This is all I have left.

My patient, faced with significant financial issues, reached into his pocket and pulled out some change. “Everything else is gone,” he said.

The year was 2010. My patient had spent decades managing a GM dealership but, with widespread company problems, he lost his job and the dealership closed. He described to me walking out one evening with an appointment book filled with future meetings only to realize the next day that he had nothing to do. “I’m an adrenalin junkie.” The long 12-hour work days were replaced by the uncomfortable monotony of unemployment. My patient was lost — and depressed and suicidal. Continue reading