I know people have already given a good bit of advice and this was in my 20s not my 40s but I went through a pretty rough patch in college that I left with a couple suicide attempts and a trip to the mental hospital. Counseling was super valuable for me especially Christian counseling. I know this site isn’t the most religion friendly but the only reason I’m alive today is because Jesus met me in all that junk. Take it or leave it but that’s what happened to me.