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What does it mean when your partner asks you this?

So you are having a hard time with your mental health and you feel you can’t talk with them. And things are quite tense. Then you tell them about the thoughts you are having and you end up in tears with their brutal words to you. Then they say “ be honest with me, do you want to be with someone else, is that why you are giving me a hard time?” But they see you are not in the right place mentally so why would you consider someone else?! .. is this a hint about them?
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Zeusdelight · 61-69, M
For him to say "is that why you are giving me a hard time?" indicates to me, he does not understand what is happening to you and thinks it is about him.

Mental illness can be perplexing to the sufferer and the partner.

I think you have to try to continue to communicate to him the difficulties and the fact that you are trying as hard as possible to cope with yourself and continue the relationship.