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Well. Lookout, hopefully, you can pull the shrink aside and give him the benefit of your observations in private. I came across an estimate once that as many as 1/3 of all patients do not report important symptoms to their therapists or physicians. Even if your wife does inform him of everything that's going on with her, she sounds as though she's already digging in her heels at the thought of any medication he might prescribe.
It might be a good idea to find out why she is so adverse to the thought. Does she fear re-newed addiction? Does she consider it a sign of personal failure? Is it wrapped up with some fear of becoming like her sisters? If there is anyone on her side of the family that you could discuss her sisters' issues with, this information could be invaluable for her doctor to know about.
Its true enough that if she does need medication but refuses it, there's precious little you can do about it. Hopefully, the thought of her husband and son will bring her around.
Good luck, big guy!
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