Avoiding Deadly Bipolar Burnout

Hi,

How’s it going?

I wanted to write you a quick email today about something
I got via email. Someone wrote me, “Dave, you do so
much, don’t you get burned out helping your mom so much?”

People know that I am also moving as well now and
are curious how I am able to handle all of this.

Okay, let me address that right here. Here’s the deal.
I am tired for sure. But it’s more because I am running
4 businesses, body build non competitively, have a social
life, support my mom AND I am moving. Moving has been
a nightmare for me.

I would swear that all the people that I am dealing
with to hook up stuff where I am moving all have
bipolar disorder and are in episodes J. Just kidding.
Just a lot of confusion and chaos.

Let me clear up one thing. Right now my mom is operating
on her own. She is high functioning and doing well. BUT
before I type another thing, let me be clear, this can
change at any time. Remember this is a mood disorder
and it can be very unpredictable. I try to predict and
you generally can but that’s not to say that my mom
could go into a HUGE episode out of the blue. It’s possible
but not probable.

Right now, my mom is following the system outlined in my course/system
for those with bipolar disorder at http://www.survivebipolar.net

People with bipolar disorder can do well, and really well
if they follow a system. I have 10 people with various mental
illnesses who work for me. They all do well. Really well.

Right now I think my mom might be going into another
mini episode. I see signs. But mini episodes can turn
into big episodes if action isn’t taken. Right now
my mom has a lot of tools to catch her own episodes
and fix things before they get bad. I am a last resort
these days.

Anyway, I am not worried at all. I have a system. I know
what to do if she goes into a bipolar episode.

BUT, I do see many supporters get what I call, caregiver
fatigue. This occurs when you are totally burned out
when you are supporting someone with an illness like
bipolar disorder. There are unfortunately thousands of
people on my list like this (I have almost 100,000 people
on my list).

In my supporter courses, I have a cd that talks about
burnout and all the ways to avoid it.

SUPPORTING AN ADULT
Visit:
http://www.bipolarsupporter.com/report11

SUPPORTING A CHILD/TEEN
Visit:
http://www.bipolarparenting.com

How do you stop this kind of fatigue or burnout? There
are several ways.

I think the number one thing people can do is do the
right things. Burnout comes when you are doing the wrong
things and/or not getting any results. For example,
in 2005 when I was figuring out how to support my mom,
I would argue with her. I would try to convince her
about things that she needed to know. She would say
my dad threw a fork at her. I would try to convince
her it didn’t happen because I was watching.

I did this for days and days at a night. One day I spent 9
straight hours arguing with her and it never changed her
mind.

Then one day it dawned on me I should stop doing this.
If she would say something “crazy” to me, I would ignore
it. This reduced the burnout.

I also notice burnout is a result of lacking information
on what to do strategically. Like:

-How do you find a good doctor/therapist?
-How do you get a loved one on medication?
-How to you know when a person is going into an episode?
-What is an episode?
-How do you prevent new episodes?
-How do you nicely make doctors give great care?
-How do you find a therapist?
-What do you do when it looks like your loved one is getting sick
again?
-What do you do if the doctor won’t talk to you?

and things like this

These are all strategy questions. The wrong strategy produces
burnout. I will give you a recent example with myself and my
dad. Okay first keep in mind, my dad has read probably 5%
of the material I have. Maybe that would be overestimating. I
am dead serious. He has NO information. Probably because I
do all the work for him. On a side note, I have given him
a August 1, 2007 deadline to read it ALL and go through
ALL cds. He is going to now.

A while ago, mom was going into a mini episode. I wanted to test
him. I asked what do you think we should do. He said,
“Let’s take her to the hospital.” I told him this
would be a HUGE strategic mistake.

The reason is because my mom wasn’t bad enough to get admitted
anyway. Plus she hates the hospital. I know this. We would
have spent probably days figuring out which of the 21
techniques would get her to agree to the hospital. We would
have gotten there and they would have let her out fairly
fast in my opinion. Lots of time would have been wasted.

I choose the contact her doctor route even though my
mom took away my ability to speak to her doctor. I countered
with a loop hole in the legal system and my mom was able
to get treatment fast. The entire thing took one day and
not more than 30 minutes of my time. My dad’s method
would have taken days, gotten no results and created
HUGE burnout for us.

So, much of being a good supporter is about using the right
strategy. NOW, I am NOT saying I know everything. I don’t.
My mom’s bipolar actually beat me 7 days in a row one week
in the last year.

It (her bipolar disorder) figured out a way to undo all the medical releases that were signed so I could talk to people. BUT, I countered
with a work around and loop hole in the system. It’s like a
game of chess.

So the bottom line is, you have to think about caregiver
burnout and fatigue, because if you get to tired or
you fall apart, you won’t do your loved one any good.

LAST THING

If your loved one is doing well than not doing well
than doing well and is all over the place. This is a
treatment problem. I have seen with bipolar disorder
this is not the way it has to be. When you see this
or experience this personally it’s because there
is something wrong in the bipolar disorder stability
equation that we have talked about in many daily
bipolar emails. BUT, it’s not normal. BUT note
I am not a doctor so you have to run every single
thing that I say past your loved one’s doctor or
your own doctor because I am not offering
medical advice.

Hey I have to run. See you tomorrow.

Your Friend,

Dave

P.S. Check out my F.ree blog with copies of emails
that I have sent in the past and lots of great
information for you:
http://www.bipolarcentral.com/supporterblog/

P.P.S Check out my F.ree podcast. Hear me give
mini seminars designed to teach you information
you can’t learn anywhere else.

  1. I agree with this as I reflect on past experiences I can see how burned out I was… thanks for your valuable information Dave, it has been so helpful. 🙂

  2. Hi Dave:
    I was diagnosed with Bipolar disease in the year 1983. Never have had discipline with treatment though. How to be sure the diagnose is correct in the first place ?
    I do suffer from memory loss, but never improved my memory with Litium therapy.
    Thx for your advices and GBU.
    Ricardo-

  3. My partner has decided to cut his drinking to virtually nothing, It is a big worry as this actually helps control his episodes, he is thinking of drs but it is a worry as I know it is only a matter of time before his episodes start to surface and I’ve seen what they can be like he only ever got like that once really bad. He loves me and really wants a better quality of life. I know he is so ready to do this but it is worrying when he gets help with my support of course that the drs will screw him up even more like they did years ago. I just hope my common sense and medical back ground will be enough to get me through to finding the right help. WE are contemplating going to London to see specialist for psychosocial therapy, which he is already figured out doing himself now we need to to further steps. Who knows where this will go. Wish us the best.

  4. Ah Dave–
    Right on the money today and so thankful for your email. Its been since December 2006, this started and in so many ways it feels like NO progress. Then I have to remind myself where she was at in December and its really huge progress. But, little by little, I’m getting sicker and sicker physically from the constant drain. Not sure what to do at the moment other than to cut back where i can, rest more, just plain stop doing so much for her and somehow getting her to do more.

    lol… ok so that probably makes very little sense. In a nutshell, thank you.. burntout, burntout, burntout

  5. I have seen the burnout in my family and friends over the past 20+ years. Before I understood what was really going on around me I would take their seemingly lagging concern personally as if they all were “sick” of dealing w/ me. Today, I understand the statement “doing the right things” on both sides of the disorder. I think the hardest thing for my mother now is letting go of the things I can now be responsible for. She is afraid to back off in some areas for fear that I am not ready or taking on too much at once and this mindset adds to the burnout equation for her. I am grateful that we are all dealing w/ this disorder as it is TODAY and not a few decades ago. I feel like I have a real fighting chance to survive all of this, and I believe my family and friends feel the same way. Thanks to Dave for the emails and to all who post comments. I have always been interested in the views and circumstances of others because I learn from them – now I am learning from all of you.
    K-

  6. You give great information, Dave. I am currently suffering burnout from “cleaning up” my husband’s bipolar mistakes. I am selling cars bought without my knowledge, paying to have sewers replaced that were “accidentally” ripped out by a backhoe, paying workers who were hired without my concent. The problem is that hypomania sneaks up on us faster than I can call the doctor. Our appointment is tomorrow, but I know that it will be a while before a medication change will have any effect.

  7. i was told i had bipolar 16 years ago,been on all types of meds, never any help,i care for three small grandkids,full time, they act crazy like me, their mother thinks its just the way we are, cant make her understand.. she drives 48states and i have the kids.. been loosing it alot lately, my dr is no help!need help in tennessee!!

  8. I am in a different situation, due to the fact that my loved one has delusional disorder (not schizophrenia or bipolar) – has delusions stemming from jealousy, which are not bizarre, so I doubt he would be accepted for admission into a hospital. They can seem to be in remission, but he is triggered easily, and it seems to be more and more that he accuses me every time we are apart for 30 minutes, and he constantly looks for “evidence” against me and reads into the most common occurances evidence of my “betrayal”. I have gotten tired of the constant accusations and know I will never change his mind. I am only suffering emotional abuse which is going to make me unbalanced too. I can see no other way than divorce, since he refuses to take any medication, and the psychiatrist we saw told me that even with medication, this type of disorder is not very responsive. He is also 80 years old and it is not recommended he take the necessary medication – especially since he has a heart condition. I feel to be in a no win situation. Any suggestions?
    Lina

  9. Thank you Dave!
    I’m in burnout bigtime…..your help is great.
    I’m the care taker of my beloved cousin.
    she has been on NARDIL (MAOI) since 1984,
    ca.2004 was the year PHIZER pulled their
    catastrophic !!@#$%^&*()+??? change in the
    formula, it’s been more than a rough road
    to travel for both of us + close relatives.
    Stuart, God be with you.

  10. lina,
    I have been wondering if others went through this type of thing w/ the one they care for. My husband obsess’s about my past, years before I knew him. We have been married 27 yrs., I didn’t have a “big” past but I did have abuse he knows of and after all these years he now obsess’s about it and it is starting to really cause problems between us. He refuses to talk to anyone, say’s “no way can he talk about what goes on in his head” and he now finds me at fault for how I handled the abuse when I was 14/15 yrs old. I think i am starting to burn out.

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