I'll try and sum up what the issue is with my sister. She has possibly always suffered low self esteem and depression which was massively compounded 5 years ago when she had a still born baby. She was going to be a single mum so has not had the chance to think about getting pregnant again. ( I know that doesn't take away the loss of the baby but to some extent it must help- but she is / was single).
She is on AB but they have made no difference other than shutting her down and making her numb. She has tried a couple of therapists some were no good for her but even the one she responded to she sees that it has to be down to her to make the effort to get better and actually, she doesn't want to make the effort. She believes she is cursed / unfortunate and that her history is already written, so nothing she can do will change that.
The GP seems to just prescribe ABs without encouraging any kind of therapy and doesn't really engage with the bigger picture IMO.
She shows a lot of self fullfilling prophesy behaviour like picking at her skin to the point that she has massive scabs so can't go out and meet someone. Also she has issues with alcohol in that she get totally out of control and does really stupid things. One thing happened recently that I don't want to say as it identifies her in RL but lets say it was pretty catastrophic to her job/life.
Her friends don't really help. None of them are in functional relationships and just accept the status quo. so she has no 'model' of a good relationship ( with herself or anyone else) to aspire to ( in her friends).
I try not to interfere but I really want to. I want more than anything for her to be OK and have a loving relationship and all it entails. But I end up lecturing her and she doesn't really care or believe what I say. That she could have a happy future if she tried. I don't know what to do.