Does anyone have any suggestions on raising the topic of couples therapy to a depressed HD patient?
My 34 y.o. boyfriend has been on dialysis for 4 years. Combination of HD and PD. He received a transplant in Aug '05 but due to a loss in blood supply to the kidney, the organ was removed and he is back on HD. He has beeen on disability from work since the transplant and is extremely depressed. He is reluctant to talk about things with me or a therapist because he feels talking will not resolve anything…a transplant will. He has begun to isolate himself from friends and family - which is clearly making the depression worse. I love him and want to be as supportive as possible. However, our relationship is suffering and I don’t know what else to do. I spend as much time as possible with him on the weekends but his lack of energy leaves little activities for us to enjoy besides sitting home and watching television. I know he tries to keep his spirits up and wants to be actively engaged when we are together but often times it just does not translate. Our sex life is non-exisistent which is becoming a source of frustration and anger for me. I have tried to rationalize that it will get better but I’m feeling less and less positive as time progresses.
I want to start couples therapy so we can at least acknowldege our issues and begin discussing ways to reconnect. But I’m concerned my request will fall on deaf ears or he will interpret this as adding to his burden. If anyone has dealt with this, I would apppreciate any suggestions or thoughts on how to approach the discussion.