There definitely isn't a one size fits all MLC, you only have to read this board on an average night to see that........
As for treatment some MLC'ers have positive reactions to hormone treatment some don't, some have positive reaction to SSRI's and in some SSRI's can make them worse...
Its my belief, if its truly MLC (because some are not IMO) then if its not down to an hormonal issue, then its down to depression and that's why I think that if there was more publicity on other faces of depression I outlined in my previous post and if it was seen as just as acceptable to seek help for mental health as it is for physical health then some MLC could be prevented.
Because I believe there is a small window pre crisis, the potential MLC'er could be helped with therapy, once they are in crisis then they cant.
Thing is there is a stigma, certainly in the UK, around therapy. People are frightened to have any sort of mental health issue written on their medical records, which potential employers/insurance companies could see.
Then there is the stigma as being seen 'weak'...
Its all these sorts of issues that would have to be tackled IMO as far as prevention is concerned..........
Even if the cause is hormonal, getting a MLC'er to go to the doctors (particularly a man) and admit how they are feeling (and be honest about everything to a doctor)is near impossible.......and sometimes this is a chicken and egg situation as sometimes depression can cause hormones to go wacko and sometimes the other way round.....
BTW my H went to the docs twice about 6 months before he left because he had problems feeling his ejaculation......they found nothing, he had lots of blood tests at the time and there was no abnormal hormones then anyway, yet looking back he was heading into crisis with other behaviours he had at the time........he even said to me recently he thinks this problem is/was in his head.......
As he headed into crisis H was having problems sleeping, talking of feeling numb and foggy headed and other symptoms of what I now know to be Anhedonia, I never knew about this type of depression before, I didn't realise him wanting to work all the time was depression, I didn't realise withdrawl from people is depression...I do now.
would it have mattered if I had known he was suffering from anhedonia then? Not really because when he had started to 'act' out these symptoms it was already too late, he had started his affair with the OW........and was already at the beginning of his crisis. BUT if he himself had realised months earlier the feelings of unease he was feeling, the problems sleeping, the drinking too much, the fear of getting old, the dissatisfaction with his life...were all normal feelings at his time of life, if he had realised that he was getting depressed and that it might help to talk about these things etc.. maybe he would have got help like he did for his physical symptom effecting his sexual function.
So, as for my H I am pretty confident my H's crisis is firmly routed in childhood issues which brought forward a major depressive episode in Midlife and other physical problems he has had since are a result of his depression and abuse of his body (working excessive hours, drinking all the time etc)...
Others who suspect their spouses MLC are due to hormonal issues, may have seen a different set of behaviours pre full blown crisis
And Thunder you make a very interesting point...... there are those who may not be in crisis and it could be other things that are driving their behaviour like personality issues.....
But as for the thing about educating teachers to spot abuse, I think they already are (certainly all the teachers I have known and know are) BUT the thing is NOT all of the childhood issues centre around abuse.
Its down to something in their childhood which meant they missed some key development or coping skill.... it could be abandonment by a parent, the death of a parent, emotionally distant parents, a parent with an addiction or personality disorder..... things which disrupt childhood and are underlying.............My H performed well at school, was an exceptional sportsman playing for his school, county in football, swimming for the county,had trials for top football clubs and went on to be (to the outside world) a very successful tradesman...no-one could have spotted the volcano that would erupt when he got to 45........
"I can't go back to yesterday I was a different person then"..............Alice in Wonderland
you NEVER know how strong you are, until being strong is the ONLY choice you have"