First thought - its best if you can be 'quiet' with yourself when he is experiencing this. Sometimes expressing empathy directly just fuels the pain.
Having experienced feelings 1, 2, 4, and 5 in my own life I can say that it sounds like he is experiencing some serious anxiety and some real depression.
Those negative self-evaluations that tend to be very general, they can easily lead to some depression.
Thanks for sharing this with me... really appreciate it. Part of me wants to sit next to him and let him have his feelings without me reaching out to put an arm around him. I'm thinking at times it must be uncomfortable to him.
