If several sessions of psychotherapy has not helped, get medication from a MD and consider getting another psychotherapist. I must repeat that antidepressive medication and PMS treatment are important sources of help. Scientists don't know exactly how the drugs work, but for some people antidepressants are a godsend. We don't know why placebos are so powerful with briefer and milder depressions. Likewise, treatment for PMS helps many women avoid depression and tension.
Many depressed patients feel certain that their prescriptions are very beneficial.
Yet, everyone shouldn't assume that drugs will be an easy, cheap panacea for them. Drugs should not be avoided, but the truth is that many people won't use drugs, and when they do, the drop out and relapse rates are higher with drugs than with psychotherapy. Be careful when you take drugs. Prozac may be helpful with depression but its help with these other problems is questionable. The effects of Prozac are enhanced by its popularity, i.e. a powerful placebo effect.