There's no good way to tell someone you love, and who cares about you, that you're depressed but it will be such a positive step for you. Hopefully it will mean you have two extra people to help you through this, and that's a good position to be in. They are important people in your life and so they need to know how you are feeling.
Firstly, it's really important that you are straight with them and tell them the truth about what you've been experiencing. There is no better way to tell them; if you try to tip-toe around it, there's a chance they will misunderstand or won't get a clear picture and this could cause more upset for both of them, and you if they don't understand the seriousness of what's happening. One mistake it could be easy to make is to downplay how you're feeling in an attempt to lessen the upset for them but it is really important that they understand exactly how you're feeling, so don't be afraid to be honest with them. If you feel under too much pressure to tell them face-to-face them try writing them a letter. Whichever way you decide to go through with it, make sure you know from the beginning what it is you want to get out of the exchange and exactly what you would like to say. It might even be helpful to make some notes beforehand so that nothing important slips your mind when you sit down to talk.
I don't know your mother, or your boyfriend, but I can't imagine any circumstances under which they would be angry at you. I reckon they would be more annoyed if they ever found out you hadn't told them and, instead, had struggled with this alone. I imagine they will be upset for you but also honoured that you want to trust them with this, and want to give them the chance to help you through this.
Speak to your psychiatrist about medication. I was taking Citalopram for a while and never really felt like it made much of a difference but different things work for different people and your psychiatrist may be able to prescribe another drug that helps more. Either way, medication should always be a last resort; adding any chemical into your body upsets the fine balance it has reached and, whilst useful in a crisis, it's not something you want to come to rely on. Concentrate on other treatment options, CBT or counselling, and focus on trying to treat the cause of your depression, as opposed to just the biology.
Good luck with your appointment, and take care.
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