I have depression and PTSD following a fatal car accident where I stopped and tried to help, but a person passed away in a terrible manner. Even though that was almost 7 years ago, I still suffer from guilt and shame surrounding the accident. I have seen the same T for 6 1/2 yrs and they have been a great help to me, but I frequently find myself with SI and major depression. These past few days have been particularly difficult and is the first time that I have actually thought of a solid plan to follow through with the SI. I also began drinking more than normal a couple years ago and have already had 3 or 4 doubles today. I am due to see my T this evening, but I just can't shake my desire to take all of my sleeping pills and being done with everything. I have never attempted suicide or harmed myself, but the SI is so strong right now that I have a plan. Though I will be seeing my T is less than 5 hrs, it feels like the day is moving along like molasses. I have also been unable to work the last 2 days. I haven't felt this lost in a very long time.