. You put in the extra time and effort for yourself and for your children. Depressed mood for most of the day b. Grandparents aren't too thrilled with it either. Decreased pleasure in normal activities c. At this point, I share with my patients, Remember. At this point, I share with my patients, Remember. Depression must be treated first in order to give you the emotional where-with-all to address your marriage and family issues. Feelings of guilt or worthlessness f. You put in the extra time and effort for yourself and for your children. (DSM IV). You put in the extra time and effort.