Always depressed but it became much worse in June 2003. I didn't realize what it was. I was never tearful or sad. I was just ANGRY and hateful and paranoid. It continued to worsen and I struggled without treatment until May 2011 when a friend who was diagnosed and treating for MDD finally confronted me and told me to get some help already. I struggled with the idea of treatment for about a month before I finally called my doctor.