I ignore my children screaming when I'm trying to figure out what's wrong with them, too :) My actual kids. That's a very real/very normal thing to do. Screaming = something wrong! ...but aside from tell us the airway is clear? (Yay!) it's not useful. It doesn't help us figure out what's wrong.
I think you're doing a badass job in figuring out what's wrong
- depression
- triggered during sex
- depersonalized during sex
- over medicated (& what role -if any- does that play?)
- struggling with self harm & ideation
Know it probably doesn't feel like it, right, now... But you're doing good! You're parsing shit, and figuring it out, and working towards solutions. That's totally badass! :D
One Q? Have you grounded yet? Is the ideation something that happens after seriously stressful situations like yesterday; or something that happens during them as either a desperate attempt to ground (self harm is usually grounding), or to escape (mixing up the past and present... The past where suicide may have been your only option... But now you've got lots of options but your brain still thinks you're back there / not here.)
Again, kudos. This sucks hard right now, but you're kicking ass!