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AnnieK401

(541 posts)
Sun Apr 22, 2012, 04:10 PM Apr 2012

How to help a cousin/friend with bi-polar disorder/manic depression

Very worried about my cousin. She has been diagnosed with bi-polar disorder/manic depression. She is on medication that has serious side effects so she keeps trying to take as little as possible. This lets her disease take over and then she believes the therapists don't know what they are talking about. She also starts to believe that everyone but herself is crazy. She has tried suicide (I believe more than once) while off her medications and has landed in a psychiatric hospital several times because of this. I know people make light of being "off your meds" but this is no joke. She is in her mid-forties and always lived at home. She has had a hard time dealing with her father for years, and has finally decided she needs to move out - but she is not really in a position to do so. Her parents are in their late 70's/early 80's. I had lunch with her today and am very worried that she might be headed for another trip to the hospital. Any advice on how to her, if I can?

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How to help a cousin/friend with bi-polar disorder/manic depression (Original Post) AnnieK401 Apr 2012 OP
Perhaps focusing on the facts of her life Lionessa Apr 2012 #1
I agree mostly with what you've said Tobin S. Apr 2012 #2
Yep, we are totally on the same page. Lionessa Apr 2012 #3
Good point AnnieK401 Apr 2012 #5
Offer her a room or a couch or help pay for a temporary place for a week. Lionessa Apr 2012 #6
Thanks for the suggestion - unfortunately not really in a position to offer much help AnnieK401 Apr 2012 #7
I know you don't mean to say that people have bi-polar because EFerrari May 2012 #10
Sounds like what I have done so far. AnnieK401 Apr 2012 #4
helping someone with bipolar raps May 2012 #8
This part: Tobin S. May 2012 #9
Thank You! AnnieK401 May 2012 #15
This message was self-deleted by its author AnnieK401 May 2012 #13
Thank You! AnnieK401 May 2012 #14
You know, Annie, your cousin is lucky to have you on her side. EFerrari May 2012 #11
Thanks! AnnieK401 May 2012 #12
That's not unusual, unfortunately. EFerrari May 2012 #16
 

Lionessa

(3,894 posts)
1. Perhaps focusing on the facts of her life
Sun Apr 22, 2012, 04:22 PM
Apr 2012

wherein it sounds like it legitimately sucks from her POV, instead of trying to suggest that her only problem is a mental disorder. Geez, if I was in her position from what little you've typed, I'd be mentally unstable as well, but focusing on the issues that are the catalysts to its exposure would be the thing that might help me.

Seems the minute someone is diagnosed, rightly or wrongly, with a mental disorder, the sucky facts of their lives are supposed to suddenly no longer count in the equation, it's either she's taking her meds or she's not. It's never that simple. And in this case sounds more like legitimate situational stress beyond what she can handle, not a m/d flair up.

Tobin S.

(10,420 posts)
2. I agree mostly with what you've said
Sun Apr 22, 2012, 07:16 PM
Apr 2012

The person in question probably does need medication, but there is also the situational aspect that she's dealing with right now that might actually be the source of her current distress.

What I'm about to say does not play well with a lot of people, but I think that in most cases of mental illness there is a family factor. The person described in the OP may well be living with those who have broken her in the first place. If that is the case, it might be impossible for her to be healthy and happy there no matter how well the meds are working.

 

Lionessa

(3,894 posts)
6. Offer her a room or a couch or help pay for a temporary place for a week.
Mon Apr 23, 2012, 06:24 PM
Apr 2012

That would likely be the most appreciated, best solution based on what little you've shared.

AnnieK401

(541 posts)
7. Thanks for the suggestion - unfortunately not really in a position to offer much help
Tue Apr 24, 2012, 08:04 AM
Apr 2012

Unfortunately, I am not doing all that well myself. I won't go into details but I am in a really vulnerable position myself right now and I am lucky to have a roof over my own head. I will do what I can to help her though. Thanks to everyone for their suggestions and thoughts. I know I haven't gone into a lot of detail. It is not a good situation all around. There is also a history of resentment between our two families. I think the best I can do is try to help her get out of her living situation, if I can. I have to be careful what I say around her.

EFerrari

(163,986 posts)
10. I know you don't mean to say that people have bi-polar because
Wed May 30, 2012, 10:50 PM
May 2012

someone in their family broke them.

AnnieK401

(541 posts)
4. Sounds like what I have done so far.
Mon Apr 23, 2012, 06:25 AM
Apr 2012

I do not mention the bi-polar unless she brings it up and then just try and listen. That is what I did yesterday. She has said basically the same things you have said about being diagnosed with a mental disorder.

 

raps

(34 posts)
8. helping someone with bipolar
Wed May 30, 2012, 11:58 AM
May 2012

I'm attempting this right now and it's not going well. The meds can make a huge difference. The person I'm helping says they have accepted the bipolar diagnosis after a month in a hospital but isn't taking it seriously and has completely refused to learn anything about it despite asking me to buy them a book on it which has sat unopened in their closet. They use bipolar as an excuse when they want to but it's never the reason for anything. It's like dealing with a child who can never make up their mind and deals in irrational rationality. Everyone is expected to bend over backwards to accommodate them and what they want to do. The recent med change sent them into what seems to be a neverending hypomanic episode. They requested the med change after doubling it one day to fight off some bad feelings. pdoc complied and they went off like a rocket. It's funny. Most don't want the meds because it brings them back down to normal. The person I'm trying to help loves this particular med cause it brings them up to that manic place that most people with bipolar love. To make it worse, the family member they are living with now is also bipolar(never diagnosed but it's blatantly obvious)and they are feeding off eachother and it's pretty frustrating just being near that house or trying to talk to them in any rational way.

Basically, they will not get help until they want it. Your rationality is not theirs and they will never accept anything but their own. This is why everyone else is crazy, not them. They believe in their own mind no matter what.

Tobin S.

(10,420 posts)
9. This part:
Wed May 30, 2012, 04:25 PM
May 2012

"Basically, they will not get help until they want it. Your rationality is not theirs and they will never accept anything but their own. This is why everyone else is crazy, not them. They believe in their own mind no matter what."

is not true for everyone with bipolar disorder. What you are experiencing with your friend is called "lack of insight" and it affects about 30% of people who have any mental illness. Simply put, they don't know that they are sick when they are experiencing some of their symptoms. Hypomania is very deceptive because it makes you think that you are well. But hypomania usually is not dangerous. What's dangerous is what comes after it. For a bipolar person hypomania is a temporary state as they slide along the spectrum from clinically depressed to full blown mania- for bipolar 1 people anyway which is what I have.

Response to raps (Reply #8)

EFerrari

(163,986 posts)
11. You know, Annie, your cousin is lucky to have you on her side.
Wed May 30, 2012, 10:55 PM
May 2012

A lot of people in her position don't have anyone.

My .02, if she has just been diagnosed and she isn't stable on medication yet, this probably isn't the moment to make such a big change as moving out of her family home -- even if down the road, that might be a good idea. Sounds like she is still reacting to what just happened.

Does she have a therapist?

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