* Loveless marriage
* No friends
* No hobbies
* Never goes out
* Shit diet
* Shit sleep schedule
* Wife is fat as shit and he's embarrassed of her
* "Job" that he hates
* No one respects him and the whole world sees him as a joke
* Dealing every day with people making fun of him
* Financial instability
* Heavy alcohol drinking
I disagree with people saying Phil is depressed because he's lonely. He's always wanted to be a hermit. The only social interaction he's shown any interest in is being adored, manipulating people out of their bottom dollar, and apology fetishes. Even with John Rambo, I never saw the sense that he viewed him a friend... it was based on Phil being above him in fighting games, and John has that similar shyster car salesman attitude, and we know how that ended. He saw John as his underling, Howard even more so, similar to how Phil tries lording over other lolcows now.
He's embarrassed of Kat. Sure, he wishes he could showcase his really pretty wife with her swimsuit model body, like how he bragged about PandaRee in the early days, but we've talked plenty about how it's a net positive for Phil to just keep her there and let her be FAT. Kat, similar to Leanna, is just a status symbol proving Phil Burnell is a Mature Adult.
Financial instability and alcoholism... that's just who Phil is. He's never made sound decisions. Probably chalk that up to being a mama's boy that's skated through life rarely facing any repercussions for his abhorrent behavior. Plenty of people like him who eventually did have to face reality, then they have to deal with it along with depression. I don't think Phil even processes that possibility in the future, and certainly hasn't faced it yet.
I believe the main source of depression is that Phil is seen as a joke, he knows he's the lolcow. He hates his "job", his audience, he's as burned out on gaming as humanly possible if he's ever actually enjoyed it beyond beating hapless kids for their quarters in the arcade. Nobody respects him or his views on anything besides a tiny amount of actual retards online. When compared to completely broken down FAT lolcows in similar situations like Wingo and Dickers, even they look at Phil as this weird alien, and Phil is seen as below them. Phil is truly at the bottom, Level 1 as Keem beckoned him. That is a horrible existence for anyone, let alone someone with a narcissistic personality.