Do whatever it takes to get you through your dark period whether it be meds or a hospital. None of the rest of it matters -- the therapeutic relationship, the technique, whatever, if you're not here. Sometimes waiting for the next therapy appt. is just not enough because you're just sinking in between and when that next appointment isn't the life-saver you hoped it would be, you sink a little further and your therapist is even more powerless to help.

I hope I'm not being too blunt, but when I've been in that black hole, I've sometimes needed to hear things directly.