The first thing I would say is that your W has to WANT to get better.
There are bits of the letter that I could feel would have elicited a positive response from me when I was wanting to get better from my depression....but to be honest....when I was in the depths of it NOTHING helped me. I had to work my way through in my own time until I was ready to improve.
My H tried all sorts to speed the process up and to help me.....and none of it helped.I don't believe you can push someone into getting better; it has to come from within.
Going back to the cognitive behavioural therapy, (CBT), yes...it is solutions orientated. It gives one a method for coping with things - it teaches you knew ways of viewing situations. However, like any type of C or therapy, it will be ineffective if the person needing it either doesn't like the person providing the C or therapy or if they really are not invested in the process. It took me SEVERAL attempts over many years before I finally opened up.....and it was the scariest thing I think I have ever done.....and there are still places I have not explored with my therapist....but I don't actually feel I need to go there with him as he has taught me so well I can apply the principles to those areas without going over them with him. I hope that makes sense.
The person that I went to see for CBT was a clinical psychologist - I hope that helps.
I'm not sure about the letter.....but if you feel you don't know what else you can do what is there to lose?
Saffie me 46 H 46 M in 1986 D20,D18,S16,D13 H's A 01/05 to 07/06 H recommitted to M 07/06 renewed vows 09/06 Going from strength to strength