 – Why Mary feels disappointed in herself for feeling depressed06:00 – How stigma prevents older adults from seeking help07:05 – Loneliness and the loss of lifelong friends08:15 – Why seniors avoid discussing mental health openly09:12 – What older adults really need: connection and presence10:10 – How families can show up in meaningful ways11:00 – The importance of daily check-ins and emotional presence11:40 – Health habits that support mood in older age12:19 – Closing reflections: small acts of care that keep hope aliveExplore mental health and addiction treatment options at recovery.comFacebook Community: https://www.facebook.com/GivingVoiceToDepression/Terry's LinkedIn: https://www.linkedin.com/in/givingvoicetodepression/

When someone you love is struggling with depression, anxiety, or addiction, knowing how to help can be agonizing — especially when every attempt seems to fail. In this episode of Giving Voice to Depression, licensed psychotherapist and professional interventionist Evan Jarschauer explains what real mental health interventions look like — far from the dramatic TV versions that oversimplify the process.Evan has spent over 20 years helping families and individuals break the cycle of resistance, crisis, and collapse that often surrounds untreated mental illness. Drawing on his own experiences with depression, anxiety, trauma, and substance use, he offers practical advice for approaching loved ones with empathy, boundaries, and a long-term recovery plan.This powerful conversation dives into the emotional toll of caregiving, the difference between helping and enabling, and how to take care of yourself while supporting someone who is suffering. As Evan reminds us, “You can’t yell the depression out of someone — but you can love them into healing.”Primary Topics Covered:What real mental health interventions look like (vs. reality TV depictions)Why people resist help — and how to break through denial and fearBalancing love, accountability, and boundaries in family relationshipsUnderstanding when support turns into enablingThe importance of third-party professionals in crisis interventionWhy caregivers also need their own support systemHow trauma, depression, and addiction often overlapThe “oxygen mask principle” of self-care for supportersHow to communicate empathy without pity or controlWhy change begins with compassion — not confrontationTimestamps:00:00 – Introduction and overview of Giving Voice to Depression 01:17 – TV portrayals vs. real-life interventions: what’s missing 02:25 – Evan’s story: from personal trauma to professional healing 03:20 – Depression, self-medication, and the cycle of avoidance 04:31 – How families feel “stuck” between love and fear 06:35 – Compassion vs. confrontation: what intervention really means 07:44 – When it’s time to bring in professional help 08:56 – How an intervention plan is created (step by step) 10:21 – Why loved ones often reject help at first — and what to do next 11:16 – The “most powerful therapeutic weapon”: love and dignity 12:22 – Setting healthy boundaries to stop enabling destructive cycles 13:09 – The importance of post-intervention follow-up and care coordination 14:29 – Understanding depression as a real illness, not weakness 15:20 – Why caregivers must seek therapy and support, too 16:14 – Self-care as survival: you can’t pour from an empty vessel 17:13 – Why empathy, not pity, leads to healing 18:57 – The “Petri dish” metaphor: how families can stop feeding the illness 20:23 – Leading with high love and high accountability 22:26 – Closing reflections: how love — not control — opens the door to changeExplore mental health and addiction treatment options at recovery.comFacebook Community: https://www.facebook.com/GivingVoiceToDepression/Terry's LinkedIn: https://www.linkedin.com/in/givingvoicetodepression/

When depression makes it hard to get out of bed, eat, or even believe things will ever get better, a loving pet can be a lifeline. In this moving episode of Giving Voice to Depression, Lori shares how her dogs helped her survive and heal after divorce and severe depression.Lori describes days spent “swimming through mud,” unable to function—until her dogs gave her a reason to get up, go outside, and reconnect with the world. Through their loyalty, routine, and affection, she found purpose and emotional grounding when her mental health was at its lowest.Hosts Terry McGuire, Bridget, and Carly McCollow discuss how pets—dogs, cats, or other animals—can support depression recovery by encouraging exercise, structure, connection, and even laughter. The episode also explores how caring for another living being can restore a sense of normalcy, purpose, and calm when life feels chaotic.You’ll also learn simple ways to bring the healing power of animals into your life, whether by adopting, fostering, or even dog walking for a friend.Primary Topics Covered:How animals provide emotional support during depressionThe role of pets in building routine, structure, and accountabilityWhy unconditional love from animals can reduce isolation and lonelinessThe connection between physical movement (dog walks) and improved moodHow therapy animals and rescue pets can support mental healthReal stories of how pets “save lives” through small, consistent acts of careWays to experience the benefits of animals even if you can’t own one (volunteering, pet sitting, fostering)The importance of small daily check-ins and accountability with loved onesTimestamps:00:00 – Introduction: How depression isolates us and how connection helps 01:12 – Meet Lori and her story of living with depression and loss 03:20 – Family history of depression and stigma around mental illness 04:38 – Divorce, despair, and “swimming through mud” 05:16 – How her dogs kept her alive and gave her purpose 06:03 – Emotional healing through loyalty and companionship 07:00 – Exercise and connection: walking dogs as therapy 07:55 – How pet routines bring structure and calm to chaotic times 08:44 – Crying, walking, and slowly finding light again 09:43 – Distraction and small steps toward recovery 10:33 – The power of human accountability: texting a friend daily 11:56 – Medications, therapy, and the regret of waiting too long 12:20 – How pets bring calm, peace, and a sense of normalcy 13:50 – Staying connected: daily check-ins that save lives 15:19 – Humor and warmth: the comfort of shared moments 16:05 – How to experience animal connection even without ownership 17:01 – Closing reflections and links to resourcesExplore mental health and addiction treatment options at recovery.comFacebook Community: https://www.facebook.com/GivingVoiceToDepression/Terry's LinkedIn: https://www.linkedin.com/in/givingvoicetodepression/

The grief that follows a suicide is unlike any other. It’s layered with guilt, confusion, trauma, and the persistent question: Why? In this powerful episode of Giving Voice to Depression, guest Lisa Sugarman shares her journey after losing her father, cousin, and close friend to suicide — and what she’s learned about navigating the unique and complex grief that follows.Lisa offers deeply personal reflections on the healing power of connection, the role of the 988 Suicide and Crisis Lifeline, and the importance of understanding that you are not alone. She also discusses what to say (and what not to say) to someone who’s grieving a suicide loss — with guidance that can transform how we show up for those in pain.Hosts Terry McGuire and Carly McCollow join Lisa for an open, compassionate discussion about suicide prevention, survivor support, and how language can either wound or heal.If you’ve lost someone to suicide or want to learn how to support those who have, this episode offers insight, empathy, and hope.Primary Topics Covered:How suicide loss grief differs from other kinds of griefWhat to say (and avoid saying) to someone who’s lost a loved one to suicideHow to use the 988 Suicide and Crisis Lifeline (even if you’re not in immediate crisis)The importance of connection and peer support in healingHow to comfort someone who feels guilt or shame after a suicide lossWhy “grief is love” — and how to carry that love forwardThe myth that suicide is an “act of selfishness” and what’s really behind itUnderstanding the survivor’s journey and the slow, gentle process of healingTimestamps00:00 – Introduction: The importance of open conversations about suicide 01:29 – Guest introduction: Lisa Sugarman’s story of loss and purpose 02:12 – What Lisa wants others to know about suicide and grief 03:21 – Why knowing about help like 988 before crisis matters 04:36 – How 988 and the Crisis Text Line support both suicidal individuals and survivors 06:19 – The ripple effect of suicide: 135 people impacted by every death 07:30 – Lisa’s first experience with suicide loss at nine years old 08:13 – Losing her father and the silence that followed 08:58 – Discovering the truth decades later — and processing complex grief 09:23 – How suicide loss grief is unique: guilt, trauma, and unanswered questions 10:16 – How to support someone grieving a suicide loss 11:22 – The danger of judgment and how to hold compassionate space 12:43 – Why saying their loved one’s name helps more than silence 13:42 – Using 988 for grief and emotional crises, not just suicidal thoughts 14:55 – The power of speaking with others who’ve experienced suicide loss 16:05 – Why suicide is about ending pain, not abandoning loved ones 18:19 – Reassurance for those who “did everything right” but still lost someone 19:49 – Lisa’s closing message: you won’t always feel this way 20:36 – Grief as love: learning to live with loss and carry it forward 21:27 – The importance of naming and remembering the person you lost 23:33 – Crisis lines and text options: support for every kind of crisis 26:07 – Why connection — not perfection — helps save lives 27:22 – Closing reflections and reminder: depression is too dark a road to walk aloneExplore mental health and addiction treatment options at recovery.comFacebook Community: https://www.facebook.com/GivingVoiceToDepression/Terry's LinkedIn: https://www.linkedin.com/in/givingvoicetodepression/

After a suicide, words can either comfort and connect — or cut and cause more pain. In this powerful episode of Giving Voice to Depression, journalist and suicide loss survivor Deb Sherwood shares her personal experience navigating the unthinkable grief following her husband’s death by suicide — and the devastating impact of well-intentioned but hurtful comments from doctors, therapists, and friends.Deb speaks candidly about the importance of language, how certain phrases can retraumatize survivors, and why learning to listen with empathy matters more than trying to “fix” someone’s grief. She also offers insight into what actually helps — from specific gestures of support to the healing power of peer connection through suicide loss groups.This episode reminds listeners that compassion doesn’t require perfect words — just presence, respect, and kindness.Primary Topics Covered:Why words matter after suicide lossCommon phrases that unintentionally harm grieving survivorsHow stigma and silence deepen pain after suicideThe role of doctors and therapists in trauma-informed careHow to approach someone grieving a suicide loss with compassionThe value of specific help over vague offers (“Can I bring dinner Tuesday?” vs. “Let me know if you need anything”)Creating memorials and memory books to honor loved onesHow suicide loss support groups foster understanding and healingThe three-question rule before speaking: Is it true? Is it necessary? Is it kind?Timestamps:00:00 – Introduction: Why conversations about suicide matter 01:26 – Introducing journalist and suicide loss survivor Deb Sherwood 02:50 – Stigma and secrecy after suicide loss 03:58 – The impact of harmful words from medical professionals 05:14 – When therapy retraumatizes instead of heals 06:42 – How insensitive questions intensify grief 08:01 – Why people assume strength means lack of pain 09:35 – Understanding curiosity vs. intrusion in suicide loss 10:13 – Losing friendships after judgmental comments 11:05 – Hurtful remarks that add trauma (“You didn’t see it coming?” “He took the easy way out”) 12:25 – Words that help: empathy, memory-sharing, and specific offers of support 13:46 – Creating a memory book to honor a loved one’s life 14:48 – Encouraging people to share positive stories and memories 15:03 – Living with unanswered questions and learning self-forgiveness 16:08 – The “Is it true, necessary, kind?” test for sensitive conversations 16:58 – How support groups create safe spaces for suicide loss survivors 17:48 – Finding the right therapist or counselor who respects grief 18:22 – Final reflections: listening, compassion, and language that healsExplore mental health and addiction treatment options at recovery.comFacebook Community: https://www.facebook.com/GivingVoiceToDepression/Terry's LinkedIn: https://www.linkedin.com/in/givingvoicetodepression/

Award-winning journalist and author Meg Kissinger joins Giving Voice to Depression to share the extraordinary and heartbreaking story behind her memoir “While You Were Out.”In her conversation with Terry McGuire and Carly McCollow, Meg opens up about growing up in a large family marked by bipolar disorder, schizophrenia, and depression—as well as two sibling deaths by suicide. She explores how decades of silence and stigma shaped her family’s story and how finally speaking out broke the cycle of shame and secrecy.Meg’s dual perspective—as a journalist who investigated the U.S. mental health system and as a sister who lived it firsthand—offers a rare, honest look at mental illness, discrimination, resilience, and recovery. Her story reminds us that talking openly about mental health saves lives—and that empathy and truth can heal generations.Primary Topics Covered:The power of storytelling in breaking mental health stigmaHow silence and secrecy isolate families living with mental illnessUnderstanding the difference between stigma and discriminationThe lasting effects of losing loved ones to suicideWhat it’s like to grow up with bipolar disorder and depression in the familyThe importance of honesty in family and community mental health conversationsHow to respond when someone shares suicidal thoughtsWhy it’s okay to ask for help—and how courage can begin with one conversationTimestamps:00:00 – Introduction and welcome from Terry and Carly 01:24 – Introducing journalist and author Meg Kissinger 02:21 – Mental illness in Meg’s family: depression, bipolar disorder, and suicide 03:27 – Why stigma is actually discrimination — and how language shapes understanding 04:42 – Growing up in silence: how mental illness was hidden in the 1960s 06:25 – Balancing humor, love, and loss in a family marked by mental illness 07:29 – Losing her sister Nancy to suicide and the painful secrecy that followed 09:24 – Talking about her brother’s struggles and what she’d say differently now 10:55 – Learning to sit with discomfort and listen with compassion 11:50 – Writing While You Were Out and gaining her siblings’ trust to tell the truth 12:41 – The goal: showing her family’s full humanity and helping others feel less alone 13:36 – Why families must talk about their mental health history 14:48 – Advice for those who struggle to speak about mental illness or trauma 15:34 – Lessons from her brother Jake on living openly and unapologetically 16:21 – Asking for help: humility, courage, and connection 17:39 – Reflections from Terry and Carly on authenticity and generational healing 19:34 – Breaking silence one story—and one generation—at a time 22:26 – How to truly listen to someone in emotional pain (“Heard, Helped, or Hugged”) 25:56 – Final reflections: showing up with love, empathy, and presenceExplore mental health and addiction treatment options at recovery.comFacebook Community: https://www.facebook.com/GivingVoiceToDepression/Terry's LinkedIn: https://www.linkedin.com/in/givingvoicetodepression/

Award-winning journalist and author Meg Kissinger joins Giving Voice to Depression to share the extraordinary and heartbreaking story behind her memoir “While You Were Out.”In her conversation with Terry McGuire and Carly McCollow, Meg opens up about growing up in a large family marked by bipolar disorder, schizophrenia, and depression—as well as two sibling deaths by suicide. She explores how decades of silence and stigma shaped her family’s story and how finally speaking out broke the cycle of shame and secrecy.Meg’s dual perspective—as a journalist who investigated the U.S. mental health system and as a sister who lived it firsthand—offers a rare, honest look at mental illness, discrimination, resilience, and recovery. Her story reminds us that talking openly about mental health saves lives—and that empathy and truth can heal generations.Primary Topics Covered:The power of storytelling in breaking mental health stigmaHow silence and secrecy isolate families living with mental illnessUnderstanding the difference between stigma and discriminationThe lasting effects of losing loved ones to suicideWhat it’s like to grow up with bipolar disorder and depression in the familyThe importance of honesty in family and community mental health conversationsHow to respond when someone shares suicidal thoughtsWhy it’s okay to ask for help—and how courage can begin with one conversationTimestamps:00:00 – Introduction and welcome from Terry and Carly 01:24 – Introducing journalist and author Meg Kissinger 02:21 – Mental illness in Meg’s family: depression, bipolar disorder, and suicide 03:27 – Why stigma is actually discrimination — and how language shapes understanding 04:42 – Growing up in silence: how mental illness was hidden in the 1960s 06:25 – Balancing humor, love, and loss in a family marked by mental illness 07:29 – Losing her sister Nancy to suicide and the painful secrecy that followed 09:24 – Talking about her brother’s struggles and what she’d say differently now 10:55 – Learning to sit with discomfort and listen with compassion 11:50 – Writing While You Were Out and gaining her siblings’ trust to tell the truth 12:41 – The goal: showing her family’s full humanity and helping others feel less alone 13:36 – Why families must talk about their mental health history 14:48 – Advice for those who struggle to speak about mental illness or trauma 15:34 – Lessons from her brother Jake on living openly and unapologetically 16:21 – Asking for help: humility, courage, and connection 17:39 – Reflections from Terry and Carly on authenticity and generational healing 19:34 – Breaking silence one story—and one generation—at a time 22:26 – How to truly listen to someone in emotional pain (“Heard, Helped, or Hugged”) 25:56 – Final reflections: showing up with love, empathy, and presenceExplore mental health and addiction treatment options at recovery.comFacebook Community: https://www.facebook.com/GivingVoiceToDepression/Terry's LinkedIn: https://www.linkedin.com/in/givingvoicetodepression/

In this deeply human episode of Giving Voice to Depression, John, a survivor of a suicide attempt, shares his ongoing struggle with self-forgiveness — and what healing looks like when you’re still learning to forgive yourself.While many conversations about suicide focus on grief or prevention, John opens up about what comes after survival: the guilt, shame, and lingering belief that he doesn’t deserve forgiveness. Despite being forgiven by his family, including his son, John continues to wrestle with self-compassion and self-worth.Through an honest and courageous conversation with hosts Terry McGuire and Bridget, John explores what it means to recover emotionally and spiritually — even when the process is slow, imperfect, and deeply personal.This episode sheds light on the emotional aftermath of suicide attempts and offers gentle encouragement to anyone navigating their own healing: you are not alone, and forgiveness is possible — even if it hasn’t happened yet.Primary Topics Covered:The emotional aftermath of surviving a suicide attemptWhy forgiving yourself can be harder than forgiving othersGuilt, shame, and self-loathing in recoveryHow family support can begin the healing processDeveloping self-compassion through therapy and meditationUnderstanding that recovery isn’t linear — and that “not yet” is still progressPractical insights on living with ongoing suicidal thoughtsThe importance of honest, stigma-free conversations about mental healthTimestamps:00:00 – Introduction to the episode and hosts 02:13 – John’s story: surviving a suicide attempt and learning to forgive himself 03:06 – Why stories about self-forgiveness after a suicide attempt are rare 04:02 – Guilt, self-loathing, and loss of self-worth 05:14 – How John’s son forgave him — instantly and unconditionally 06:03 – Why self-forgiveness feels harder than accepting forgiveness from others 06:49 – Living with lingering feelings of unworthiness 07:36 – How therapy and psychiatry help manage suicidal thoughts 08:34 – Searching for the “magic tool” for self-compassion 09:13 – Meditation and its role in emotional healing 09:46 – Guilt, shame, and letting go — why all are connected 10:55 – Advice to other suicide attempt survivors: don’t let guilt derail recovery 12:43 – Accepting that forgiveness takes time — and that “not yet” is okay 13:25 – The power of reframing self-talk 14:00 – Learning by speaking: how sharing stories helps healing 15:19 – From self-loathing to self-acceptance: small language shifts that matter 16:28 – The chemistry of self-talk and why kindness changes your brain 17:39 – Closing reflections and resources for self-forgiveness and supportExplore mental health and addiction treatment options at recovery.comFacebook Community: https://www.facebook.com/GivingVoiceToDepression/Terry's LinkedIn: https://www.linkedin.com/in/givingvoicetodepression/