Getting Past The Pain

It's been a rough month.  Though I know it's been rough for others as well, probably more so than myself, I'm really struggling to get past my own pain.  I've done all the things you're supposed to do to work through it, yet the sadness remains.  I begin the day with positive affirmations, I look outside myself and do for others.  I volunteer.  None of it brings any kind of solace.  I fear it may be time to get back on the meds.  I hate the thought of that, but I hate even more the way I feel all the time.  My heart is almost constantly aching, and I don't know how to get the joy back in my world.