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Post Info TOPIC: Treatment discussion with AH


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Treatment discussion with AH


I have been reading the posts in this message board for some time now. It has been very helpful to me.  My bipolar AH and I are currently living apart, both of us support this arrangement. He is actively using and not medicated for his bipolar.  I have taken the stand that I would not have any contact with him unless and until he is in treatment.  He has waffled on going to treatment...one minute he is considering, the next he doesnt think he needs it.

We are meeting today to discuss the treatment issue.   Any advice on what I should and shouldnt say?

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~*Service Worker*~

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Good luck. My ex was a bipoar 1 crack addict. Sometimes he believed that and worked really hard to stay clean and sane and then he would go off the meds and start back with the crack. He has an issue with consistency (that's putting it nicely). Anyway, in all the attempts at rehab and sobriety and sanity, I said lots of great, compelling, true things and it went in one ear and out the other. But I felt better saying these things, showing him and telling him I cared. It didn't matter to him one bit. But they were things I wanted to say. I said them without expectation that he would do a thing about his issues. It's all for you, say what you want to say but try not to have any expectation that if you just say it right THIS time he will do the right thing. Good luck!!

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Thanks, I also feel the frustation much of the time, as he has also relapses alot.  My AH drugs of choice are pot and alcohol and in that order.  Really not expecting much, but would like to see if he could finally make the 100% committment required this time.  I will do as suggested, in that I'll say what I feel I need to say, and have no expectations.  It is really sad that you can lose someone you care about this way, they are dead, but have yet to have actually died, sort of the walking dead

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~*Service Worker*~

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Hi, my AH is bipolar and self-medicates with alcohol. We are currently separated and have been for almost 2 years now.

While my AH certainly leans on his bipolar disease crutch to provide excuses for why he cannot work, treat his loved ones like crap, spend all money he gets his hands on and plenty he does not have, etc. he certainly does not think he needs any kind of professional medical assistance for his disease whatsoever. This is very common for this particular disease (for them to think that they do not need any help). They do not really think they have it even though they are diagnosed and know they have it. I do know the meds are really horrible from what I have gathered from many and have never demanded that he take meds as an ultimatum. I know the issue of meds is really personal, I certainly would not want to be forced or coerced to take meds.

I have pretty much come to the conclusion that *I* cannot live with someone like this. Some really well adjusted person maybe could, perhaps someone who did not come from a dysfunctional alcoholic family background or someone who had a great childhood maybe could tolerate the endless verbal and emotional abuse but I really CANNOT BECAUSE of the background that I come from (filled with verbal and emotional abuse, of course). I really need to NOT live that way because if I do, all my triggers get sparked and I am a mess. I need someone who is not going to yell at me 24/7 and blame me for all their problems day and night. I need a quiet calm home, not one ruled by chaos and trauma and drama. It is really just that simple. Its like I am a fish trying to live on the land with him. Its just not gonna work.

At least with bipolar we know they are nuts pretty much all the time. Even when it seems like they are not, they are, I believe. To expect any kind of 100% committment from someone who is literally insane is pretty nuts, too, if you ask me. I know this is very very sad as they have some really great characteristics but to get close or live with them, I think it is impossible (for ME, maybe not for others). They are just soooo abusive. When it began reaching the point where it was beginning to get physically abusive, I left. Plain and simple. Good luck and hugs, J.

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Thank you for sharing your experience.  My AH has tried bipolar meds, but when nothing worked well or for the long haul, he abandoned them for the old reliables (pot & alcohol).  Bipolar people are abusive (at least verbally in my case) and insane when not on meds, but my experience with my AH showed the these behaviors could be very well controlled by meds (at least for a while).  Just wished they continued to work.  I personally believe that his alcohol use is alcoholism period, not really self-medication, and would be there even if he were not bipolar.

What I'm hoping for is that he will go into a long-term facility that can stabilze him on bipolar meds and treat him for the addiction issues at the same time.  That's the only shot he has left. 

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~*Service Worker*~

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My AH tried bipolar meds for 10 years and then elected to go off of them. He believes he can "self-manage" (I would call it "self-medicate") Some people have very bad reactions including really horrible hallucinations, etc.

I have a ton of compassion for bipolars or any one struggling with mental illness. I would not wish that onto anyone, its a horrible endless mess that only gets worse with the passing of time (just like alcoholism). I really had no experience with MI before this. We met 6 years ago and married 5 years ago. When he told me he was bipolar I just thought it was a disease like any other. Boy was I wrong. The first year and a half was totally fine. Then all hell broke loose and its just gotten worse and worse.

I read a lot of books and attended classes that NAMI sponsors. It was all fine and good and I learned a lot but when its all said and done at the end of the day, do I really want to be placing my energy in this and do I want to live this way?! I know for a fact that the bad days far outnumber the one or two good ones. But this man has a disease- probably several (he is ADD, too) and I honestly cannot blame him for his horrendous behavior. It is the diseases talking and acting. Its all disease. Every bit of it. He says he is his diseases but then he gets upset when anyone treats him like a disease...well, there is no winning with a bipolar bear, that is for sure.

I gotta say, I have read some really great books by WOMEN who are bipolar, but no men. It seems as if the women can admit they have a problem. My experience is that the men continue to believe that they are gods gift to humanity and are pure as the driven snow. Can't figure that part out, either- why does it seem as if the gals can deal and the guys simply cannot? J.




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~*Service Worker*~

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I think that alot of bipolar men also have narcisstic personality disorder, or some sort of personality disorder. I believe that about the women too. Maybe the women are more willing to do the hard work of being honest to get the help they need and men see that as being weak.....?Who knows but it is a nasty disease.

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~*Service Worker*~

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Reinforcing boundaries is tough stuff. I recently met someone who questioned my boundaries in a derisive way.  Reinforcing them was tough without explaining myself to death.

I'd support you in reinforcing the boundary. Do you have a plan b. Do you have a timeline. How long are you prepared to wait. I think the a I was with thought I would wait for ever. I didn't.

Maresie.

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maresie


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I have iron clad boundaries now, will ask him to leave when any disrespect starts to show, and I'm not going to justify or explain my boundaries, he doesn't have to agree or understand them, just respect them.  He has shown some progress since leaving the house, but I don't think I ever would live with him again.  But I do love him and would like to have some kind of relationship with him that doesn't require depending on or living with him.  At my point in life I have faced that happily ever after isn't going to happen for me and I'm happy just being independent but still having him in my life in some fashion.
Happiness for me lies in having no expectations - it give me peace and

serenity, something that has always been missing from my life until now.

 

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