Hi Polynut
I can sympathise, I am a 54 year old left handed un-medicated rapid cycling manic depressive introvert with regular bouts of type IV depression living in Nanjing, China (country #7) with my wife. I am an author (seven years into my magnum opus) who dabbles in programming with a bias in 3D and gaming.
First of all and most importantly, good professional unbiased diagnosis from several trusted sources (not the internet) is essential in understanding the physiological basis/bias of your problems. This is not something you can do for yourself. Your brain is physically different from others. No brain is identical to another. Warning, car analogy, you are driving a different marque and model than what most people drive. You need to know what is wrong before you can fix it and knowing what you can’t fix. Knowledge is essential for developing strategies to ameliorate your symptoms.
You need to understand what symptoms are caused by your physiology and what symptoms are caused by external input and subsequent patterning of your thoughts. You need to understand the difference between what symptoms are caused by the wiring of your brain and what acquired thought patterns make you happy/content and productive. For example, big media blasts you with the need to succeed and that you need to declare your status to others in order to be successful, therefore you need to buy and own expensive non-essential stuff to be happy, otherwise you will be punished with misery. Cyclical cognitive dissonance is something you can fix. Material things, in themselves, do not miraculously make you happy.
Get out of your own head. I take long, brisk walks, for exercise, to random destinations. You’ll be surprised how far you can walk in an hour or two. This is not unproductive time, as I often meditate (dream/plan) on my long term projects but take time to smell flowers, admire insects, pet cats, greet or briefly chat with locals (practice my atrocious Chinese, which is now better than my atrocious Arabic), and pay attention to all the details around me to improve my spacial awareness and hopefully improving the plasticity of my brain.
Learn to let go. If there are things (regrets, remorse,memories of shame, debts, insults, things you f*cked up, things you should have done or handled differently) that occupy your mind more than fleetingly and repeatedly, then try doing something, anything practical or possible about it. Apologise, confront, repair, replace, discuss it with friends or a professional, anything to break or change these cyclical runaway trains of thought. The past is gone and should remain there, where it belongs. As much as I fear and hate it, I always try to confront the consequences of my actions, with an absolute minimum of procrastination. Wasted thought is a waste of time. Learning to live in the moment is more important than dwelling on the past. The future will write itself, based on what you do now.
This has bearing on your feelings of being indebted to others. Try to remember that this support was an act of kindness given freely by people who love you, whether financial or otherwise, and has no expectation of return. It is an act that is past. Give the love back, be kind, considerate, listen and remain open to the needs of the ones that love you, that you love. That they have someone to rely on, without judgement and expectations, is priceless. There are many ways you can pay back these kindnesses that are better and more important than money.
Small things are important too. I live in an apartment seven minutes walk from my wife’s place of work. My wife works very hard, so I do all the cleaning, washing, shopping and cooking so that she has as much free time as possible. I have managed to wrangle about 20 square metres of horizontal growing space, outside all my windows. I grow herbs, vegetables and flowers utilising as much vertical space as I can. You would be shocked at how much stuff I manage to grow. I also propagate and pot house plants.
Learn to live as efficiently and effectively as possible. I have developed habits and interests that save me time and money. If have managed to reduce the amount of time I spend on the above chores and my plants to around an hour a day. I also use this time for planning while I do these mindless but surprisingly satisfying mundane tasks. Using a bit of forethought, the right tools and techniques, I have learnt to cook delicious (lots of fresh herbs), healthy , cost effective food with a minimum of time and wastage, generally around twenty minutes now. I cannot stress enough the importance of good food, both for health and well-being. Jamie Oliver’s 30 Minute Meals was a great inspiration. People love my food, which in turn makes me happy.
Small acts of kindness. I give the fruits of my labours to my loved ones, friends and neighbours as often as I can. This is something the Chinese embrace enthusiastically, makes people happy and is very rewarding emotionally. It is apparently something built into our DNA and rewards most people with a flood of endorphins. Humans need a sense of community and connections to others to remain healthy.
Creativity and understanding requires a lot of thought. Proper planning and forethought makes you efficient. Staring at your computer, writing code by sheer force of will is not productive. I think deeply about my writing while washing the dishes, grubbing around in my plants or simply enjoying a decent cup of coffee and then dash off reams of prose when I am inspired and know what I’m going to say. The same with programming. Most of my bug fixes come to me when I’m not staring at the offending piece of code. You can do most of your thinking while your hands are busy with simpler tasks that are their own reward. Any obtainable long term objective is a series of successfully completed smaller tasks. Inspiration often comes to me after a good night’s sleep.
I will leave you with one of my favourite quotes, a Bene Gesserit Litany…
“I must not fear. Fear is the mind-killer. Fear is the little-death that brings total obliteration. I will face my fear. I will permit it to pass over me and through me. And when it has gone past I will turn the inner eye to see its path. Where the fear has gone there will be nothing. Only I will remain.” ― Frank Herbert, Chronicles of Dune