How do I get out of my depressed mood and mindset? Nothing seems to work, not therapy or medication, and just generic motivational advice or “be macho and the hero of your story” or advice like that doesn’t help either, and advice that’s too simple or eas

I'm really sorry to hear that you're feeling this way. It sounds like you're facing a deep and persistent struggle, and it's important to acknowledge that. Here are some approaches that might resonate with you, considering that typical advice hasn't worked:

**Explore Different Therapeutic Modalities**: If traditional therapy hasn’t worked, consider exploring other therapeutic approaches. Options like cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), Acceptance and Commitment Therapy (ACT), or even art or music therapy might provide new perspectives. 

**Connect with Others**: Building a support network can be vital. This could be through support groups, online forums, or just talking to friends or family. Finding people who have had similar experiences can help you feel understood and less isolated. 

**Limit Social Media and News Consumption**: Sometimes, external stimuli can exacerbate negative feelings. Reducing exposure to social media or news can create space for your mind to breathe and heal.

**Mindfulness and Grounding Techniques**: Engage in mindfulness practices or grounding techniques to stay present. This could be through meditation, deep breathing, or grounding exercises that help you feel connected to your body and surroundings without overwhelming you.

**Creative Expression**: Engaging in creative activities—like writing, painting, or music—can serve as an emotional outlet and might allow you to express feelings that are hard to articulate.

**Routine and Structure**: Establishing a daily routine can help provide a sense of normalcy. Even small steps, like setting a bedtime or planning your day, can offer a frame of reference during overwhelming times.

**Physical Activity**: While it may feel daunting, gentle forms of exercise, like walking, yoga, or stretching, can release endorphins and improve your mood. Focusing on movement rather than exercise as a goal might help lower any pressure you feel.

**Explore Your Interests**: Sometimes, revisiting activities or hobbies you used to enjoy, or trying new things that spark curiosity, can help lift your spirits.

**Accepting Your Feelings**: It’s okay to feel how you feel. Acceptance doesn’t mean resignation; it means acknowledging your current state. This can sometimes reduce the pressure to "fix" yourself right away. 

**Consider Alternative Treatments**: If you’re open to exploring additional options, techniques such as acupuncture, yoga, or even holistic approaches might help in conjunction with traditional methods.

**Limit Comparisons**: Avoid comparing your progress or feelings to those of others. Everyone's journey is unique, and focusing on your own path can help reduce feelings of inadequacy.

**Seek Professional Guidance**: If your current treatment is not working, it’s worth discussing with a mental health professional. Sometimes medication needs to be adjusted, or different therapeutic approaches may be required.

Please remember, it's okay to seek help and continually assess what works for you. Healing takes time, and the journey can be nonlinear, filled with ups and downs. You’re not alone in this.