Posted by fxckfeelings on October 4, 2012
While we’re taught by our elders that sex is the greatest way a man can express his love and admiration for a woman (and only after marriage), experience teaches us that attraction can be fairly impersonal, based less on who you are than where you are, what your hair color is, and if you say yes. It’s odd then that people struggle to accept that a lack of attraction can be equally impersonal, even in a marriage, and that there are limits to how much it can be influenced by talk, wine, and roses. The fact is that there’s much about interpersonal sexual chemistry that you and your partner will never control, so doing your best to bridge the gap is the best defense you will ever have against doubt, blame, and feelings of failure. Losing sex can hurt, but if you know it’s not your fault, it doesn’t have to ruin your relationship or your self-confidence. Sex is impersonal, but commitment isn’t.
–Dr. Lastname
My husband and I went to couples therapy a few years ago, but it left me with a lingering feeling of bitterness towards him that I had never felt before. I know I tended to ignore him when we were busy raising the kids, and I understood he felt aggrieved that things didn’t get better when the nest emptied out. So I tried hard, at the urging of our couples therapist, to make time for him and try to touch him and give him pleasure in bed. What left me bitter was the way he responded (i.e., he didn’t). No matter how hard I tried, nothing I did was enough, so I gave up. I’m not going to leave him because I like our family life, I’m looking forward to retirement, I have lots of interests, and I don’t want to complicate life with a divorce. I wouldn’t have sex with him now, however, if he begged. My goal is not to get hurt again.
Hurt feelings can make one half of a married couple withdraw from the other, which can just cause more hurt feelings, etc., etc. Structured re-engagement via therapy can sometimes stop that cycle, providing that a couple still has love and effort to give. Then again, that re-engagement effort can also reveal that love has left the building or, as in your case, is stuck in a revolving door.
For your own peace of mind, you did the right thing trying to repair your relationship, regardless of whether it led to disappointment. Unfortunately, one of the things you can’t control is your husband’s emotional and sexual response, and while therapy was supposed to bring you together, it instead gave you a reality check. WAIT! There is more to read… read on »
Posted by fxckfeelings on September 24, 2012
Coping with the mental illness of a family member can be agonizing, and when you can’t stop destructive behavior, it feels like defeat. Trying to defeat the symptoms of mental illness, however, is like trying to win a war on weight-gain or terror—difficult, endless, and resulting in gains that are easily lost. If you learn to accept setbacks as part of the process, rather than attack them as tests of your love and will, you’ll do more to sustain morale, including yours and your family’s. Take pride in your willingness to endure a difficult, painful, and sometimes frightening relationship; you won’t win or lose a war, but you’ll gain peace.
–Dr. Lastname
I’ve got an adult daughter whom I know is mentally ill—she thinks people are plotting against her, including her very nice husband—and, for the last few years, without my own husband’s help, I’ve desperately tried to persuade her to get treatment before her marriage fell apart and she got arrested for doing something violent and stupid. The harder I tried, however, the more she suspected I was part of the conspiracy. There was a ray of hope 6 months ago when she had a screaming fit one night and got locked up in a mental hospital, but the medication made no difference, and she came out more certain than ever that her husband was her worst enemy, so she left him. My husband says I’m part of the problem because I never take my daughter’s side, but my goal is to restore her to sanity, and I know my husband is in fantasyland if he thinks she’s sane and has a “side” based in reality. I’m getting nowhere, though, and my own marriage is under pressure. What do I do now?
Unfortunately, while there is no surefire cure for paranoia, pushing a paranoid person to get help is a reliable way to make it worse. After all, if somebody thinks the world is against them, disagreeing with that person only confirms their delusions. Call it the paranoia-dox.
If your daughter’s paranoia can’t be helped—and it seems you’ve tried very hard to help her—then I’m sorry, but your husband has the right idea, even if it’s for the wrong reason. By not challenging her feelings of being victimized, your husband avoids the paranoia-dox, which makes it an approach worth trying. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 30, 2012
If you listen to (other) experts, psychiatric treatment should always begin with objective evidence, which then determines a diagnosis, which directs us to proven, effective treatments. This expert, on the other hand, thinks that “evidence-based psychiatry” would be very nice if we happened to know lots more than we do, but it is one of life’s great ironies that the organ we know the least about is the home of knowledge itself, the brain. Until we can fully wrap our heads around our minds and how they work, scientific thinking in psychiatry is often wishful thinking. It can actually get in the way of making good, practical decisions and accepting the necessity of living with the unknown, be it a mystery illness or the grey mush in our skulls.
–Dr. Lastname
I’ve been very confused lately because of what’s going on inside me. My father did some bad things to me while I was growing up—things that I just began remembering a year or so ago (sorry, I can’t label it). Since then, other memories surfaced as well, but not many at all. Most of my memories of my childhood are snapshots that are just little moments in time, separated by years in between that I just don’t remember. Anyway, the thing that distresses me is that sometimes, but not all the time, I’ll feel like I have another part of me who is talking in my head. This came to my awareness mostly after the memories started coming up, although I feel like maybe it happened occasionally before. For instance, recently someone asked me a question, and a child’s voice answered in my head. I have other instances of similar things like that happening. One time it seemed like there were two parts conversing with each other and I was just observing the conversation, per se. That being said, I am educated enough about what happened to me and the consequences of it to know that I think I’m describing DID, but from what I’ve read, I don’t think I have it. I don’t switch to other personalities, and I don’t really lose time or anything like that…but I do know I’m not qualified to make that kind of assessment (and I know you can’t just by reading this letter). But my question does relate to that: is it possible to have the kinds of experiences I’ve described and not have DID? Since I’m pretty sure I don’t have it, I feel like I’m just some crazy, messed up person for no reason. It terrifies me to share this with anyone, but I don’t know what to do anymore, and it’s getting harder and harder to keep going.
Diagnosis in psychiatry is never precise and, when given too much attention, can do more harm than good. Until the day a mental illness diagnosis can be determined by peeing on a stick, all we can currently do is lump symptoms together and try to observe what happens to people who fall within an arbitrary category.
In the short run, knowing you’re not alone might be comforting, but it would tell you very little about what to expect from future symptoms or treatments. Worse, it would get you thinking of yourself as a diagnosis instead of as a person who’s trying to live life in spite of some disturbing, hard-to-understand symptoms.
As such a person, ask yourself what you most want to accomplish in this life, despite whatever’s going on in your head. For most people with traumatic childhoods, it’s always meaningful to be decent to others, whether they’re your kids, relatives, or friends. You know how easily people slip into abusiveness when they’re angry and how much it hurts, so you never take a good, supportive relationship for granted.
Most symptoms that impair the way you function won’t prevent you from being the person you want to be or doing what you really want to do, they’ll just slow you down and force you to work harder to think up alternative methods. A good coach helps you to accept your impairment without getting discouraged or demoralized.
So instead of looking for the ultimate shrink diagnostician, find a therapist who can act as a good coach, who isn’t too upset by symptoms, and is eager to see what you’re capable of, even when you’re distracted by traumatic memories, internal conversations or the sensations of observing yourself.
Consult a psychiatrist at least once or twice to get an overview of possible treatments, including medication. Of course, non-medical treatments almost always pose a lower risk, but many medications are relatively safe and require no more than a few weeks to try out. If your symptoms are sufficiently painful and/or disabling, and non-medical treatment is insufficient, then you owe it to yourself to check out every possibility.
Whatever symptoms you have, you want to do your best to manage them without letting them define your life. Keep up your diagnostic questions until you’re confident you’ve heard what the experts have to say, regardless of how unsatisfying that might be, and then forget about what caused your problems or how they might be categorized.
Your next step is to manage your burden and respect yourself for carrying it, even if the nature of that burden remains a mystery.
STATEMENT:
“My psychological symptoms spook me and leave me feeling distracted and distanced from myself, but they can’t take the meaning out of a good day’s work or a solid friendship. I may never figure out why I feel the way I do, or stop myself from feeling that way, but I can certainly lead my life according to my values regardless of the tricks my head likes to play on me.”
No one was more surprised than I when I suddenly got depressed about a year ago, because it’s not something that ever happened to me before. I lost energy, felt like crying, and got anxiety attacks. There was lots of pressure at work, but my job was safe, and I’ve never been prone to buckling under pressure. Now I could barely get to work and I didn’t give a damn about the projects that I was responsible for. My wife finally forced me to see a psychiatrist, I started to feel better on an antidepressant, and then my internist really surprised me by telling me my testosterone was low and I should try a trial of replacement therapy, which I did. Within 2 weeks I was back to normal and a few weeks later I stopped the antidepressant. So now I wonder whether I was really depressed or not or whether I should have tried antidepressant in the first place. My goal is to figure out my diagnosis so I’ll know what to expect.
Even on that rare occasion when a specific psychiatric diagnosis really matters, it doesn’t matter as much as you think. Yes, it was critical to your recovery that you and your doctors checked out testosterone deficiency as a possible cause of depression; the sudden, unexpected onset of your symptoms raised the odds of your having an unusual and potentially curable cause, which deserved an extensive workup of your hormone levels, vitamin levels, evidence of inflammation, etc., so congrats for making a good decision.
You also discovered that depressive symptoms may have many causes, making depression less of a diagnosis than a cluster of symptoms. So, much like aspirin, antidepressants can improve symptoms, no matter what the cause, if they work at all. (Unfortunately, no matter what the cause, antidepressant trials often fail [35% for each trial] and require lots of time [three to four weeks] before there are noticeable results.)
In addition to lucking out with both the diagnosis and the response to antidepressants, you learned a valuable lesson, which is that anyone can get depression. It wasn’t caused by bad psychological or medical hygiene, just bad luck. Getting depression often doesn’t have a deeper meaning other than that we live in a tough, unfair world where people often get sick for no reason, and sometimes that sickness makes your brain miserable.
Your own observations are the best guide to your prognosis. If you responded rapidly to getting testosterone replacement therapy, then you may be relatively unlikely to get depressive symptoms again (as long as you continue taking the testosterone, which you may need indefinitely). At some point, if you want to experiment with reducing the testosterone treatment, ask your physician about the odds and choose a good time for experimenting, when not too much else is going on in your life.
From what you know, there’s no reason to think that your prognosis—your expected luck—is worse than anyone else’s. You made good choices, which is an essential survival skill when you happen to live in a bad luck world.
STATEMENT:
“I’d love to take my mental health for granted the way I used to, and maybe I will, after enough time of not feeling depressed has passed, but there’s no escaping knowing how easy it is to get sick. I’m proud of having made good decisions and happy to have gotten lucky enough to almost balance the bad luck I had to get sick in the first place.”
Posted by fxckfeelings on August 16, 2012
Since marriage is supposed to exist between two people, it’s understandable that one partner’s adding an inner demon to the mix can make things a little crowded. Demons are hell to live with (pun intended) and, unless you’re Buffy, a neurosurgeon, or, evidently, Abraham Lincoln, they’re also impossible to kill. While psychotherapy has little power to exorcise them, it can do much to increase the coping skills of those brave people who are determined to survive, be decent, and keep their marriages together, regardless of the obstacles created by these intimate enemies.
–Dr. Lastname
I’ve recently gotten married to a wonderful man after a very brief courtship (we’d lived across the country, and he’ll be moving in with me in the fall). Now I’m terrified I’m going to ruin this relationship by behaving the same way I’ve behaved in every other significant romantic relationship I’ve ever had—by never being satisfied by what he does, by framing things in terms of who’s right and who’s wrong (of course I’m right!), and by letting my anger take complete control in the moment and being unable to communicate civilly. Intellectually and practically, I thoroughly appreciate him; he tells me he loves me, he misses me, and I’m beautiful, and he consistently tells me he has complete faith in my ability to work through my problems and for us to share something deep and meaningful. I’m in therapy and I’ve gone to therapy during previous relationships, and I spend time journaling to reflect on my behavior, and am sure to apologize to him when I’ve calmed down and thought about things and can see how my emotions took over and distorted my perspective. We often take time away from each other when we’re/I’m upset so we can calm down, which I think is good, but it’s not enough. When I’m calm, I know (intellectually) that my own happiness is my responsibility and his is his, and that our relationship is an extension of our own personal lives, not our lifeblood. When I’m upset, however, he can’t do anything right, he won’t see things from my perspective, and I don’t even really like him or think he’s smart – all of which I know when I’m calm is not only nonsense, but damaging, and cruel. We fight, because of me, every day. How can I remember my love for him and his love for me when I’m in this space? How can I work to keep from entering this space to begin with? My goal is to avoid what so many of your letter writers have: years of difficult and painful relationships with a person they love. I’m just at the beginning of mine and I’m trying so hard, and failing every day. I don’t know why I won’t let him love me and why I push him away. What can I do to let go, and change these vicious habits?
For a long time now, judging from what you’ve written, you’ve had a problem with anger and emotional reactivity. Long enough that it’s time to stop considering your anger a problem, and start seeing it for what it is—part of who you are.
In other words, despite several courses of psychotherapy and a strong determination to keep yourself under control, you just can’t stop yourself from nastying out and turning from Dr. Justyou into Ms. Hyde. That would indicate that it’s time for a new approach.
So, to keep false hope from interfering with your planning, it’s time to accept that you’ve got a bad case of demonic possession and your impulses aren’t likely to change, despite your finding a kind husband whom you love very much. This is the first of the 12 steps, as well as your first step towards demonic management. WAIT! There is more to read… read on »
Posted by fxckfeelings on August 6, 2012
Like all symptoms of mental illness, anxiety and suicidal feelings seem controllable since they’re related to thoughts and how we look at things, especially since they have the potential to be so destructive. In reality, their primary causes are powerful, mysterious and, whether rooted in past events or biology, are not curable or easily reversible by the best treatments, most loving families, and strongest willpower. What good treatment and a loving family can do, however, is give meaning to the courage it takes to ignore pain and dangerous impulses, giving one comfort, if not control.
–Dr. Lastname
How do you get rid of the pain from your child’s suicide? My son died four years ago, and our entire family is still devastated. We are all now living with depression, anger, and our own thoughts of suicide at times. We are all in therapy but it’s moving so slowly, it doesn’t feel like life is moving forward. After a tragedy like this, how do you get your purpose back?
While I can’t imagine anything much worse than having your child suicide, the key to surviving it is to understand how similar it is to having your child die of any other cause. No parents should have to bury their child, no matter how that child’s life ended.
Intuitively, suicide feels like a preventable cause of death, so it seems justified to review the many would-haves and could-haves leading up to it.
Mental health professionals sometimes make things worse by focusing on such possible “causes” as unacknowledged trauma, unshared feelings, or unrecognized calls for help, all of which mean blame. Blame then feeds the depression and anger you talk about, poisoning normal grief with feelings of guilt, regret, and failure. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 23, 2012
There’s nothing better at inducing helplessness than being molested as a child, but it’s easy to forget that helplessness is a feeling, not a measure of strength and character. If you’ve been traumatized in the past, don’t let the helplessness of this or any other overwhelming experience make you feel like an ineffective victim. Instead, learn to respect your existing effectiveness, regardless of how helpless you felt then or still feel now. You may always feel helpless, but your very survival is proof that you’re stronger than your emotions.
–Dr. Lastname
My life is pretty stable now, but I’ve had a lot of major problems this last year and, in the middle of my troubles, I started to remember being molested by a family friend when I was 14, just after I hit puberty and got breasts overnight. I’ve been struggling to get my daughter help for a major health problem, and then I got fired and had to find a new job, and then my mother started to slip into dementia. Now, I’ve got a new job, my daughter is getting good help, and my father is taking good care of my mother, but I can’t get over a rising feeling of helplessness. If it’s because I was molested, my goal is to get over it.
Before you can even try to recover from the helplessness of current crises, you have to get around the sneaky way it has of making you feel personally ineffective, in part by playing on your memories of the helplessness of being molested. After a while, you can feel like you’re drowning, which is about as helpless as it gets.
In other words, you want to move forward, but helpless feelings cause helpless beliefs by awakening helpless memories. Your mind gets stuck in the notion that you couldn’t do anything in the past, you’re not able to do anything now, then things will probably get worse, and you’ll be powerless to prevent it. WAIT! There is more to read… read on »
Posted by fxckfeelings on July 16, 2012
While plenty of crazy people make their mental state known with a tell-tale twitch or tinfoil hat, a severely manic person can look relatively sane and still be completely bonkers when it comes to making decisions about life, love, and money. Our laws allow them to fly under the commitment radar until their behavior gets so erratic that they’re about to fly off a mental cliff, whereupon the police (with your help) can take them off to treatment. So if you wish to help someone who is mildly manic, don’t hesitate to offer good advice. If someone is very manic, however, your helpful words may cause nothing but fear, aggravation, and mental jet fuel, so you will need to be quiet, patient, and knowledgeable about commitment law to be helpful when things get out of hand and the tinfoil hats come on.
–Dr. Lastname
I was diagnosed bipolar as an adult and usually take some lithium to deal with it, but, for a few weeks last month, I started to get manic. I rode it out by spending all my time in church and buying a lot of philosophy books. It wasn’t too bad—I just wasted a little money and a lot of time, but otherwise, I felt kinda great, and I haven’t felt depressed, at least not yet. Now I’m back to my old self, but I’m not sure where the mania came from, or when/if it’s going to come back. My goal is to figure out what it happened.
What happened when you got manic is that you got manic, forgetting who you are and what you wanted to do with your mania. That’s what mania tends to do.
It gives you strong feelings that need immediate expression because you feel more real and “in the moment.” It tells you what to do, whether it’s cleaning the house all night, sleeping with as many strangers as possible, or spending your bankroll on religious literature.
What you want—you, as a person and manager of your own interests, rather than a manic diagnosis—is to figure out, during a sane moment, how much manic behavior is safe, where to draw the line, and what you want done about it by you, and if you’re out of commission, what you want done by others. You say nothing about that in your letter; unfortunately, you don’t seem to be present other than as a passive eyewitness to your symptomatic self. WAIT! There is more to read… read on »
Posted by fxckfeelings on June 11, 2012
People usually feel to blame (and are blamed) for poor performance unless they have a good excuse, like a clear medical diagnosis, a personal tragedy, an act of god, or some combination of the three. Otherwise, you’re stuck with the blame, because people worship good performance and assume there’s always a way for someone who has the will (even though we know, rationally, how absurd that is). So be prepared to fight inner and outer prejudices if you become disabled while learning to trust your own observations as you decide how to get the most out of reduced resources. After all, excuses are unnecessary when you know you’re doing your best.
–Dr. Lastname
I’m about to start my last year of college so I need to start thinking about what to do next. Until a few months ago, I’d always been planning to go to graduate school (I love my subject, and I don’t want to stop learning about it yet). Now though, I’m considering taking some time out and going home for a bit instead. I was quite seriously ill a few months ago with bacterial meningitis and since then I’ve been constantly exhausted, having trouble academically (something I’ve never experienced before) and had an unpleasant bout of depression. I almost dropped out but somehow battled through and passed my exams. The depression is easing off at last (I had CBT, which helped, and cut down on stress) but I’m still feeling a bit fragile. I feel like some time recuperating might be a better idea than moving to another strange city where I won’t have support from friends and family and the demands of grad school, as I’m worried that the stress might make me depressed again. Then again, it also feels like I’m letting my illnesses get the better of me and maybe when the year rolls around I’ll be fine and completely recovered and taking a year out is just lazy and I’ll end up stagnating while my friends move on to new and exciting things. My goal is to decide which course is right and accept it, even if it isn’t ideal.
When a severe illness or injury saps your strength and makes it hard to get out of bed, you wonder whether pushing yourself back to work will hasten recovery or cause a relapse. Sportswriters often debate this issue among themselves, which tells you that it springs from deeply irrational feelings.
According to them, the real hero is the one who plays hurt, regardless of personal cost, in the name of victory. Of course, if he plays badly, they decide he’s a glory-hogging bum who’s ruining the franchise, the sport, and the universe.
With that kind of thinking, you’re damned either way, so you’re better off developing your own method for deciding whether to work or rest so you can be your own, most honest critic. WAIT! There is more to read… read on »
Posted by fxckfeelings on May 31, 2012
The helplessness of trying to help troubled kids often brings out the fighting spirit in those who care the most. Unfortunately, without a clear enemy from which you can rescue your child, you often fight for goals that can’t happen, target other would-be helpers, and make a bad thing worse. Regardless of how helpless you feel, your goal isn’t to save troubled children from a monster or a mental illness; it’s to find out if there’s something you can do that will actually help while avoiding direct emotional conflict. Not fighting won’t relieve your helplessness, but it will let you work towards something better.
-http://www.fxckfeelings.com/ask-for-help/
My ex-wife, who is a therapist, is spooking me out about our son, whom she says she’s treating for a variety of serious problems. He’s now 10, and he’ll tell me one day, when I’ve got visitation, that he’s having suicidal thoughts, using grown-up phrases that make me think he’s just repeating something he got out of a book or from TV. Then she’ll keep him home from school and stop visitation for a couple weeks while she does “therapy” with him, at the end of which time she’ll declare that the problem is solved. A few weeks later, he won’t show up and she tells me she’s keeping him home for treatment because he’s having “panic attacks.” My kid needs help and I can’t believe her treatment is doing any good. Meanwhile, he’s not getting help from anyone else, especially not the staff of his school, who are eager to help but never see him enough (they’re already bending over backwards to keep him from repeating this year and are trying to avoid reporting him for truancy, given the number of school days he’s missed). My goal is to get my son the help he needs.
It’s hard not to unleash your wrath when your ex-wife’s insistence on playing doctor blocks the real doctor from getting through. Your own child is in trouble, your ex’s behavior is troubling, and you’re this close to tearing her a new one.
Remember, however, that nuclear wars between protective caregivers are costly and often harm the one you most want to rescue; by fighting against your ex-wife’s treatment, you’d just be increasing her blast range.
The first thing to do then is to consider the alternatives while taking comfort in the fact that there’s a great deal you can learn about your child’s problems, and a great deal you can do to help. But it’ll only work if you take things one at a time instead of taking your wife down. WAIT! There is more to read… read on »
Posted by fxckfeelings on May 7, 2012
Particularly when you’re expecting to raise kids, there are good reasons to commit yourself to caring for your partner through thick and thin, sickness and health. What you should recognize from the beginning, however, is that uncontrollable, bad things can happen that can make a partnership dangerous and destructive to one or more family members and then it’s your responsibility, as an individual, to do what’s necessary. Mental and neurologic illness can change personalities and create overwhelming burdens. Unrecognized character problems are equally uncontrollable and can have a similar impact. When you take your vows, keep this in mind and remember, many people who divorce are trying to choose the least of the evils that face them and haven’t forgotten the promises they made.
–Dr. Lastname (Doctor only today– the writer half is under the weather)
When I was manic and crazy, I really fucked up my marriage. For 6 months, I was talking fast, flinging money around, drinking hard, sleeping with anyone I could catch, and generally acting like an asshole. The third time I went into the hospital, the doctors found a medication that worked and, since then, I’m back to my old self but my wife has decided it’s all over. She goes out without me whenever she can and acts like she’s angry whenever we’re together. I can understand her feelings, but she won’t accept my apology. For the last 6 months, I’ve shown her my old, reliable self, but I can’t win back her trust. The problem is my bad; I should be able to make it right.
We all want marital vows to overcome whatever bad things life throws at us, and so we promise to care for our partners through thick and thin, unconditionally.
What’s stupid about such promises, however, is that some of those bad things are the size of an asteroid and can wipe out any marriage, regardless of how strong the love and commitment, and feeling obliged to stick with vows that have no escape clauses can drive you crazy.
Yes, your wife should forgive you for having a manic episode: you couldn’t help it and the part you can help—taking your medication—you’re doing well. It takes courage to resume your life and face the people you know after the humiliation and chaos of acting like a crazy jerk.
The sad thing that can’t be helped isn’t your illness; it’s your wife’s reaction to it. I assume you and others have done all you can to educate her about it and you’ve had a good opportunity to show her what your values are and regain her confidence, now that you’re well again. If it hasn’t worked, it’s not because there’s something wrong with your approach: it’s probably because there’s something wrong with your wife’s character. She just doesn’t have the strength.
Look at her closely, and you’ll probably find she’s never had the strength, meaning that she’s never been able to keep a relationship going if it hurt her too much. That’s why it’s important, when looking for a partner, to find someone who’s shown an ability to stick by her friends and family regardless of hurt. It’s a quality that’s even more important than the fact that you love one another. Without it, you’re fucked. Now you know.
So don’t make yourself responsible for her reaction, as sad as it is. You didn’t cause your illness or give her the character she has. Don’t apologize. Don’t beg. Let her know you understand your illness put her through a very hard time, but that you’re confident that you’ve recovered and that you can again be a good partner. Maybe surviving this hard time has made you stronger and wiser. In any case, if she still wants the partnership, it’s hers; if not, you both need to move on.
You need someone strong who can still love you after a manic episode, and she needs someone lucky who doesn’t get sick.
STATEMENT:
“I feel like I destroyed my marriage and it’s my job to get it back, but I know I didn’t cause my illness, and I’m proud of the way I manage it. I can’t help it if my wife can’t tolerate it, but I know I need a wife who can.”
After her last hospitalization a year ago, my wife didn’t recover all that much, and she’s gradually become very different from the woman I married. Her psychiatrists tell me there’s no new treatment to try (she didn’t tolerate clozapine, which is the Hail Mary treatment for crazy thinking) and she’s probably not going to recover much more than she has now. She’s able to keep herself clean, but she still hears voices, looks befuddled, and thinks I’m spying on her for the FBI. She can do simple chores, but she’s very distractible. Most nights, she sleeps at her mother’s house because that’s where she’s most comfortable. I’ve got used to taking care of the kids on my own, and I can’t trust her with them when she’s around. I miss her terribly and I promised to stand by her in sickness and health, but I don’t know that I can stand this much longer. I feel bad about deserting her when she really can’t help it, but taking care of her and the kids is more than I can manage.
You sound like you’ve done all you can to help your wife recover from severe mental illness and it isn’t going to happen. Instead of blaming yourself or anyone else for her failed recovery, you’re facing it as a sad fact of life. What troubles you most is dealing with your marital vows to stick together through sickness and health.
Marital vows ignore the fact that some illnesses can destroy a family and present you with impossible choices. Most times, sticking together is manageable, better than the alternative, good for the kids, and the right thing to do. It’s not hard to imagine situations, however, when sticking with someone does no good for them, destroys your life, and is bad for the kids. No one likes to think of those things at a wedding, or ever.
Put aside your guilt long enough to ask yourself what she would expect of you if she were her old self and what you would expect of her if your positions were reversed. Assume that you both believe in standing by the one you love, but not if it does no good, or overwhelms the resources of the healthy partner, or endangers the kids and their future. Assess the impact she has on them and they on her. Take into account that she probably qualifies for social security/disability and may also be eligible for state services for the chronically mentally ill.
Don’t assume that the path that hurts most is the one that’s right. This is not a conflict between duty and pleasure or between selfless vows and selfishness. It’s a conflict between your responsibility to care for your wife and your assessment of the value of your sacrifice, the good it can do, and the harm it can cause to your other responsibilities.
Either way, it breaks your heart, but you have an administrative responsibility as the sole leader of the family and you need to do what will do the most good/least harm. Whatever you choose, respect yourself for bearing the burden of this choice.
STATEMENT:
“I feel like I can’t leave my marriage without breaking my vows and deserting my wife when she needs me most. I can’t help the fact that she’s no longer the same person and doesn’t get much from being married to me. I’ll try to weigh the competing ethical responsibilities and do the right thing, knowing there’s no way to do right without also causing harm.”
