I can't tell if I'm in a depressive episode. I'm so tired every day and struggle with maintaining my living space. I lie in bed so much outside of school, and my sleep schedule is all sorts of disturbed. My fibromyalgia pain could also be contributing to my physical and mental fatigue. I don't know how to distinguish between being unmotivated or being psychiatrically depressed. I don't know whether I should meet with my psych NP or if it would be futile. Advice would be appreciated!