Our expert says:
Pain makes depression wose, depression makes pain worse. But with proper expertise, depression AND pain can be properly controlled. Effective therapy raely takes "years" but the old-fashuioned analytical type is endless as well as worthless. A family history of suicide increases her risks. Talk with her calmly, maybe if ( as you imply ) her mood varies, at one of her slightly better times, and urge her to see a fresh psychiatrist for a second opinion and assessment with regard to better treatment of her depression, better management of her pain, and effective psychotherapy like CBT rather than the sort that mutters on forever without really getting anywhere. And urge her to tell her therapist, quickly, and whoever is prescribing the Cipralex, about her suicidal impulses.
As annie says, emphasize to her how much she means to you and others, and how you want her to be properly treated so she can get better.
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