"All I know is I have been suicidal; felt like I am taking up too much space. I feel dirty and gross and just this terrible need to apologize for EVERYTHING."
I know when I feel like this, everything that my therapist says sounds like he's telling me he doesn't want me around any more. And his response to me has consistently been - these are old tapes playing. The feelings are real, your interpretation of them are not.
Oh, and the need to apologize - I remember just sitting on the floor in my closet rocking back and forth and saying I'm sorry, I'm sorry, I'm sorry after one really bad phone call.
Sometimes it helps to be reminded that this is really really hard work...and that you are actually doing a lot of really really hard work when all it feels like is being stuck. Sometimes just being willing to show up is enough.