extreme burnout

have been extremely burnt out and depressed for the past few years. have tried therapy, time off, changing firms and yet it has all continued to compound over time. it’s impacting my emotional state and therefore the rest of my life (as I am sad / negative and stressed 24/7). love my team but the nature of the work is what it is. feel conflicted as it’s good work and I am good at it.

finding it extremely difficult to know when it is appropriate to exit and what I should pivot to - grateful for any anecdotes