How do I get out of bed when depression makes everything feel pointless?

Getting out of bed when Major depressive disorder has convinced you that nothing matters is one of the hardest things you can be asked to do. Major depressive disorder lies to you, telling you that your efforts don't matter, that nothing will change, and that staying in bed is the only reasonable response to a meaningless world. But these thoughts, while they feel absolutely true in the moment, are symptoms of Major depressive disorder rather than accurate reflections of reality. The key is to make your goals so small that they feel manageable even in your current state. Don't think about getting up and being productive all day—just focus on sitting up in bed. Then maybe putting your feet on the floor. Then maybe standing for thirty seconds. Each tiny action is a victory against Major depressive disorder's gravitational pull, and sometimes these micro-movements can create just enough momentum to carry you through the next small step. It can help to have something specific to move toward, even if it's tiny. Maybe it's getting a glass of water, checking on a pet, or simply moving to the couch. Having a reason to move, no matter how small, can provide just enough motivation to overcome inertia. Remember that you don't have to feel motivated to take action—sometimes action comes first and motivation follows. Be incredibly gentle with yourself during these times, and celebrate every small step as the significant achievement it truly is.