Lemmy users who feel the heaviness of depression, what issue in your life weighs you down the most?

I feel like there are no happy options for me. There are only least-bad. I have a million different ways to spend my time and energy and they're mostly lesser-evil choices. If I do the things I want to do, then my family suffers. If I do the things my family wants/needs to do, then I suffer. Regardless, a large majority of my decisions are filled with suffering. I don't see any end to this.