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bipolar wife in mixed-state, and I don't know what to do

dee1001

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Hello everyone,

Will try and keep this concise. Married twelve years. Wife is from northern europe, difficult upbringing. We have had a lot of disappointments in life. Adopted our son, was recently dx'ed with FASD (fetal alcohol), which is challenging to deal with.

My wife has struggled with mental illness since a young age. Been involved in several serious accidents, including one without restraints. She has been dx'ed with many different things, but would always tell the doctor she was anxious or depressed, so that is what they treated her for. A lot of the medications drove her into a mixed-state, or hypomania. Looking back on our marriage, I would think most of the time she has been in a mixed-state or hypomanic.

About 2.5 months of our time together, my wife has been stable, but shortly after that time, the follow-up was dropped (consultant psych), and she slowly degraded mentally.

Recently seen new psych. I wrote a letter, and psych accepted it, and the doc believes she is bipolar. Started a new medication regimen.

I walk on eggshells constantly, anything good/bad can cause an episode, due to dysregulation. She has moments of clarity, but she always thinks she can "power through" things. The yelling and screaming is very difficult to take, and my nerves are shot. I have educated myself on dealing with high-conflict people, such as validation and support, but it is exhausting.

She doesn't remember a lot of things, or historical facts are construed. I also suspect a brain injury from those serious accidents, but she has dropped the ball in going to her MD to get the referral. If I push too hard, she will have an episode.

She also wishes to make changes, or to move constantly, and sometimes back to her home country, but then makes long term plans that suggest the opposite, which is trying.

I have talked with our pastor and his wife, and they are understanding, but I don't think people can grasp the severity, unless they are part of it. Her family never recognized the true scope of her struggles.

When my wife is truly volatile and dysregulated, I just don't know what to do anymore. I employ the strategies, but I am so tired. I feel so stuck, because if we ever divorced (no plans), my son would suffer greatly, he is so emotionally fragile. Moving abroad would be financially devastating, but then again, maybe it would force her family to own up to the situation, but there is no guarantees. I don't speak the local language.

Sometimes I even fear to go cut the lawn, it can be that bad. People tell me to hold out for the new medication to take effect, but then again, I haven't had respite in 12 years, because she just falls apart. It is so difficult. I also fear to take my son, when things are volatile, and leave for a motel, because when she is that irrational, she can accuse me of kidnapping or something.
 

dee1001

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Thanks for your reply Coady. Sometimes, when I am at work, tears just stream down my face, I am having a hard time dealing with this. Every morning I pray for progress, something. I start shaking sometimes, because the stress is so hard. :(
 
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DaisyDay

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You might want to get yourself treated for PTSD - dealing with an emotionally abusive, mentally ill spouse can bring it on, big time. Good luck with your wife's treatment. If it is bi-polar and nothing else, then medication can make a night and day difference, but finding the right mix (too much and she's zombified, too little and no effect) can take a lot of time and effort. Wishing you the best.
 
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Endeavourer

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I'm so sorry to hear about your situation. So very difficult.

It's very difficult to be a caretaker in a marriage where a spouse *could* help herself more. Your romantic love for her is unsustainable if she won't take the initiative to take her medications, seek out further solutions, etc etc. It's a spouse's responsibility to take care of themselves and their mental or medical conditions to the greatest extent they are possibly able to.

It may come down to you making a decision that if she refuses to take care of herself or pursue/research options to the extent she is capable of doing so until her episodes are under control, that you will separate from her until she does, for the sake of saving the marriage. You can't withstand this lifestyle indefinitely.

Don't issue this type of ultimatum, however. What you could do is outline what you need her to do for the sake of your relationship. List things she can do to pursue medical treatment that she is mentally and physically capable of doing, such as take her medications each day, etc etc.

Include the elimination of her episodes, or if you feel that's medically impossible, perhaps a sequence of behavioral steps when an episode arises as an item that you need. By that I mean, for example, that as soon as an episode starts that she retreats to a room (or a place away from you) until she is able to control herself. Or that you leave the home when it starts and return only when she texts you that she is back under control.

If you feel she is not engaging in behaviors that you need even though she is capable of doing so, then it may be time to separate until she is able to live up to a standard of behaviors she is capable of meeting.

Give her a list of what you need from her (that she is capable of doing) and give her a few weeks to show good faith effort to pursue the medical solutions and behavior changes that you need. If she will not provide a good faith effort, then, without threatening or mentioning anything to her, you may need to separate until she does do so. I don't know the laws in Canada, but you may need to file for separation so you can arrange the custody of your child that would be in his best interests.

She needs to make it possible for you to be married to her and be emotionally safe from her intentional harm to you to the greatest extent of her capability.

It's only when the behaviors change that your situation can improve.

Dr. Harley from marriagebuilders.com is a Christian psychologist who at one time operated a chain of mental health and addiction clinics. His web site has a forum that offers free marital advice. Volunteers staff the forum but they have access to Dr. Harley for complex questions like yours. You might want to consider posting your question there.

Here is a thread of a bi-polar man who was posting for help. The last post in the thread has links to time Dr. Harley spent helping this man during a radio show. Listening to the show may provide some great insight to you on what you need from your wife in order for your marriage to survive, and how to effectively frame it to her:
Discussion Forum (Marriage Builders®)

I'm so, so sorry for your situation.
E.
 
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dee1001

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"Include the elimination of her episodes, or if you feel that's medically impossible, perhaps a sequence of behavioral steps when an episode arises as an item that you need. By that I mean, for example, that as soon as an episode starts that she retreats to a room (or a place away from you) until she is able to control herself. Or that you leave the home when it starts and return only when she texts you that she is back under control."

Many times I have suggested this, or something similar. She has literally, I would guesstimate, <5% insight to her behaviour during these episodes. I have also seen her eyes dialate during the episodes. That is why I also suspect brain injury.
 
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dee1001

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"Include the elimination of her episodes, or if you feel that's medically impossible, perhaps a sequence of behavioral steps when an episode arises as an item that you need. By that I mean, for example, that as soon as an episode starts that she retreats to a room (or a place away from you) until she is able to control herself. Or that you leave the home when it starts and return only when she texts you that she is back under control."

Many times I have suggested this, or something similar. She has literally, I would guesstimate, <5% insight to her behaviour during these episodes. I have also seen her eyes dialate during the episodes. That is why I also suspect brain injury.


Do you have an idea how I could even relay these ideas without triggering an episode, in a way she would implement them, go for further assessment? It can be that volatile.

It does not help that her relatives really reinforce the stigma associated with mental illness.
 
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Endeavourer

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I'm sorry, Dee, but the specifics of bi-polar and mental illness are outside of my realm of knowledge. I don't want to speculate and cause more harm.

I'd highly recommend you reach out to Dr. Harley for his advice.

He will read letters and give free advice on his radio segment. You don't have to be a caller if you don't want to be, but they will still read your letter and comment with advice for you.

Here are the instructions:
Email your questions to Joyce Harley at mbradio@marriagebuilders.com. When your email question is chosen to be answered on the radio show, you will be notified by email directing you to listen to the broadcast. If you would like to consider being a caller, include your telephone number. You will be called by us to explain the procedure to you. Every caller will receive a complementary book by Dr. Harley that addresses their question.​

Or, you could post in the marriagebuilders 101 forum, anonymously, and the volunteers will seek his counsel so you receive good advice. Just paste your opening post into the forum at the link below and you will receive responses. The marriagebuilders forum is moderated so you won't get random Joe Blow opinions, but will only get help that Dr. Harley would endorse.

Discussion Forum (Marriage Builders®)
 
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Endeavourer

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She has literally, I would guesstimate, <5% insight to her behaviour during these episodes. I have also seen her eyes dialate during the episodes. That is why I also suspect brain injury.

Would it be possible to film an episode so she can see for herself what she is doing? Do they often happen in the same area (in the kitchen for example) so you could mount a camera there until an episode is captured?
 
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dee1001

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I have wanting to do this, but usually there is no warning. I will try and think how this could be accomplished. The laws are very strict here, a camera can be used, but always someone in the view of the camera needs to have given consent. So say a neighbour was there, and she had a episode with them, if she revoked her consent, and the neightbour had not given, I could be charged (even though it is in the house).
 
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dee1001

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I yet again made the mistake of trying to have a rational conversation, with someone who is irrational. I was at a loss of words most of the time.

I was told I treat her like a child, because she knows nothing of our banking. The reality is, I have tried many times in the past to tell her, and she had episodes because she becomes overwhelmed with details. Accused me of changing our bank "all the time". We've had the same bank for 11 years. Our credit card has changed though. Many years ago I tried to teach her to pay the gas bill, it sat on the table for three weeks, with her avoiding it every time I gently reminded her. She has lost her login details and her PIN number. She refers back to one unpleasant incident with a teller that happened three years ago, which equates in her mind that Canadian banks are stupid, which is completely unrelated to the subject at hand.

She accused me of being cruel for not wanting to move to her home country, that I kept her from her family. She decided to move to Canada. I didn't make her mom sick and pass away. Her relatives have never come here. We have spent over $60k in plane tickets, and I have offered to pay for her relatives to come here, but they have never come. Her Dad won't come either. Her relative all have new iPhones though, but cannot buy a plane ticket.

At the end she said she would have left years ago to her home country, if it wasn't for our son. She said she hates Canada more every day.

I told her I wasn't talking about moving, before she became escalated.

Please learn from my mistakes, never try to reason when they are in a mixed-state, it never works the way you hope for.

This mixed-state came out of nowhere, but I could tell just by her body language that the switch had happened.

I hope this is bipolar depression talking, but I am so tired. I have no guarantee, that if we did move, that she would not divorce me there, and then I would be stuck there until my son is 18. How can I even entertain this?

I entire time I remained calm, but was a wreck on the inside.

At midnight, she came and woke me up, crying, and apologized for insinuating divorce. I reiterated, that all my decisions were to remove stress from her. I also reiterated that we were not making any more major life changes until she stabilizes, and can think clearly, to try and avoid making a major mistake, that she will regret later. I got four hours sleep last night.

Please pray for us, I am not sure there really is any advice that can help our situation.
 
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ChicanaRose

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I have talked with our pastor and his wife, and they are understanding, but I don't think people can grasp the severity, unless they are part of it. Her family never recognized the true scope of her struggles.

When my wife is truly volatile and dysregulated, I just don't know what to do anymore. I employ the strategies, but I am so tired.

First of all, I'm sorry for my late reply. And I'm truly sorry for what you have to endure. I see that you have replied to this post with further details so I will respond to that.
 
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ChicanaRose

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I yet again made the mistake of trying to have a rational conversation, with someone who is irrational.

Hi Dee. How have things been for you lately?

What you are dealing with is exceptionally difficult...it seems that she cannot escape her delusions.

I have seen firsthand, how someone can hurt another person very badly and still believe herself to be a victim.

It may be helpful for you to find a support group in your area for caregivers of family members with mental illness.

I pray for God's continued intervention.
 
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Lady Donna Marie

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[QUOTE="dee1001,

You could still film her episodes and delete the ones when someone else is there except you and her.

I would personally seek help for yourself because humans can only take so much and after that only God knows what's next.

Is there a mental facility that she could check into?
 
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Hello everyone,

Will try and keep this concise. Married twelve years. Wife is from northern europe, difficult upbringing. We have had a lot of disappointments in life. Adopted our son, was recently dx'ed with FASD (fetal alcohol), which is challenging to deal with.

My wife has struggled with mental illness since a young age. Been involved in several serious accidents, including one without restraints. She has been dx'ed with many different things, but would always tell the doctor she was anxious or depressed, so that is what they treated her for. A lot of the medications drove her into a mixed-state, or hypomania. Looking back on our marriage, I would think most of the time she has been in a mixed-state or hypomanic.

About 2.5 months of our time together, my wife has been stable, but shortly after that time, the follow-up was dropped (consultant psych), and she slowly degraded mentally.

Recently seen new psych. I wrote a letter, and psych accepted it, and the doc believes she is bipolar. Started a new medication regimen.

I walk on eggshells constantly, anything good/bad can cause an episode, due to dysregulation. She has moments of clarity, but she always thinks she can "power through" things. The yelling and screaming is very difficult to take, and my nerves are shot. I have educated myself on dealing with high-conflict people, such as validation and support, but it is exhausting.

She doesn't remember a lot of things, or historical facts are construed. I also suspect a brain injury from those serious accidents, but she has dropped the ball in going to her MD to get the referral. If I push too hard, she will have an episode.

She also wishes to make changes, or to move constantly, and sometimes back to her home country, but then makes long term plans that suggest the opposite, which is trying.

I have talked with our pastor and his wife, and they are understanding, but I don't think people can grasp the severity, unless they are part of it. Her family never recognized the true scope of her struggles.

When my wife is truly volatile and dysregulated, I just don't know what to do anymore. I employ the strategies, but I am so tired. I feel so stuck, because if we ever divorced (no plans), my son would suffer greatly, he is so emotionally fragile. Moving abroad would be financially devastating, but then again, maybe it would force her family to own up to the situation, but there is no guarantees. I don't speak the local language.

Sometimes I even fear to go cut the lawn, it can be that bad. People tell me to hold out for the new medication to take effect, but then again, I haven't had respite in 12 years, because she just falls apart. It is so difficult. I also fear to take my son, when things are volatile, and leave for a motel, because when she is that irrational, she can accuse me of kidnapping or something.[

I understand your burdens, but have you unload your burdens to the Lord and ask Him to help you.
 
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