David, have you tried helping others who are less fortunate than you? I know that when you are consumed with depression it can seem as if you have it worse than everyone else, but the truth is that depression is inherently self-centered, and when you reach out to others you'll always get a new perspective on your life.
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I try and ask for help from the other side but I never seem to get it no matter how much I ask. Heck, I don't even know if there is such thing as 'help on the other side'! For quite a few months now I have wondered whether the silence is deliberate as a way of helping me to 'wake up', if that makes sense?
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Have you considered the possibility that this is because you haven't asked for help with an open mind? In other words, is it possible you have been given an answer, but you have refused to hear the answer because it didn't correspond with what you want to hear.
I am very sorry that you are going through this. I know what it's like to feel trapped, like everything is just too hard and nothing is worth it. I hope you do get better, and I wish you well. I would also appreciate it if you could give me a little more detail on what exactly it is that's burdening you.