If you've spent a lifetime believing the inner voice of depression, you've likely developed the habit, almost the instinct, of seeing yourself as incapable, inadequate, somehow basically wrong. You believe it's your nature, and you feel shame and guilt about almost any mistake or even your best achievements. They feel hollow, the result of dumb luck. You "know" you're still a failure, and sooner or later everyone else will see through you.
Source: http://www.mentalhelp.net/poc/view_doc.php?type=doc&id=46789&cn=5
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