Response To Reader Question On Bipolar Disorder

Hi,

How’s it going? I have to make this short
today because I have a bunch of things
that I have to do and I am involved with
this charity later tonight so I have
to finish my work day earlier.

IMPORTANT NOTICE

I just discovered there was a problem
with my email list. You may not
have seen Monday, Tuesday or Wednesday’s
daily email. If that’s you,
visit:
http://www.bipolarcentral.com/supporterblog/
Look for the dates you may not have seen
under “previous posts.”

Yesterday I wrote a daily email about
“the turn around.” You can view it
here:

http://www.bipolarcentral.com/supporterblog/2007/07/bipolar-disorder-warning-dont-let-them.html

Evan & Demi wrote me a comment that said and I
quote:

“And what, Dave, do we supporters do when the
“turn around” is inflicted upon us by the bipolar
loved one? This I know is a NO win situation on
my part, but I can’t very well carry a note pad
around and ask for his name, but am frustrated
beyond my own sanity anymore to get through the
day. I’m going through my own therapy to try and
recover from all the mental and verbal abuse I
suffer from, but it is all so overwhelming.
I’m beginning to think I want off this trainwreck.”

This is an important lesson to learn. When a person
with bipolar disorder is not being him/herself,
deviating from his/her norm by yellling, screaming,
manipulating, lying, being difficult, moody, etc.
this means there is something wrong with their
treatment.

Treatment can include many things such as medication,
therapy, exercise, diet, stress reduction, etc.
But there is something wrong. The worst thing
that a person can do is try to deal with a person
with bipolar disorder on an on going basis that isn’t
on let’s say the right bipolar medication or at the
right dosage level.

NOTE-I am NOT a doctor, therapist, insurance
personal, lawyer, financial person, etc. The only
thing that I have is years of experience now supporting
my mom and also I obviously deal with a whole lot of
people who are dealing with a mental illness. I have
8 or 10 people who work for me now with a mental
illness so I expereince but I don’t want you to
think that I am a doctor because I am NOT.

With that said, the person posting wrote:
“I’m going through my own therapy to try and
recover from all the mental and verbal abuse I
suffer from, but it is all so overwhelming.”

I am not here to tell people what to do but
if it were me, I would not focus on going to
therapy for myself if my loved one was not
stable. That’s not going to solve the problem.
The goal and the focus must be on getting
the person into treatment. In my opinion,
if it were me, I would spend most of the
units of energy that I had towards this goal.

I would not try to fix myself. Think about this
for a second. If you have someone who is not
stable because his/her treatment plan is off,
what good will it do for YOU to work on yourself?

Maybe you can develop really, really, really
thick skin to be able to take all the emotional
and verbal abuse but the core or root problem
will still be there–your loved one is unstable.

I am personally kind of shocked that many therapists
don’t explain this to the people who are coming
to see them that are supporter of individuals with
bipolar disorder.

So the bottom line is, if you are in this situation
focus on getting your loved one into treatment and
helping the doctor get your loved one on the
correct medication and doing everything that the
doctor/therapist recommend for your loved one
to gain stability.

In my bipolar suppporter course/system for supporting
an adult, I go through I think now 21 ways
to get your loved one into treatment. It’s not easy
but it’s possible. I have lots of case studies and
interviews you can learn from.

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

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

HAVE BIPOLAR DISORDER?
Visit:
http://www.survivebipolar.net

Well I have to take off now. I hope you
got something out of today’s email. It’s such
an important concept in my opinion.

Oh and I am really sorry for those 45,000 people
who didn’t get my emails this week. The problem is
now fixed.

Have a great day.

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.
http://bipolarcentral.libsyn.com

  1. What happens when the person who HAS bipolar is NOT given the right treatment or attention when needed? Do we carry a notebook and pen, and take names? No one takes us seriously when we’re in a manic episode – that is the TRUTH.

    When I’ve been hospitalized and KNOW that the meds they put me on are WRONG, how to I have redress to my condition? As I’ve stated before on these blogs, one psychiatrist kept giving me meds that reduced my appetite, leaving me a 78-lb weakling, transferred to a State Mental Hospital to DIE! My beloved mother didn’t have a clue what to do, and I had no where/no one to turn to.

    Now, I have NO supporter – I am strictly on my own. Who will come to my aid when/if I am hospitalized again for mania? It seems to me that I should be given the decency to question my treatment options and be proactive IN those treatments.

    If you have an answer, I’d like to hear it. Thanks for your emails – they are VERY instructive…

  2. Dave,
    After reading your last comment about not worring about the caregivers well being,I have lost alot of respect for you.
    It’s about time these people take responsibility for themselves and take a look at what has happened to the people who love them.
    Oh,thats right…they don’t care.
    June

  3. I am shocked to read that you want to give more attention to these people who are getting so much to begin with as they tear down, verbally abuse, come in and out of their spouses lives on a whim, do things that break the hearts of their supporters over and over again-and here we are EXPECTED because we love them to just endure, concentrate on them because they have a mental illness(which we all now by now, is manageable with medication and therapy)Bipolar is a reason for their bad behavior BUT not an excuse. It doesnt make it ok to abuse anyone-the best thing I have realized from dealing with my husband’s bipolar is that I have to take care of myself, get the therapy I need so that I dont burn out and fall into a depression of my own because of his mental abuse. I am just as important as a supporter as he is as a patient. When you are told what is wrong with you and what things you must do to keep yourself stable-if you are over 18-why not take charge of yourself buy taking your meds everyday, getting regular counseling, and keeping a mood chart to track your own behavior before it gets so out of control that you hurt and alienate everyone who is trying to help you. Supporters should definetely get the help they need-abuse wears down the strongest of us and God knows if you are living with a Bipolar person who has manic episodes often-you are probably in need of some venting and possibly an antidepressant yourself to help you get through dealing with the ill person

  4. I do not agree with your email today. I think it is very important for supporters to seek their own treatment. The caregiver must stay strong if they are going to be able to support anyone. I know in my own situation I have bouts of depression and anxiety mostly brought about by our family situation. If I did not receive support then how as a single mother of 3 children all with mental health issues would I ever remain stable enough to support them? You think supporting your mother is a feat? I have 3 boys all of whom have been diagnosed with various disorders including ADHD…Anxiety…learning disabilities and one of them has been diagnosed bipolar the other is bordering on a Schizo Affective diagnosis. Come walk a day in my shoes and see if the caregiver doesn’t need the most support from professionals!!

  5. Dave,

    I read your comment on what Evan and Demi wrote. Well my question to you is how do you deal with a situation with someone who is not on any type of medication at all and does not receive any type of treatment? My ex husband is bipolar and has been diagnosed but he refuses to receive treatment. How do I deal with him when he is either using the turn around on me or when he changes things around. It also seems like his mind distorts things and makes him react to things that were not even said to him. For example, if he is on a rampage for whatever reason and he calls me at times I wont want to talk to him. If my boyfriend tells him listen I am not putting her on because you are acting irrational and I dont want any arguing right now, he will then turn around and say that he was told that he was going to get beat up and that he is not allowed to talk to me anymore. Something to that affect. If there is somehting that he did, he usually finds away not to be at fault. For example, a year and a half ago he broke into my home and did some damage to my car. He went to court and they gave him some anger management classes and he also needed to pay some fines. he in turn stated well because of that he was never going to go near my house again because it was my fault that he was in this situation and he received this judgement from the judge. Instead of him saying I messed up Im sorry, it now becomes my fault that he has to pay a fine and court costs… what do I do then … O

  6. Well Dave, I have to disagree with you on this one. I think it is important for both people or those directly involved to receive treatment even if the bipolar patient is not stable. How do you expect the other person to help when they can’t help themselves. I have been going to therapy because of my husbands mood disorder and I have learned to help myself when he is in one his “moods” therapy has also helped me to help him with his moods. therapy helps me remain stable so I can help him get and remain stable. If it were not for my therapy I don’t think I could cope. Therefore in return I would leave wanting off this crazy ride. doing this would NOT help his situation and would make it worse without a doubt. Yes meds are a big part of this disorder but so is therapy and a good support system. And often times that good support system needs a support system in itself.

  7. Dear Dave;
    Thank you for the information. My situation is a bit different than the ones mentioned in your letters.
    In my case, I have realized that the man I have fallen in love with is bipolar. It has caused great turmoil and heartache in our relationship.
    I want to help him. I love him. But I do not want to marry someone who can never be well. I have experienced this before. That marriage almost claimed my life. I realized too late that my ex was bipolar and schizophrenic.
    What are the odds of it happening TWICE? I am about to breach the subject with him.
    He exhibits some of the symptoms you revealed. My guess is that it is going from one “stage” to another at this time.
    I believe that he will admit it. We shall see.
    I will write and let you know what happens. I hope that, down the road, I do not need your program.
    But if I should; I will purchase it.
    Sincerely,
    Songbird

  8. it is AT THE LEAST difficult to keep your perspective when dealing with a bi-polar episode if youre doing it alone…….i have a very dear friend and we talk almost daily in our dealings with loved ones (her husband my boyfriend.) i totally understand the wanting of the “trainwreck”

  9. I too agree that supporters are not wrong to seek therapy, partly so they don’t fall apart, partly because they need to see to their own needs (as people have been saying here) and partly because some aspects of at least some forms of bipolar disorder are not located wholly in the “ill” person. I think it can be in some degree a relationship disorder. I remember Dave saying at one point how his mother used to be much “worse” with him and his dad than with some other people because she knew she could get away with it. Being able to do all the stuff Dave advocates, including seeking treatment for the person you are supporting, often takes therapy. I think Dave sees therapy for supporters as making them ever more able to “enable” (in the bad sense of taking responsibility away from them) the unstable person. But therapy for the supporter can be positive and indeed necessary, if it helps them to develop the strength to do all the stuff that Dave advocates — achieving enough emotional distance not to take it all personally, developing and carrying out plans, successfully asserting oneself with the unstable person (who is used to using the instability to get what they want). None of that stuff is easy, and plenty of people, myself certainly included, need all the help we can get, often starting with therapy.

  10. Dave, As a supporter of not one but two people with bipolar (my husband and daughter both are bipolar) I can not believe you would say that a supporter will not acomplish anything when they focus on themselves! When all I focused on was them, my entire life fell apart and I wondered if I had started losing my mind. But, once I changed the focus back to myself, my life became as close to normal as it will ever get. There are less arguments, less tension, less stress, and alot more sleep for me!
    My husband and daughter go to the same docotr but have different psychiatrists, both of whom have always said that it is EXTREMELY important for me to take care of myself. Just because they are sick does not give them the right to abuse me in any way, but if I have lost my self focus, thier words are going to make it really hard for me to remember they are sick. My husband has also commented that when I take care of myself, it actually works in a positive way for him and our daughter too, because they then see that even when you are not sick, taking care of yourself is necessary. They watch me take my vitamins,eat my meals and basically live to their schedules, yet I do take the time and effort to do things I enjoy, to work out and keep my life in order.
    Besisdes, if all we focus on is the patient, who is going to focus on the other members of our families, the running of our households, our own jobs and relationships? My other daughter would be left adrift without a healthy , consistant paretn if I were to focus on just the two patients in our lives.

  11. Dave,
    I think that as a parent supporting a 10 year old with bipolar disorder I would collapse without my own therapy. Children manifest the disorder differently than adults with things like rapid cycling and extereme difficulty getting them stabilized because their bodies are still growing, changing and some of the meds aren’t suitable for girls going through puberty. Could you speak to some of the issues parents face. I do have your course for parents but is there anything else you can share?
    Margaret

  12. Hi everyone. I hope someone out here may be able to help. I had to call the police a week ago yesterday. My 15yr old son had a huge bipolar swing this is first in almost a year being non medicated. I had to have the police involved. Why? This all happened outside and my husband was trying to get our son inside. Neighbor seen this and got up in my husband face telling him to hit him. Now my husband has never hit our son. To make matters worse he had a friend with him just terrorizing our son not a wise thing to do since he is in a bipolar swing. This was a major problem if my husband could not control our son. How do I inform and educate these nosey neighbors about Biploar and some of the things they may see or hear?
    My son when he does go off is very explosive and verbally aggressive. I have seen him crush a ash tray in his hands when he is angery.
    We even called a interventialist who said we handle the situation just fine. I am worry about this neighbor who may think we are hurting our son. Believe me my son could very well hurt me if he wanted too.
    Please help

  13. I am SO RELIEVED to FINALLY see so many comments from those whose feelings toward bipolar supporting so closely paralleled my own… David, perhaps your mom’s bipolar is different from many of us — my own mother IS bipolar, she lies and manipulates nonstop, she abuses and apologizes all ON medication — which, when you put all them together, makes me totally agree with the comment you wrote from someone in your email today: “I am frustrated beyond my own sanity anymore to get through the day” and “all the mental and verbal abuse I suffer from.. is all so overwhelming. I’m beginning to think I want off this trainwreck.” I’m 42 years old and was raised ALONE with my seriously bipolar mother, whom everyone had left or abandoned because she is simply so EXTREMELY painful to know or befriend. I am the only one left in her life trying to help her HAVE a life, she is on meds and regularly gets good support (weekly) from a therapist and monthly from a psychiatrist — but THE PAIN AND OVERWHELMING BURDEN of this is huge, quite honestly, it feels like SUPPORTING her life is TAKING AWAY my own. I still agree with the person’s comment about how just putting up with someone like this — even when they are doing **better** can be so difficult, so painful. The behavior my mother very commonly dishes out, even under treatment, is just way beyond what I would put up with from anyone else. I explained to my friend recently that just dealing with her feels like repeatedly getting hit in the head with a baseball bat by our **loved one** and in between hits, they keep saying, **I’m sorry, I love you, please help me…!** How far do we take this? I feel bad sometimes reading your messages about how we should support our **loved ones** or how best to do it — and YOUR EMAILS are so VERY RIGHT-ON and so VERY HELPFUL, but still — I have to say, this is absolutely and completely a full-time job, that I am reaching a point where I think even Mother Teresa wouldn’t keep up. There are a lot of comments on the blog today about this — WE ARE TIRED as caregivers, we feel BATTERED and in fact, we ARE — and at some point, i do think they use (or CAN use) this their illness as an excuse to keep dishing it out. I know MY mother does. My father who divorced my mother YEARS ago (which is why I was raised ALONE with her, while she had NO treatment and which is the ONLY thing I feel perhaps he did wrong) said that helping her is like saving someone from drowning, and all the while you are kicking and choking trying to save them, they are pushing you down under deeper and getting on top of you… at some point, he said — even a lifeguard knows what you do — you just have to let go of them to save yourself. I assume you have felt this, but perhaps after my own 42 years at this, I am weary of this lifeguarding. I would like a life of my own, which is something my mother — medicated or not, having a **good week** or not — very much seems to resent.
    The lies, the manipulation – – much of it IS controllable and they CHOOSE not to, and I’m sorry, but i think it’s obvious from the blog today… a lot of people are TIRED. We want the best for them, YES — but should ANYONE be allowed to ABUSE the way they do, and still expect help? My mom has received SO much help from SO many people all her life, to the point that it has been PAINFUL to many — and she STILL to this day insists that **no one EVER helped her**. It just boggles the mind. It’s too much to bear.

  14. I am SO RELIEVED to FINALLY see so many comments from those whose feelings toward bipolar supporting so closely paralleled my own… David, perhaps your mom’s bipolar is different from many of us — my own mother IS bipolar, she lies and manipulates nonstop, she abuses and apologizes all ON medication — which, when you put all them together, makes me totally agree with the comment you wrote from someone in your email today: “I am frustrated beyond my own sanity anymore to get through the day” and “all the mental and verbal abuse I suffer from.. is all so overwhelming. I’m beginning to think I want off this trainwreck.” I’m 42 years old and was raised ALONE with my seriously bipolar mother, whom everyone had left or abandoned because she is simply so EXTREMELY painful to know or befriend. I am the only one left in her life trying to help her HAVE a life, she is on meds and regularly gets good support (weekly) from a therapist and monthly from a psychiatrist — but THE PAIN AND OVERWHELMING BURDEN of this is huge, quite honestly, it feels like SUPPORTING her life is TAKING AWAY my own. I still agree with the person’s comment about how just putting up with someone like this — even when they are doing **better** can be so difficult, so painful. The behavior my mother very commonly dishes out, even under treatment, is just way beyond what I would put up with from anyone else. I explained to my friend recently that just dealing with her feels like repeatedly getting hit in the head with a baseball bat by our **loved one** and in between hits, they keep saying, **I’m sorry, I love you, please help me…!** How far do we take this? I feel bad sometimes reading your messages about how we should support our **loved ones** or how best to do it — and YOUR EMAILS are so VERY RIGHT-ON and so VERY HELPFUL, but still — I have to say, this is absolutely and completely a full-time job, that I am reaching a point where I think even Mother Teresa wouldn’t keep up. There are a lot of comments on the blog today about this — WE ARE TIRED as caregivers, we feel BATTERED and in fact, we ARE — and at some point, i do think they use (or CAN use) this their illness as an excuse to keep dishing it out. I know MY mother does. My father who divorced my mother YEARS ago (which is why I was raised ALONE with her, while she had NO treatment and which is the ONLY thing I feel perhaps he did wrong) said that helping her is like saving someone from drowning, and all the while you are kicking and choking trying to save them, they are pushing you down under deeper and getting on top of you… at some point, he said — even a lifeguard knows what you do — you just have to let go of them to save yourself. I assume you have felt this, but perhaps after my own 42 years at this, I am weary of this lifeguarding. I would like a life of my own, which is something my mother — medicated or not, having a **good week** or not — very much seems to resent.
    The lies, the manipulation – – much of it IS controllable and they CHOOSE not to, and I’m sorry, but i think it’s obvious from the blog today… a lot of people are TIRED. We want the best for them, YES — but should ANYONE be allowed to ABUSE the way they do, and still expect help? My mom has received SO much help from SO many people all her life, to the point that it has been PAINFUL to many — and she STILL to this day insists that **no one EVER helped her**. It just boggles the mind. It’s too much to bear.

  15. I am SO RELIEVED to FINALLY see so many comments from those whose feelings toward bipolar supporting so closely paralleled my own… David, perhaps your mom’s bipolar is different from many of us — my own mother IS bipolar, she lies and manipulates nonstop, she abuses and apologizes all ON medication — which, when you put all them together, makes me totally agree with the comment you wrote from someone in your email today: “I am frustrated beyond my own sanity anymore to get through the day” and “all the mental and verbal abuse I suffer from.. is all so overwhelming. I’m beginning to think I want off this trainwreck.” I’m 42 years old and was raised ALONE with my seriously bipolar mother, whom everyone had left or abandoned because she is simply so EXTREMELY painful to know or befriend. I am the only one left in her life trying to help her HAVE a life, she is on meds and regularly gets good support (weekly) from a therapist and monthly from a psychiatrist — but THE PAIN AND OVERWHELMING BURDEN of this is huge, quite honestly, it feels like SUPPORTING her life is TAKING AWAY my own. I still agree with the person’s comment about how just putting up with someone like this — even when they are doing **better** can be so difficult, so painful. The behavior my mother very commonly dishes out, even under treatment, is just way beyond what I would put up with from anyone else. I explained to my friend recently that just dealing with her feels like repeatedly getting hit in the head with a baseball bat by our **loved one** and in between hits, they keep saying, **I’m sorry, I love you, please help me…!** How far do we take this? I feel bad sometimes reading your messages about how we should support our **loved ones** or how best to do it — and YOUR EMAILS are so VERY RIGHT-ON and so VERY HELPFUL, but still — I have to say, this is absolutely and completely a full-time job, that I am reaching a point where I think even Mother Teresa wouldn’t keep up. There are a lot of comments on the blog today about this — WE ARE TIRED as caregivers, we feel BATTERED and in fact, we ARE — and at some point, i do think they use (or CAN use) this their illness as an excuse to keep dishing it out. I know MY mother does. My father who divorced my mother YEARS ago (which is why I was raised ALONE with her, while she had NO treatment and which is the ONLY thing I feel perhaps he did wrong) said that helping her is like saving someone from drowning, and all the while you are kicking and choking trying to save them, they are pushing you down under deeper and getting on top of you… at some point, he said — even a lifeguard knows what you do — you just have to let go of them to save yourself. I assume you have felt this, but perhaps after my own 42 years at this, I am weary of this lifeguarding. I would like a life of my own, which is something my mother — medicated or not, having a **good week** or not — very much seems to resent.
    The lies, the manipulation – – much of it IS controllable and they CHOOSE not to, and I’m sorry, but i think it’s obvious from the blog today… a lot of people are TIRED. We want the best for them, YES — but should ANYONE be allowed to ABUSE the way they do, and still expect help? My mom has received SO much help from SO many people all her life, to the point that it has been PAINFUL to many — and she STILL to this day insists that **no one EVER helped her**. It just boggles the mind. It’s too much to bear.

  16. in a sense i agree with all the comments – one needs to be superhuman to deal with bipolar as a supporter, and none of us anything other than ordinary human beings battling to come to terms with very out of the ordinary lives. on the other hand Dave has shed some light on the craziness which overwhelms us – the supporters – as we try to change ourselves in order to make the life of a mentally ill person better. honestly, when i think of some of the things i have done i do sometimes wonder who was the crazy one. we accept endless abuse and try to change so that what? He will be better- how crazy are we the non-crazies going to therapy, taking pills, enduring abuse, staying silent, changing, conforming to impossible regimes,all to try and make things better for a person who has a serious mental illness. if there was a pill which would make me immune to my husbands cruelty, tyranny, infidelity, violence etc believe me i would be on it for life. life dave says you have to detach from the problem without detaching from the person. if this is too hard it is probably a good idea just to detach whichever way you can and still save your life. and remember that you are NOT mentally ill – he or she is.

  17. I’m putting my hand up as another person who disagrees with the email about supporters not needing therapy.My partner is in the depths of a bipolar episode right now & if it weren’t for my time out & understanding people who listen I have no idea how I would make it through every day.The mental health of the supporters has to be taken into consideration as well.Being lied to,manipulated & left without a cent in the bank can be soul destroying & devastating.I’m sure every bipolar supporter can relate to this,even you Dave.

    The man I fell madly in love with is a good man behind all of this,we’ve had the most incredible relationship the rest of the time but bipolar strips away the trust & that’s something that is impossible to get through without help.
    While we struggle through each day your emails have provided comfort in knowing there are others out there who understand & see why I refuse to walk away.
    Thank you.
    Karen

  18. I responded to similar subject July 2, 2007:
    I am the one diagnosed with bipolar and on medication and stable with episodes, however, I can relate to this woman. I have lately experienced my husband’s explosive disorder (I recently just learned that such a thing exists) and wonder if HE should be on more than 10 mgs of Prozac a day. He has not been diagnosed with bipolar or anything and has been my supporter for 7 years since diagnosed.
    Have I now been HIS trigger? His episodes seem as though he is someone else. I have been married to him 25 years.
    Do we, the diagnosed, trigger our supporters?? My daughter now age 17 was diagnosed a year ago bipolar, was she MY trigger as her supporter??
    Where does the circle stop?

  19. My nine year old daughter has BP and we have been doing couseling individually and as a family since she was diagnosed four years ago. I think that it has its place depending on the family. Although her treatment is the most important, if a family is not strong as a unit it is just as tragic as if she was untreated. We are her support but we needed support too. It has been a long road but it is less bummpy than it used to be.

  20. I have no support except for my therapist, a psych who is a med manager (and he is the best I have every had and I’m lucky to see him for 15 mins. every 3 months. My PCP is the best support, but he is 80 years old. What is a person to do?

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