Unhappiness → intolerance and impatience → snappiness → self-criticism → unhappiness.
Inadequacy. Depression.
↓
Fatigue → lack of energy → lack of motivation → sedentariness → fatigue.
Ongoing exhaustion, a losing battle. Lack of energy.
↓
Overwhelmed → daunted and panic→ disordered memory and thought processes → inability to function properly → accumulation of tasks → overwhelmed.
Always too much to cope with. Reduced function.
↓
Feel a failure → try again → push harder → can’t manage it or mess it up → feel a failure.
Loss of purpose. Worthlessness and guilt.
↓
Unhappiness → intolerance and impatience → snappiness → self-criticism → unhappiness.
Inadequacy. Depression.
Depression → Lack of energy → Reduced function → Worthlessness and guilt→ Depression. Small vicious cycles within a bigger vicious cycle.
GP and Human - Dr. Kathryn Hayman 
My top tip is to pick one thing every day which you know you can definitely manage that day. Then when you have done it you give yourself a mental pat on the back. When the negative stuff starts ‘you haven’t done anything all day’ you can say ‘the one thing I said I was going to do, I have done’.
You feel stupid, but eventually it works! Break every activity down into really small steps and give yourself a pat on the back for each one. It stops the dreadful negative spiral and becomes automatic after a while.
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