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DH possible Bipolar Disorder--advice please!

post #1 of 32
Thread Starter 
So, DH has had issues for some years now, and his "episodes" have become more frequent, and more severe, recently. We had to have police involvement this past December. He's been on and off antidepressants a few times over the years, but has never gotten what I feel to be an accurate diagnosis, probably because he's never been totally honest with any of his healthcare providers.

Well, he'd been on antidepressants for a few months again, when I recently came home from a visit to my parents house to find that he'd gone off his medication while I was away, and he was in what I'd best interpret as a manic rage--fervently ripping up and replacing the hardwood flooring in our living room and not speaking to or acknowledging the kids or me unless he wanted to reprimand us. And that's only part of it, sadly.

I suggested he go back to the doc, but he refused, saying that *I* should go and see if *I* needed medication. Well, I went, not knowing what else to do. The doc's best guess was BPD, and she suggested a joint visit to a psychiatrist. I called the psych, and she said they don't generally do joint appointments, that one person or the other has to be the patient, and the other person can be involved in the spouses care or not, it's up to the patient. DH goes back and forth on whether or not he'll comply, and doesn't want to admit that he is the problem. He says I need help, too, and I must admit that I do, although *he* is my issue here! They said that I couldn't come in and simply brief them on DH before any appointment he might have, but that I could declare myself a patient and have my own appointment. I don't know what to do! If he goes alone, he probably will not be honest, and might spin things so that *I* look like I have major issues, which is what he once did with an anger management teacher he had. That teacher never believed me when I told her what happens in our home, and actually made things worse for us. I fear that the same thing might happen again, and if this psych declares him mentally healthy, then I worry that I won't stand a chance of getting help for him. I just feel like he's in total denial! My parents think I should go and talk to the psych, and then try to get DH to go to the next appt, but it is $200 a pop, and I worry that if I go, then DH won't want to spend the money for another appointment!

Help! Any advice appreciated!

Thanks for reading.
post #2 of 32
If he is bipolar being on an anti-depressant alone is rather risky and dangerous. They can propel bipolar people into mania and mixed states.

If he's currently manic/mixed it's probably not the best time to try and convince him he's sick.

I guess I'd maybe get him some books, read them myself and then have a heart to heart.

The thing is as you stated in your post if he's poo-pooing his mental state and downplaying things and not disclosing everything there's no way he's going to get an accurate diagnosis.

And some bipolar people are truly and completely blind to their sickness and can't "see" it or recognize the signs in themselves, it's like the ultimate denial.

It can be very hard to accept and admit that your brain doesn't work properly and that it's essentially broken and needs fixing. It's a real blow to your emotional state.

I wish you luck!
post #3 of 32
Thread Starter 
Thank you for your reply!

I've already been doing a lot of reading about bipolar, and SO much of what I read rings true. DH, however, isn't ready for this info, and I'm sure would deny everything at this point. You're right--he does have trouble admitting that something could be wrong with him,even though I've tried to stress that having something wrong with your brain is not your fault any more than it would be your fault if something would be wrong with your stomach. He also feels that if he were to receive a diagnosis of mental illness, then it would mean that my behavior is absolutely perfect and every relationship issue we've ever had is his fault. And I truly don't feel that way!

I ended up calling the psychiatrist's office and asking for an appointment for myself, but the receptionist said that she only does medication reviews, so it wouldn't be appropriate for me. They have an array of other therapists and counselors in their practice, so they are going to review my info and needs and then refer me to the provider they think can best help us.

Thanks for the good luck wishes! I need all the help I can get.
post #4 of 32
I have bipolar, but it's mainly depression and I've only gotten to the point of hypomania, so not even full-blown mania. And I'm totally not the kind of person who can't admit there's something wrong with me. . I mean I've had so many depressive episodes over the years and seen so many therapists that it's no big deal. BUT, when I was diagnosed with BPD 2 months ago, it was HUGE blow to my emotional state. I still go back and forth about whether I think the diagnosis is accurate. I know in my heart it is, but my brain can't wrap itself around the fact that the moods/behaviors I have had my entire life aren't the normal human experience.

I say all this to let you know that even with me, totally open to "not being perfect" and with a mild form of BPD, I STILL have trouble with denial. In fact, denial is one of the hallmark symptoms of BPD. It's why med complaince among those with bipolar is so low. Not that this is an excuse or anything, but perhaps it will give you a little understanding.

So, my suggestion is to skip the individual therapists because as you say, the problem is not really with you but you are not sure how he will portray things to the therapist if he goes alone. I suggest finding a marital or family counselor because these people DO work with multiple people as patients. Yes, the problem is mainly with him, but it's affecting BOTH of you and surely you could use an outlet for the issues he causes you, no? Now, the marital/family therapist won't treat him directly but he/she can recommend he see someone in the same practice and even ask him if it's alright if he/she can share his/her observations with the other therapist. By doing it this way, the marital/family therapist can have a chance to see things from both your perspectives and get a better picture of what's going on, then be able to make appropriate recommendations from there. Maybe your DH will be more willing to get help this way. Keep in mind that this may be much more productive when the mania subsides. However, he also needs to be safe. If at any point the mania really gets out of control and you fear for anybody's safety, it's time to make the hard decision and take him to a psych facility to be evaluated. BPD episodes tend to get more severe as time goes on, so just because he has been manageable in the past doesn't mean he'll necessary stay that way.

I will say that my diagnosis of BPD came about through some discussions DH and I were having in marital counseling. We are in counseling for a myriad of other issues and my issues were only tangential to the discussion, but even so it was helpful in getting support to be referred to someone else who could address my issues individually.
post #5 of 32
My husband has BPD. I have no advice about how to get your husband to accept help, but I can say that I really benefited from going to a psychologist for a while. It was very helpful to have somewhere confidential to vent and she was able to give me some strategies to help deal with DH, and a bit better understanding of what was going on with him. It really helped me to stay healthy.
post #6 of 32
Quote:
Originally Posted by rachelsmama View Post
My husband has BPD. I have no advice about how to get your husband to accept help, but I can say that I really benefited from going to a psychologist for a while. It was very helpful to have somewhere confidential to vent and she was able to give me some strategies to help deal with DH, and a bit better understanding of what was going on with him. It really helped me to stay healthy.
My husband is BPII. It has been suggested I seek counseling by myself and as a group (husband and children). We have moved recently and my husband is going to be seeing different Docs. But I hope to seek counseling for myself soon.

OP, I am sorry you are going through this. If you ever feel your husband is a danger to himself, please get him to the ER. I had to take my husband back in June.
post #7 of 32
Quote:
Originally Posted by crazydiamond View Post
I suggest finding a marital or family counselor because these people DO work with multiple people as patients.

I will say that my diagnosis of BPD came about through some discussions DH and I were having in marital counseling. We are in counseling for a myriad of other issues and my issues were only tangential to the discussion, but even so it was helpful in getting support to be referred to someone else who could address my issues individually.

:
post #8 of 32
Thread Starter 
Thank you so much, everyone! I don't have time to write a lengthy post right now, but it means a lot to me to know that there are other people out there who understand. I've gotten some good advice here. DH is out of the country right now visiting his father, which is a needed break for all of us. This is a hard road for all of us, and it's good to know we're all in this together.
post #9 of 32
Thread Starter 
UPDATE: The psych's office I'd called called me back and recommended I see one of their counselors, an LSCW. I went yesterday, and she was WONDERFUL! I felt instantly at ease with her, and told her everything. When I asked her if, in her opinion, she thought DH might have bipolar, she said, "Absolutely!" And she said she doesn't throw that one around lightly, and thinks that it is possibly a bit over-diagnosed these days. But she seemed confident that that's what we're dealing with. Seems that my story is textbook-typical for a spouse of a BP. AND she has been married to a bipolar man in the past. So, she said I should tell DH that my counselor thinks that he might like to join me for a session to see if he can help her figure out what might be bothering me at the moment. I said this to him, and he agreed to go next week. And we'll proceed from there. Hooray! I'm putting my trust in her.

I feel relieved, but cautiously so. I know the road ahead might still be long and difficult.

Thanks again for everyone's support. I'll keep you updated.
post #10 of 32
Quote:
Originally Posted by crazydiamond View Post
I have bipolar, but it's mainly depression and I've only gotten to the point of hypomania, so not even full-blown mania. And I'm totally not the kind of person who can't admit there's something wrong with me. . I mean I've had so many depressive episodes over the years and seen so many therapists that it's no big deal. BUT, when I was diagnosed with BPD 2 months ago, it was HUGE blow to my emotional state. I still go back and forth about whether I think the diagnosis is accurate. I know in my heart it is, but my brain can't wrap itself around the fact that the moods/behaviors I have had my entire life aren't the normal human experience.
This. Its a huge huge blow. My dd was dx'd back in Feb and it took me months to really accept it and its days like today I question it but I know she cycles really fast and in a day or 2 I'll be pulling my hair out from her being manic. I took myself in for treatment and they gave me the same mood stabilizing drugs they gave dd and its been a god send. I've been on it a couple months now and I have seriously been to chicken to ask what my exact dx is because the thought of being BP is a huge blow to my ego/emotional state. I've never been manic but hypomania or mixed states? heck yes but when I think BP, I think bat shit crazy as another mama here called it and I have 2 cousins like that who were at first dx'd as BP and its gotten ugiler from there. This past week or so I have been considering discontinuing the meds since I've felt fine for weeks but I know thats one of the reasons BP quit there meds then "go crazy" when they start cycling again and I decided since I have no side effects from the meds I will just stay on them. I am not willing to risk allowing that nightmare coming back into the house, especially when my dd and I feed off each others negativity.

Admitting there's a problem and getting help is a major step, accepting a dx of mental illness is a huge step.
post #11 of 32
Thread Starter 
Satori(and others who have expressed similar thoughts and feelings),

I can only imagine what it feels like to receive a diagnosis of mental illness.

Sometimes I feel that it's just not going to happen--DH's being diagnosed and his ACCEPTING of said diagnosis. I had a bipolar web page in my browser's history last week, and he found it and got really angry, and said I'm trying to label him as "psycho" of "crazy", although I have never used any derogatory term like that myself. In fact, I have stressed that if he is found to have any issues, that it's absolutely NOT his fault. But, still.

He had, at first, agreed to go along to the therapist's to "help her try and figure out what's bothering me", but now he's saying he won't go, that the money would be wasted, that I complained when he bought a motorcycle we couldn't afford, yet I want to go out and "waste thousands", and that nothing's going to change until I can change how I deal with him and learn to respect him. All rubbish, of course. I guess I'll still go, even if he's having a bad day and refuses. But I'm still hoping!

You can lead a horse to water, but you can't make him drink, so they say. But there's a possibility this horse won't even go anywhere NEAR the stream!

Sigh.
post #12 of 32
Thread Starter 

Update

***
post #13 of 32
post #14 of 32
Quote:
Originally Posted by willibug View Post
***
Are you ok? I see you didn't leave your message.

post #15 of 32
Thread Starter 
I'm here! I'm okay, and thanks for the hug! I need it.

Well, he actually went to the therapy session yesterday. He was threatening not to go, as he had better things to do, it was a waste of time and money, and things will never change anyway, we'd be better off spending the money for a divorce lawyer, etc.

But he went!

The therapist explained that she had asked him there because I am having some issues and she thought he might have some insight into them. He jumped right in with how he feels I have communication issues, that I don't understand the normal ebb and flow of conversations, eye contact, body language, etc. He had a lot to say about all that! But as I see it, I don't walk or look away until he's ranting and/or abusive, and then none of the normal rules can be applied!

So she talked to us about our arguments, and said there were rules for fair fighting. DH said I'd once printed out those rules, but he'd torn them up, as he wasn't going to follow any rules *I* was breaking myself. No, I'm not perfect! But I really think we can't work on mutual issues until his are sorted out.

He also down played what happened the night he went to jail, and I worry that she will think that if I really HAD helped with the bills that month that it wouldn't have happened.

It went on like that, much like normal marital therapy. I just got worried. Worried that she might decide we've just got normal issues, and I've got as many as he as. Not that I think I'm perfect, again! I just had a bad experience with his last therapist who didn't believe me.

Well, she wants to see me alone next week, so we'll see what her take on it was. She did tell me last week that it could take a while to get to the meat of the matter, and I know she doesn't want to put him off, or he might refuse to come altogether.

I guess I just need to trust in her method.

But I just want her to be able to wave a magic wand to make it all better!

I feel worried and a bit impatient. And I know that this might not make a bit of difference in the end.

post #16 of 32
Quote:
Originally Posted by willibug View Post
I just got worried. Worried that she might decide we've just got normal issues, and I've got as many as he as.
Everyone has issues - your issues are different from his, not "less than." There are no "normal" issues, either. Everyone's issues are different. Your therapist is not going to think you're Bipolar because of anything your husband says - his diagnosis is probably going to be apparent to her.

If you want your therapy to "work," however, you're going to need to focus on yourself. You're not going to be able to fix him, only yourself. That's the purpose of therapy. Therapy is not a magic spell that eventually fixes everyone around you so they don't upset you anymore, KWIM?

This is really hard on you, I'm not diminishing that at all. At the same time you need to be fair to your partner and your marriage. As you said, you're not perfect - none of us are and never will be. In a marriage/partnership we can either accept each other's imperfections without judgment, or have very unhappy marriages.
post #17 of 32
Thread Starter 
Thanks for the reply, and thanks for the hugs. I need them!

Carley, I agree with what you've said. I really shouldn't have used the term "normal issues".

I know this might take time, and that the therapy might not even yield results. Well, except maybe on a personal level for me. I'm a person who's always trying to better myself, and I will appreciate any feedback the therapist can give me. I know I can't do any work for, or on, DH.

Still, I feel frustrated, worried, and impatient. I want next week to be here already, so I can talk over yesterday's session with the therapist.

He's now saying he's never going back, but he says things like that, so I'm not commenting or worrying on that one.

I really appreciate this space, and everyone here, at the moment.
post #18 of 32
ah, my heart goes out for both of you. I'm BP, received my first dx at the age of 12 (I'm almost 30 now) and for a LONG time struggled with it. I've finally come to terms with it, happened for me in my early/mid 20s and finding that peace has been wonderful. Doesn't make me a perfect patient, parent or partner, but it does make it easier.

Continue to support him in every way you can until he can figure out what is going on in some way or another (either he realizes that his behavior is off the wall or some third party tells him). Support when that realization hits will be crucial, as so many others have said the dx itself can be so brutal to ones ego, to your very core. Having a supportive spouse is as good as it gets. It's taken my husband 5 years to even being to acknowledge that I myself am an issue for the family if I'm not medicated. Even that tiny bit of support for me is huge, so to be posting, to be truly concerned and wanting to be active in your case is just wonderful. Best of luck and keep us posted.
post #19 of 32
Thread Starter 
Thank you, yogachick.

I need to hear something (anything!), positive today.

I'm feeling right now that things are hopeless. DH came downstairs when he woke up, and immediately began verbally abusing me. Then he stormed off without saying a word to the kids and me.

At times like this, it just seems like his admitting he has a problem, and actually changing his behavior just isn't going to happen. Either that, or I'll have to leave to protect myself and the children.

I've been crying so hard I just threw up.

I can't take this anymore! I just can't!

Thank goodness I have a therapy appointment in the morning.

I had told the kids we'd go shopping for Halloween things, so I'm going to try to pull myself together for their sake.

I need someone to look after ME sometimes, but right now, I'm on my own!

It just helps writing this stuff out.

Thanks for reading.
post #20 of 32
I am really sorry I have been there, on your husband's side. Angry from the second I woke up for no real reason, taking it out on the husband and kids, ruining the start of their days just because I was off. I am so so sorry, looking back I know the hurt that I caused them and still do from time to time (I am just finally getting back on my medication now that our youngest has weaned).
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