My body's natural response is to just dissociate, but often that just makes me feel out of pace and lonely. For now I'm trying to focus on things that I can envision in the future to solidify the concept of a future, no matter how minor or even negative. My current ones: my sister's engagement in the summer (not a happy one bc of the expected family social expectations but one that I must be present for no matter the cost), wanting to watch the snow fall while laying down on the grass (a year out), and possibly seeing myself after letting my hair grow out (this one I'm still working on bc it would take a couple years). Short term, ketamine and ect nixed suicidality pretty effectively for a while, and gratitude journaling helps me a lot too when I can keep it up (I call mine "the diary of good things" and it's mostly just things like: I sang along to the radio in the car or I watched cunk on life and laughed, but it works). Next I want to try to make myself a controlled social environment for dopamine creation and cortisol management (volunteering maybe). pharmacological interventions haven't been as effective for me either, hope you find some positives