I have a friend who has begun to experience major depression lately, but refuses to acknowledge how bad things have become. He has been stable on medication for many years and tells himself that the medication has fixed his depression, and so rejects the possibility that his recent emotional state and behavior are a product of an episode of major depression.
He has been physically ill with increasing frequency, to the point that his work has complained and I’m worried he will lose his job soon. This past week he didn’t go to work at all, and made up a laundry list of symptoms for why, which he had to eventually justify in a way that made no sense. Anyway, point is, things are degrading. He has no local friends, no hobbies or interests, and doesn’t enjoy anything. But he’s convinced he’s not depressed.
How can I bring this up in a way that he might be able to hear? I want him to go to therapy, but he thinks therapy is for losers (my words). He knows I have been in therapy, and I believe he feels himself superior to me for that reason. He only wants to be on medication, and believes it’s working sufficiently well. Any ideas?