however why can't he get evaluated to rule out if he even has PTSD let alone the emotional side of it? I know it must be hard, but I'm scared for him as he seems so obvious or is playing it all down.
Let go of getting a diagnosis. I know this is really hard, but the more you can let go of that, the easier it might be.
Pushing him to try and accept things that he is not ready yet to accept is not a path for him to doing better. Denial is a defense mechanism, a maladaptive coping skill. It's a way to cope with and push away pain. If you take away someone's denial before they are ready and can handle facing stuff on their own, they can have a massive breakdown. I would never push someone very depressed and suicidal to accept they have been traumatized. That is a very tough realization to come to.
Right now, he's not ready, and it's not going to help to keep pushing him, not even for his sake.
You can't change him. The only thing you can change is you. What you can change is working on being able to let go. This is a really hard thing. Really hard. It's not fair or right and it stinks that he is not willing to get his butt in therapy, but he isn't willing or ready.
We don't know if the emotional numbing is due to PTSD or not. If it is emotional numbing due to PTSD, it changes only after a LOT of work, and someone has to be willing to do that work. He isn't willing.
He's been talking to trained professionals on the help line. They have likely talked to him about getting regular counseling, especially because he has called them a number of times. He is not ready or willing to do that. It is what it is.
Getting a diagnosis is not the final answer to this pain and suffering. It's not like oh, that's what it is and I can stop emotionally numbing out. No, the emotional numbing is still there.
Getting a diagnosis also doesn't mean that all the anger goes away, often it gets worse. Good trauma therapists are very careful about timing when they tell someone a diagnosis.
A diagnosis is not likely to lead him to think his loss of feelings for you is all due to the PTSD. Maybe it is, and maybe it is not. It takes time to sort out what is and isn't the PTSD and that's not even really the goal of therapy. Even without an official diagnosis, things could change for the better as well. What makes the difference is someone wanting and being willing to get help as well.
When I was first diagnosed, I thought I was FINE. It took me another 5 years before I could admit I needed to go to counseling, and it took another 2 years before I accepted myself that I had PTSD. Many more years later, and I still sometimes try to convince myself I don't really have PTSD.
Focusing so much on the diagnosis of a major mental health condition may be why he is now somewhat defensively saying he is not suffering that much. Being diagnosed comes with some huge drawbacks and a lot of pain for some people. It's really hard to go out and ask for someone to evaluate if you have a major mental health condition/illness.
He is saying he is still him because you are not accepting that he is still him, with or without PTSD. He is the one making the choices he is making. Not some outside influence. He is. It may be PTSD fueled emotional numbing but
he is making the choice to not do more about it. That's him.
Even without a diagnosis he could reach out and work on his anger issues more deeply. He's not willing. That's all him. The PTSD is not separate from him.
Therapy for PTSD is REALLY HARD. It's not a place of going in and being told good things and leaving feeling wonderful and great. I mean sometimes that happens, and other days, it's really painful.
You can't do much for him other than accept him as he is (this does not mean condoning hurtful behaviors or real probelms). You should also keep good boundaries about what you are and are not ok with letting into your life. That's all you can do for him.
You can do something really important for you: grieve. This is a big loss. Feeling angry and frustrated and worried are really normal parts of the process. You can also keep reaching out. A lot of supporters and sufferers have been on both sides of a shut out, and it stinks. It's awful.
I do hope he does get whatever support he needs, and he has been lucky to have such a kind and compassionate supporter in his life.
The world really does need more compassionate supporters like you. You are worth being chosen, fought for, loved. Deeply. You deserve someone who will make the choice to get help if they started having symptoms and anger episodes that could be affecting the relationship with you. This guy may be a great guy in many ways, but he's not that guy. PTSD or not, he's not that guy. So many people would be so lucky and blessed to have someone like you in their lives. Please know that even though he is doing such painful things and not making the choice to be evaluated and get help so he can be out of pain again, you are an amazing person and I hope you find someone soon who can treasure you like you deserve. :hug: