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When I have suicidal ideation, I tell my T exactly what I am thinking - the exact specific details. It's like having a release valve. If I don't do that, it builds up in me to the point where I can't function. Talking about it releases that tension. Depending on the level of accompanying depression, that helps a lot.

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I have to agree with Emmy, and what she said above totally. I did just that today. I opened up and told my T totally how I felt and cried and it felt like a pressure was released .
WHEW felt so much better and he did not look down on me either. He said he looked up to me for being strong enough to tell him how I truly felt. go figure huh?
I also take walks when it gets really bad. The fresh air and walking does really help with my moods. Taking a nap too.
Just know your not alone because I have been suffering like someone else posted for quite a few years now and I am still here fighting my way through. </font>