Imhappy sorry, was typing on my phone this morning, cpn is Community Psychiatric Nurse, they work as part of the community mental health team and they usually visit your home. I'd had a hospital referral from my health visitor which had identified I needed more help, but there was a wait list, so the nurse was there to make sure I wasn't getting any worse in the meantime.
It was a bit of a nudge on those days, as I was scared of being judged (even though they didn't), so would make sure I was showered and dressed, my daughter was in clean clothes, the house was vaguely presentable. The cbt had a similar impact, it forced me to overcome the anxiety of leaving the house.
It still took ADs to sort me out properly, but it just helped me level where I was and not sink any further as left to my own devices I would have stayed in bed, not washed or got dressed.
I know you're not keen on the ADs, but it will help you. You are sick and this will help make you better. If the withdrawal last time was bad, then ask for help this time and take it really slowly. Mild depression can be sorted with exercise and other tools like cbt, but once it gets bad, it's so much harder if you don't use the medication. You don't have to rush into coming off them, I reduced the dose very slowly and
any time it felt like I wasn't coping, I'd go back up to the previous dose until I felt ok again.
One of the things we covered in our group CBT was the importance of going outside each day, even if just to the end of the road and back. Another was breaking things into small blocks, and scoring things on how hard they were to do and how we felt afterwards. So if the house needed cleaning, just do one room. It may be before the PND that it would be a job that wouldn't even need thinking about, but now scored 8/10 in difficulty as it was a big effort and took lots of energy. Anything that was hard should then be rewarded by something that made us feel good - for me, that was painting my nails, so it didn't have to be a big thing.
Keep talking on here when things get bad, there are plenty who've been where you are who will try to pull you through 