Seeking expert testimony is a sign of strength. A personal relationship with a caring professional is proven clinically effective.
I believe that I can help with this situation.
When a person begins to cut her ties with friends and family then this is a strong incdication that she is suffering from Major Depression.
If she is truly sufferng from depression she will manifest several symptoms:
The psychiatric diagnostic manual, the DSM-IV defines t5he criteria for depression as follows:
Major Depressive Episode
DSM IV Criteria
A) Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure
Note: Do not include symptoms that are clearly due to a general medical condition, or mood-incongruent delusions or hallucinations
1) depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad or empty) or observation made by others (e.g., appears tearful). Note: In children and adolescents, can be irritable mood.
2) markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation made by others)
3) significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. Note: In children, consider failure to make expected weight gains.
4) insomnia or hypersomnia nearly every day
5) psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down)
6) fatigue or loss of energy nearly every day
7) feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick)
8) diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others)
9) recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide
B) The symptoms do not meet criteria for a Mixed Episode
C) The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D) The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hypothyroidism)
E) The symptoms are not better accounted for by Bereavement, i.e., after the loss of a loved one, the symptoms persist for longer than 2 months or are characterized by marked functional impairment, morbid preoccupation with worthlessness, suicidal ideation, psychotic symptoms, or psychomotor retardation.
You have not really described her symptoms in any detail.
Has there been any illness, any precipitating events or major stressors, or possibly anybody else?
You say you have already tried therapy.
If you wish to add some more detail to this question, I shall be happy to follow up with you tomorrow (Wed) as I am retiring for the evening.
Ellliott, MAE, LPCC, NCC, CCMHC