What do you do?

What do you do, when you recognize that the details of your life aren't all that bad, but you're unhappy anyway?  

What do you do when you just plain can't see any good way to change?

What do you do when you look at each coming week with dread?

What do you do when hope is far outweighed by hopelessness?

What do you do when any dream that you've ever had seems impossible to realize?

What do you do?