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Shame and guilt are, unfortunately, emotions that often accompany depression. The illness takes a big toll on a person’s energy levels, often leading them to stop doing things they feel they should do, want to do, and need to do, and can leave them feeling “lazy” or “worthless.” As they struggle to complete day-to-day tasks and goals, their self-image may also start to suffer, and they may feel ashamed of not achieving their goals or living up to the expectations they have for themselves.