Just real quick here, KAW, 'cuz I need to tend to more "preventive medicine" at this house!
Often she tries to keep it to herself, but if we can find something that soothes her during this phase, perhaps we could ward off an attack.
I don't think that the "keeping it to herself" thing could ever be good. I've found that when my wife does this, it just keeps cycling in her head, and growing. This is one area that might take some thought on how to either divert, or release and process, her thoughts.
The suicide thoughts is a very touchy area. Just went through that, too, but fortunately it was just feelings, and not a whole lot of efforts towards action. I wasn't sure what to do, but felt that hospitalization might have made matters worse at the time. We were VERY lucky that I was right. Does your wife do any journaling? This helps my wife to release some of her thoughts, and get them down on paper, no matter how ugly they are.
Meds for anxiety and depression are kinda funny, in the fact that it seems that what works well for awhile often loses it's effectiveness. Don't know if it's a biological, physiological, psychological, or illogical thing. Just seems to be that way.
Gotta run, but will get back to you later, my friend! Hope your night goes well!
JJ
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