Should assisted death be available for intractable mental illness? (Marie Nicolini)

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Think about a person who has suffered from depression and chronic post-traumatic stress disorder (PTSD) for many years. She has received on-and-off treatment with variable results. She feels hopeless, has continuous negative thoughts about herself, and wants to die. What should this person do? If she lives in Belgium, a possible course of action, sanctioned by law, is to speak with her psychiatrist or therapist about dying with a doctor’s assistance. As a psychiatrist from Belgium, I have encountered cases similar to this one – not through direct involvement with assisted death, but as a therapist working with patients who sometimes raised the issue.

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