Honestly this is me coping with the end of s4
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"It had been a month.
A month since Quentin officially got rid of the monster. A month since Eliot finally was Eliot again. A month since Q had spoken a single word to Eliot."
After the monster(s) are defeated and Eliot has had time to heal and think, Q goes through his own thinking process. He can't stop blaming himself for everything that happened to Eliot, and spirals back into a depressive state. So when he shows up at the physical kids cottage after a month of no contact, Q is left to either face his thoughts or keep running.
But Eliot won't let him keep running.