@alfcin61 You have been through much and I am glad to read that you are advocating for yourself by seeking professional therapy to work your way through this. Here on Connect, there has been discussion about pacemakers and depression, to read what others have written, please type in your browser "Mayo Connect depression" and also "Mayo Connect anxiety." If it's any consolation, you have plenty of company and others have shared their experiences. Best wishes for resolving/learning to live with these issues that are having a negative impact on your wellbeing. Please do share how your recovery is progressing, others can learn from your journey.