Well, the discussion of present-day stuff went quickly into the future (not unreasonable).
Buuuut I have an update so here goes.
I decided to just rip the Band-Aid off and tell my parents about what's been going on for me. Their response was actually surprising - apparently my dad has been on antidepressants for several years and understands a lot of what I was saying.
So, I'll be talking to my pastor when she gets back to town. She might be able to help; she'll definitely be able to point me in the right direction in terms of resources and people who can do more.
So . . . yeah. Things actually look unexpectedly bright right now.