I can only pass on my good wishes to you and Patrick, Meagan. So sorry to see the recurrent down feelings you have and agree with several others here who have said individual counseling may additionally be very helpful. 13 years is 2/3's of your life, much too long to suffer like that. Only having your pictures from the past to go by, you are a beautiful woman, so don't let that get you down.
My best, Meg, and my continued prayers for your aunt. {{Hugs}}
Dan