Thank you.
Dr. Freeland, thank you very much for tackling this issue of who decides whether the suffering is intolerable.
If I understand correctly, your perspective is that a competent person's own experience of suffering dictates what they choose to do. A psychiatrist needs to offer all options to the patient, but it's the person, not the psychiatrist, who decides what will happen, if the person is competent.
There have been concerns raised that some psychiatrists will never accept that a patient's suffering is not remediable. In such a situation, where the psychiatrist feels that the patient's suffering is not irremediable and wants the patient to keep going and trying but the patient says that enough is enough, what happens in that relationship? How should they proceed together?