[PaulS]

Hi Michael - I'm sorry for your father in law's and your struggles. I'm sure his depression is difficult for him - as well as you and your wife. Its great is numbers are good - and it sounds like the depression is maybe secondary to the transplant. Perhaps he could see a social worker or psychiatrist/psychologist for an evaluation? A support group might be even better - the transplant center probably can help him find some kind of support - where I am a social worker is part of the team - and there are support groups for both care givers and patients. If he's religious, finding/renewing a spiritual connection may help.Maybe he can connect with someone on this forum - Eating and exercise are obviously good things to do , but often very difficult for someone who is depressed - even without cancer or a SCT. The support of his family is also obviously very important - and may also be difficult for him to accept.

I've had some very low moments throughout this process and I can understand a tendency to withdraw into a dark space of hopelessness and despair - its not a good place and can be hard to get out of - but at 70 with good numbers it sounds like your father in law has reason to hope and a family who loves him - he just has to see that.

Medically maybe they need to check his medication for something that could be causing or exacerbating an pre-existing depression - or maybe even adding an anti depressant - but I'd encourage you/him to talk to not just the oncologist/transplant doctors - but also a skill mental health practitioner that is hopefully part of the transplant team.

Good luck and best wishes,
Paul