The best approach is to casually ask her why she feels the way she does and see what she has to say.
Thanks job, for your answer.
I can tell you that based on other conversations, W feels little excitement for life period. She feels trapped and stuck, and this has little to do with any potential future health issues. So my guess is her answer to the above question would be "I've got nothing great in my life, feel nothing great for you, and see little hope for anything better".
She's only still here because she has no better options. "Everyone has to have food and shelter" she told me one time. I guess I'm good at helping provide that in a comfortable enough, pressure free atmosphere.
So maybe asking the question would be a mistake, causing her to focus on her plight as she see's it, and offering nothing good for either of us.
I would like to guide her to start seeking some serious solutions to her depression, but I know I can't tell her.
M: A really long time. Crisis: 5 years. She's still worth it.
Life is never made unbearable by circumstances, but only by lack of meaning and purpose. -Viktor Frankl