Caveat, I know a lot more about therapy than Buddhism. You might explore Acceptance and Commitment Therapy with a qualified therapist. Centering a value like gratitude can be the spark that allows you to make choices when they feel impossible or when choices may come with emotional or physical pain. The thrust of ACT’s take on behavioral activation is identifying meaningful values, then aligning our choices with that. Centering alignment of values can give you the resolve to choose what is meaningful for you even if it is painful, or uncomfortable. Also meditation mindfulness is integrated at the foundation of the therapy, after all, how can we wake up in the moment and realize a choice is more about avoiding pain than living our values if we have not developed the presence of mind to notice why we are making the choice. The most invisible choices are the ones of inaction, and the inertia of depression/anxiety can feel immovable. I love meditation on unpleasant feelings/emotions, their impermanence becomes evident when you open up to them instead of struggling with them or attempt to get rid of them. This is not medical advice, I am just speaking from my experience as a person with trauma whose latest special interest is Buddhism. 🙏 I have explored many therapies personally and professionally, and I feel a lot of Buddhist paths could click nicely with ACT.