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5 months? Are you kidding me? I'm at 5 years, and it's still stinging despite intense therapy and medications.
This shit is not quick. It's grief. His relationship, all that 9 years of marriage, etc. died. He might still need it, sure. But that is not what we're looking at here.
OP says he has had progressively worsening suicidal ideation for 5 months. Seeing a doctor is an incredibly reasonable thing to do in that situation. Not sure why my suggestion upset you so much.
Because he's clearly suffering from PISD. Yes he needs help. He's seeing a counselor weekly. He's getting worse with that.
This, what OP is going through ? That's normal. As my therapist said, she would have been far more worried if I didn't get the thoughts.
Trauma is way harder to work through, and needs far more delicate care than depression. Depression is a symptom here, and his therapist will tell him to talk to a physician, OR if they determine he's a risk to himself, they will get him emergency care.
Assuming you mean PTSD, there is not nearly enough information here to diagnose OP. Regardless of what diagnosis you, random internet person, have decided to bestow, seeing a qualified physician is a crucial part of mental health workup. Still not sure why you continue to take issue with this.
You have not done a suicide risk assessment and don't know the character or severity of OP's suicidal ideation or other symptoms. He is not you.
A good therapist will, but unfortunately, this does not happen nearly as much as it should. This leads to delayed diagnosis and management of comorbid medical conditions that contribute to feelings of depression. Therapists typically don't have broader medical training outside of mental health and aren't always well versed in the many treatments for mental health disorders.
No. PISD.
Post infidelity. It's traumatic but entirely around a former intimate relationship.
PISD is a normal response to this. It has severe depression, severe impact to self-esteem and general confidence, severe impact to work performance, etc. Etc. it's a million times worse than.
I'm not saying he's not a suicide risk. The actual incidence of it is really high. In fact I'm surprised he hadn't attempted. I had well controlled depression before my spouse's affair.
There is no medication aside from sedatives that will help OP with this. And sedatives only delay recovery. He's doing what he needs to, and he's wondering why people are giving up and leaving him be.
It's because this shit is that fucking draining. Any LPCC knows they are just as much at risking their licence as any doctor. Saying 'go see a doc and get meds' is just as dismissive as his former friends who have given up with him.
Honestly? As long as he's being honest with a LPCC, he's doing better than he would be in a hospital here in the US.