I don't think it was the choice on Mount Doom that pained Frodo. here's why:
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...for Frodo had been ill at ease. When they came to the Ford of Bruinen, he had halted, and seemed loth to ride into the stream; and they noted that for a while his eyes appeared not to see them or things about him. All that day he was silent. It was the sixth of October.
"Are you in pain, Frodo?" said Gandalf quietly as he rode by Frodo's side.
"Well, yes I am." said Frodo. "It is my shoulder. The wound aches, and the memory of darkness is heavy on me. It was a year ago today."
"Alas! there are some wounds that cannot be wholly cured." said Gandalf.
"I fear it may be so with mine," said Frodo. "There is no real going back. Though I may come to the Shire, it will not seem the same; for I shall not be the same. I am wounded with a knife, sting, and tooth and a long burden. Where shall I find rest?"...
At length they came to Weathertop; and it was then drawing towards evening and the shadow of the hill lay dark on the road. Then Frodo begged them to hasten, and he would not look towards the hill, but rode through it's shadow with head bowed and cloak drawn close about him...
On the thirteenth of that month (March) Farmer Cotton found Frodo lying on his bed; he was clutching a white gem that hung on a chain about his neck and he seemed half in a dream.
"It is gone forever," he said. "and now all is dark and empty."...
One evening Sam came into the study and found his master looking very strange. He was very pale and his eyes seemed to see things far away.
"Whatt's the matter, Mr. Frodo?" said Sam.
"I am wounded," he answered, "wounded; it will never really heal."...It was not until afterwards that Sam recalled that the date was October the sixth. Two years before on that day it was dark in the dell under Weathertop...
Frodo was ill again in March...
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these are all the times when Frodo was in pain, and they all coincide with the dates of his attacks.
Quote:
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..."But I have been too deeply hurt, Sam. I tried to save the Shire, and it has been saved, but not for me. It must often be so, Sam, when things are in danger: some one has to give them up, lose them, so that others may keep them..."
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everyone else on the journey seems to have been able to get past it and move on in their lives, but not Frodo. maybe it's because of a number of things. All the wounds, the burden of bearing the ring for so long and so far, and then watching as it was destroyed. I don't think it was just one particular thing that made it neccessary for him to go to the Havens. Merry was also wounded by a Ringwraith, Sam and Bilbo also bore the Ring. well, i have to go. laters