My best friend of 37 years is suffering from her second bout of severe depression and has been since June of 2016. She has been my rock and closest friend since we are little kids and I need her to get better! She had a tumultuous divorce during which she had her first break. She recovered after over a year and finished the divorce process. She flourished in ways I don't think either of us thought were possible. I do wonder if she had bi-polar 2 or severe depression and PTSD. Either way, it's the depression she can't recover from this time. After she recovered the first time, she completed the divorce and found true love. It was quite a good catch for both of them, however, she wanted everyone to be on board so quickly (and he was the catalyst to moving too quickly in my opinion), but she couldn't stop the moving train. She made immediate plans to be married and tried to get her kids to buy in and they weren't yet ready for her to move on so quickly. Quite frankly, none of her friends thought this speed of progress was healthy. Nonetheless, the ex husband manipulated the kids and created a parent alienation situation which got out of control. My best friend in a frenzy tried to end her own life. Her suicide attempt left her with a host of medical issues including needing plastic and bone surgery to correct the damage done to her face. So, now she is physically and emotionally insecure and is struggling to move forward. Having said that, she has been through in patient and out patient treatment, and is now stepped down to her own private psychiatrist and therapist, and finally someone who is trying mood stabilizing medications (I have been begging them to try this for all of these months and if the meds do work, so much extra damage could have been spared, but I guess better late then never). Anyway, she has improved a lot, but she is still so incredibly stuck. Her mantra's are "I'm not smart enough" "I'm not strong enough" "God gave me more than I can handle" "My situation is worse than everyone's" "I just want to die, but I'm afraid to try again". Every day, sometimes multiple times, the life is sucked out of me while I coach her out of bed by phone (oh did I mention we live several states apart from one another?), and it effects my own marriage and my child. I will not abandon my best friend, and while I support her, and find resources for her, I try not to enable her at all. But it's so hard worrying every day that she may have another impulsive moment and end it all. I know that she can get better again, and I have hope that she will. But what is going to flip that switch?? Any and all advice is much appreciated.