• Kid and mother are in car accident (most likely arguing over something maybe) • Mother feels like it's her fault when the kid dies • Nightmares for months • Husband divorces her • No meds • Psychotic break
Hotch has nerves of steel. Assuming (and I think that's a safe assumption) that he knows Emily isn't dead, it takes some stones to be the one doing the grief counseling. He's putting himself up close and personal with the pain the lie he's keeping quiet about is causing.
And in an unrelated note...Don better not go to the mall.
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