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There is no need to tabooising depression and its complication, suicidality (alexx's unspoken word) and suicide. From a medical point of view, and this applies both to the individual therapy for a given patient, and for the research on and information about the condition, it is necessary to view this aspect of the vs/persistent aura condition too. As lost wrote quite right, the absence or presence of this aspect can make "make the difference between PA being an anxiety-inducing nuisance, or a life-threatening condition". BTW, it is well known from psychiatric research that speaking about this aspect doesn't increase the risk of suicidal acts, but quite the contrary, it acts as a relief and can be a point of departure from which therapeutical help can become accessible. The prevalence of depression in persistent aura seems to be quite high. We have put a focus on this in the Sofia Greene survey as well (it is not one of the questions in the survey, but it can become a topic in the subsequent email correspondence) and while there have not yet been made quantitative assessments, one can say that the prevalence of depression (and anxiety) is certainly higher than in the general population. The greatest risk exists at the onset of the disease, because in addition to the stress coming from the persistent neurological symptoms themselves, there is most often the uncertaincy about the cause/diagnosis, the problems in dealing with the medical system, and the stress resulting from the problems to communicate this "invisible" visual perception disorder to significant others, partners, friends, persons at workplace or school. It is very important to identify the presence of clinically relevant depression at that stage and to treat it appropriately. When suicidal ideations become a topic, one has almost certainly a severity corresponding to a moderate depressive episode with somatic symptoms (sleep disturbance, loss of weight), if not to a severe depressive episode. Depressive episodes of such severity need specialised therapy by a psychiatrist, including antidepressive medication and psychostherapy in the most general sense, a part of which is just listening to the patient and giving informations on the conditions of both depression and vs/persistent aura inorder to give a perspective. Untreated, there is a great risk that not only there will be suffering from, and can be progression of, the depressive episode, but the depression will also act as a stress factor potentially worsening the persistent aura symptoms or even triggering new episodes of persistent aura, thereby creating a vicious circle.