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New relationship with a bipolar man

By patient007 Sunday, November 30, 2008

He told me right away that he has been diagnosed bipolar and on meds for ten years now.  We are both in our late forties.  He also told me that it's not easy to be in a relationship with a bipolar person and he shared some information on the illness so that I could understand what I might be getting into.  His most pressing issues are the manic/depression which he controls with lithiium and other medications.  What he *didn't* tell me right away was that he'd gone off his meds and resumed them shortly before meeting me.  They haven't returned him to his previous manageable state yet and he's asking me to be patient.  He's been in a down mood much of the time we've been together, save for a few weeks at the very beginning.  In total it's been four months that we've been involved.

 

I find the depression trying.  When I see him and stay with him for a day or two, he never leaves the couch, he rarely bathes, it's his depression. He thinks of what he *should* be doing and it's just too much trouble.  He reaches out to me in a boyfriend way; making contact, listening to me and talking about my life and challenges and achievements.  He isn't physically demonstrative and that is upsetting to me. 

 

Nothing is all that it could or should be.  Not sex, not intimacy, not joy, not laughing, not conversations.  He tells me how he will be when his meds kick in and I can *see* that he is the person he tells me of, just not now. 

 

It's been six months now since he restarted his meds.  He tells me they should have had more effect by now but he won't find a new psychiatrist.  The depression prevents him from getting up and dealing with.  He would also have to go through finding the right combination and that carries with it the risk of what might happen on the wrong combinations.  He was once given meds that made him violent.

 

I often think that I will coast along for now.  I have a demanding and rewarding career, other friends and I'm not dealing with any illnesses mental health or otherwise.  What I get from him is limited in terms of affection, growth, a partner.  We genuinely have good feelings for each other - no one has mentioned the L word and I can't see that happening under the present conditions.

 

I can't discuss much of this with him as it is hurtful to him and that's not good for him in his present depressed state.  Yes, I've tried and because he can't do anything about it, he says, I'm at a point of I push him to see a psychiatrist and deal with his meds which may end our relationship if he doesn't. 

 

He's told me to find other resources to help me deal.  So.  Here I am :)

 

 

 

 

11/30/08 5:45am

Sounds like your doing the right things so far. I know this is going to cause a stir but...you should never get involved with another person that is having issues with a mental illness. In order to have a health relationship...both have to be healthy meaning that he has to have a period of stabilization for awhile before you go any further.

You can't fix him and if you go the route of getting involved in a relationship with him right now with him dealing with depression, the relationship with soon enough change when he starts to get well.

My suggestion is to stay just friends, don't get too involved like doing things for him because he feels he can't (caregivers tend to take over)and do suggest that he gets back in with his psychiatrist and therapist or find a new one if he dosen't feel he is getting anywhere with his present one's.

In my house the deal breaker is stopping your medications. Its our responsibility to manage our illness, see our pdocs and take the medications as prescribed to stay well.

Go really really slow!

11/30/08 11:44am

From his perspective that I know because he's very communicative, warts and all, about what's going on with him, he's hopeful the meds will kick in and he'll be ok.  He'd never gone off them before and very much regrets doing it this one time. 

 

Going slow is exactly my concern.  It's so slow we're almost at a stop.  He won't mess with his meds yet or find a psychiatrist and his GP won't adjust his meds, of course.  He needs a psychiatrist to get him through this which he says he should but he's stalling.

 

From what I've read and learned so far it's common that the non bipolar partner has to be patient, and that bipolar sufferers know this but can do little to nothing but do what they can and wait on results.

 

Wait for things to change.

 

While I care for him a great deal emotionally I'm not his caregiver.  The few days that I spend with him I've literally sat on his front steps or the bathroom and cried out of frustration and literal boredom.  He was concerned that he might bring me down but I've managed to avoid that.  So far. 

 

I've been upset because we do nothing when we're together.  Maybe I'm answering my own question with what I'm posting here. 

 

He can't be 'in' my life while he's depressed.  He can do nothing more than drive me to my jobs when I've been at his place and he resents that because it's difficult for him to get off the couch. I moved recently and he was completely not a part of that except to walk in to my place once, declare it a 'cubby hole' and we left for his place.

 

He's asked that we put each other first in that we not cultivate other friendships and be exclusive.  As for his bipolar issues, here I am.

 

I'm kind of astounded that someone with this illness would ask someone they care about and want to be with, to put their lives on hold and wait for them to get better.  I find myself in a position of honouring someone's struggle, someone's illness, and putting my own needs, wants and desires from my partner on hold and we don't know for how long.

 

One thing I *do* know is that nothing stays constant.  He gets better and we get to know each other again, or this will follow an unfortunate path to an end.  I feel that I would have to put myself entirely aside to stay with him otherwise and if nothing changes.  I'm not prepared to do that much longer.

 

I also feel guilty and I don't think I should.  If there were no guilt I would have told him a couple of months ago to call me when he got himself back on track.  That may sound harsh but I didn't agree to go out with him when he was depressed.  He asked me when he was feeling good about himself. 

 

It would be nice if we had our occasional contact and that added something.  It doesn't.  I hang up the phone or come back to my place from him and I'm either down or wanting to catch up with my regular life, the one he won't be a part of while he's depressed. 

 

I've blathered on here a bit and I'm grateful for the one comment.  Any and all comments are appreciated, really.  I'm in a bit of a quandry and unfortunately (maybe not unfortunately?) leaning toward ending this relationship, such as it is.

 

 

 

 

12/ 1/08 6:11am

See...even in real life people have their ups and downs and the majority of the time it has nothing to do with an illness and more to do with whats going on around them. If you guys had a good time while he was as you put it doing well...then I would expect a little guilt of deciding to shut him out until he is feeling better.

Treat this as a friendship and nothing more. If you had a friend that was going through a tough time...do you tend to avoid them until things get better? In my case I tend to be supportive, give them my usual advice even when they don't ask for it (get you ass into see your pdoc now before you end up buying a one way ticket to an acute mental health unit)and tend to be a bit more understanding with people that do have a disability verses people that tend to make their own problems.

As I said before...no one should ever enter into a long term relationship with someone that is unable to meet them half way and are aka healthy. By the way...a lot of us that do have this illness of bipolarism can and do make great partners and do have extended period of being healthy. In my case its been 8 years since any issues of the highs or lows and it way 8 years ago that I finally got it in that it was my responsibility to get myself well and stay there verses everyone else.

He is not in that place yet to be asking you to remain true to him nor even close to being able to meet you half way. He needs to get his ass off the couch, get into see a real psychiatrist that see bipolarism everyday and get treatment. He is still in what I call the infant stages of recovery.

If you want a better understanding of the illness...you may want to read a on-line book I wrote last year http://www.mentalhealthus.com

11/30/08 12:38pm

Hello...I am truly sorry that you are experiencing difficult times.  It's never easy living and dealing with someone who has bipolar.

 

My husband and I were married 9 years when my diagnosis came.  I have been thru severe depressions that lasted months and manic highs that sent me to the hospital for long periods.  My husband could have cut and run, but he never did.  Something in him made him stay and endure until things got better for me.

 

Bipolars can stay reasonably healthy if they follow a healthy regimen.  If your bf wants to stay healthy, he must take a look at himself and his bipolar and figure out what will work for him.  You cannot do it for him.

 

Finding the right meds is important (and the right doctor).  Healthy eating helps a lot.  Joining a support group might help.  Maintaining a good support system is crucial.  Reading good literature and books on bipolar will help.  These 5 things are a good beginning that will help promote good bipolar health. 

 

Like you, my husband has been very frustrated at times dealing with the many aspects of my illness.  It's true for most bipolar s/o's.  Just hang in there if it's what is right for you.  Otherwise, you can leave and start fresh in a new relationship.  It's up to you.

 

Judy

Anonymous
tabby
11/30/08 2:51pm

I've read your post & I've read your reply to Eric

 

He refuses to go to a psychiatrist, knowing he should go but stalling - means he is refusing.  His GP isn't comfortable with tweaking or changing the meds and this is why the GP isn't and he is aware of this and this is why he goes to the GP and not the psychiatrist.  He is only placating the meds. 

 

If he truly and honestly wanted to get back on to a stable place to be, he'd go to a psychiatrist where he knows he needs to go and have them manage his medications.  This might mean, he'd have to change his meds all together or add some, drop some, or psychiatrist might want him to go into the hospital for a bit (if he can barely get off the couch and has been horriably depressed for 6 months) which is another reason why he is stalling.

 

He wanting you to hold your life for him is being selfish.  Yes, I said that.  Because as I read your post... he sits at home, on the couch, barely moves and therefore has no life of his own at the moment so what is he "holding" for you?

 

When you do go over there, you are bored to tears literally.  He resents having to take you to work cause he has to move, and yet he doesn't want you to have other friends at the moment.  No, he wants you to be solely for him and to take care of him - which you don't need to do.

 

You don't need to run for this hills neither because we, who have Bipolar, need friends.  Most of us tend to lose friends when the episodes hit and find it hard to make new ones cause while we are "on" we are the life of the party but, when we are "off" folks run screaming.  This causes a lot of mistrust for us.

 

My suggestion, and it's only that, is that you just remain cordial friends for the time being.  Set a "boundary" that if he gets going with a psychiatrist for a while, gets into therapy for a while, gets stabilized on meds for awhile, and after a bit longer from that, he wants to re-group with you and you are available, you'll certainly re-consider.  In the meantime, you would be happy just remaining buds hanging out every so often, taking in a movie perhaps, going to the local cafe for coffee maybe.

 

If he isn't in for that... then you really do need to decide what you really are willing to be in for cause this is only a "sample" of what may be to come.

 

Oh... and no, you shouldn't feel guilty if you just can't be with him during his depressive period.  If he should become a danger to himself or threaten to be, and you are fully aware of this, then call 911 and not feel guilty over doing this. 

 

It is actually best that you are witnessing and considering this BEFORE you walk down the aisle or have a child with him.

12/ 1/08 10:07am

Thank you all for the wonderful input.  It's helping me get a better perspective here.  Eric I read your book lickety split and great information in there!

 

His perspective is that he will be better soon, the meds will kick in again, they've worked well for him ten years now and no reason he sees that they won't again.  He had made all the changes and adaptions, got psych help, and got his life managed before.  He messed up going off his meds before he met me. 

 

My perspective, granted new and not as informed, is that he messed with his meds, he's now depressed and should find a psych to replace the one he had before.  He's stated he needs his meds to work again, then get to a psych for adjustments, then get into therapy.  He has a plan but right now he can't even get off the couch.

 

I am understanding of his predicament and the need to wait until the meds kick in enough that he gets off the couch and starts back in dealing with his illness.  I want to be able to keep arm's length contact with him in the meanwhile and this works best because his tolerance for any stress at all is very low.  He gets very agitated and angry:  road rage, swearing when the printer won't connect properly, things like that.  Therefore I don't ask anything of him. 

 

Which leaves us with daily phone conversations about my work or what movies he's watching.  We can't discuss anything personal on a substantive level because it makes him feel badly for being depressed.  I know he feels badly.  I see him trying to make this easier for me and it's only little things like one day he forced himself to give me a hug - I could see the supreme effort it took and I appreciate that. 

 

Thank you tabby for saying that I'm not being selfish.  I think it's fortuitous for him and maybe for me, if things do get better later on, that I have a career and work much of the time.  I can't become his caregiver because my own life is so demanding albeit very rewarding. 

 

One day at a time I guess.  I'm also a little pissed off, yes at the illness Eric :)  I see what a great guy he is behind the illness, it's such a shame he can't come out right now :)

 

 

Anonymous
butterfly1971
12/ 4/08 5:26pm

I fully hear you and understand where you are coming from. My now husband told me when we first met that he was diagnosed with manic depression. I thought oh yeah well I know what it's like suffering from depression but not realizing the extend of his. He too doesn't really take his medication and have found that the past 2 years he has gone downhill. I have been finding it hard to cope and started doing my own research on manic depression only to find that it is now called Bipolar. My godfather who specializes in alternative treatments said that he will try and help him. I had told my godfather how I am finding it harder and harder to cope with his mood changes, that it is very hard for me to talk to him at times cause when something is white and he says it's black it has to be black. I am a very strong person but this has really taken the toll on me to the point where there are days I want to leave him cause I can't take anymore. I love him to bits and really want to help him in every way I can. I think really it is also important for me to find out how to deal with his condition.

12/ 5/08 2:48pm

I'm glad you posted butterfly and I'm sorry that you are in the situation with your husband.  I posted here to find out exactly this; how to deal with.  Also to learn more about this illness.  While everyone posting and I'm sure reading has been wonderful and supportive and offered constructive advice, I *still* don't know what to do.  And I don't *know* because my mind tells me to end it with him. 

 

I am no end of astounded that this man I've come to know while in his full force depressive state can make demands of me while offering nothing more than "Hey I'm fun!" as compensation.  Which isn't the truth, that he's "fun", and when called on it he says "I can be". 

 

I don't think I'm going to choose to deal with his self absorption and manipulation any longer.  If I can't cut it, being with a depressed person, by his definition then I guess I can't. 

 

I understand the mistrust.  I don't understand them not being able to see that I'm here and I'm not screwing him over.  I'm becoming resentful of the "I'm a sick person" card being dealt on me over and over.  He's depressed and self absorbed and I've tried to ride it out and tried to be patient and understanding and put my own wants and needs on the back burner. 

 

I hate to say this but....if he weren't so mean about it all, and I'm sure a lot of it he doesn't realize he's doing, I might stick around. 

 

In the end I've come to know that I want and deserve someone healthier.  I don't begrudge him his illness, I hope he gets better, maybe he will.  Maybe he won't.  I've learned that I could be with someone who suffers from occasional depression.  A little while I can ride out.  Four months and then getting pissy about it?  Not for me.

 

I wish you all the best butterfly and in the end...only you know what you can safely do for both of you.  Stay or leave.  But please don't feel badly that his illness precluded you from giving of yourself to him or for him being able to accept what you have to offer.

 

 

 

12/ 6/08 1:30pm

That makes 2 of us, I am in need to find out how to deal with it too. My godfather is going to make up a diet for my husband which should help him with his BP. My godfather is pretty good with stuff like that and he has a medical degree as well. I actually have decided that eventhough I get emotional abuse from him when he is at his worst that I will stick with him. Listen if you can hang in there, as soon as I get the information from my godfather, I am more then happy to pass it on to you and everyone here as well.

 

My Husband keeps asking me what I want with him cause he knows he can be a pain in a big way. I tell him that only cause he has this problem doesn't mean I am going to run. I am here to fight this all the way and see if there is a way I can help. I want to see the man back that I fell in love with

12/ 9/08 3:40pm

I'm a big believer in alternative medicines specifically homeopathic and naturopathy and  that these can be combined with pharmaceuticals prescribed by a GP or Pdoc.  In fact in my twenties I had been diagnosed as clinically depressed and put on antidepressants.  I struggled with the adjustments to drugs, didn't like it and found a naturopath who treated me and my depression eventually dissipated as a result.

 

My fella here is interested in checking out naturopathy but the cost deters him as he's on a disability income because of his bipolar.  He won't get to the pdoc or rather find a new one - his last one retired and apparently didn't refer him.  At the time they felt he was doing okay. 

 

As for diet which you and other posters have mentioned, his sucks.  I've been encouraging him to eat more healthy.  I'm a chef and this is one of the things I bring to our relationship: proper nutrition and healthier eating habits. 

 

Now that I'm arm's length from him because of his issues I'm taking a different approach with him.  When he tells me his poor eating habits I tell him that not only does he have an obligation to himself to eat better so that he feels better and his meds work more effectively, he has an obligation to me as well, to do all he can to get better, feel better, and stay that way as much as is possible.

 

I think it's important to put the responsibility where it belongs.

 

 

2/22/09 7:10pm

Just over 2 weeks ago my husband had to go to the Dr to get some more Xanax, he got me to go with him and me opened my mouth while we were there. The Dr put him on Tegretol and I tell you he is a changed man. He now wants to do things again, seems to have more energy, Happy as, oh he is a good 90 - 95% better then what he was before that.

 

If his Dr won't change his medication, tell him to see a different Dr. If you mean a lot to him that he will do this for you and see a Dr that actually cares and will listen to his patients. Make sure you go with him so that you can tell the Dr what he has been like to live with. That worked for usWink

Anonymous
Melissa Brownlow
12/13/08 1:26am

It's so sad to hear your comments for me because my boyfriend / fiancee will never admit what your boyfriend already told you...however it is nice to know I am am not alone. This is my first time going online about  his problem which he will not admit to.  I am alone tonight because he is manic and abusive.  My daughter and I had to leave home tonight........I am 52 and so is John  but I am really afraid of him when he is manic. Is there any help online?

Anonymous
Melissa Brownlow
12/13/08 1:27am

It's so sad to hear your comments for me because my boyfriend / fiancee will never admit what your boyfriend already told you...however it is nice to know I am am not alone. This is my first time going online about  his problem which he will not admit to.  I am alone tonight because he is manic and abusive.  My daughter and I had to leave home tonight........I am 52 and so is John  but I am really afraid of him when he is manic. Is there any help online?

Anonymous
patient007
1/ 7/09 4:47pm

My heart goes out to you, truly.  I'm still arm's length involved with my guy here and up until a couple of weeks ago it looked like I wouldn't continue.  We will for now albeit on very changed terms and I mean that in regards to what many consider relationships to be comprised of. 

 

There have been two times that we broke up in the six months we've been seeing each other.  Both times were because he accused me of betraying him, and both times he apologized within a week.  He's been down and he thinks crazy thoughts mostly brought on by the stress of day to day life which he usually shuns in favour of something more sedentary. 

 

He's mentally ill.  It's a disease.  He's not able to have the norm.  Even on effective medication he would be mood stabilized and still have ups and downs that aren't what non mentally ill people experience.  You or I, for example, can exert a measure of control over our moods.  He can not.  My challenge has been to see and contemplate if what he offers is acceptable to me.

 

When he's down, as has been much of my experience with him, there is nothing that can change that short term.  When he's feeling better, he takes the initiative to get the better care he needs right now.  My guy here is calling a mental health resource centre to find his next psyc doc.

 

For me right now, he's my companion for the most part.  When he's down, we talk on the phone.   When he's feeling better, we do things together.

 

What I'm finding in this situation and mea culpa is that in order for me to be with him it's important that I keep living my own life and he's included more when he can.  When he can't, I just get on with it.  My own life, that is.

 

 

 

 

 

 

 

 

 

 

 

 

Anonymous
patient007
2/17/09 5:29pm

We saw each other for eight months.  He's been feeling better, he told me, but was still on the couch in his underwear.  We had a number of honest, deep discussions about his illness and about ourselves individually and the relationship.  The ending was a combination of the illness and of the progress of the relationship outside of that.

 

But the illness didn't help the relationship to grow, either, not in a good direction anyway.  I was hopeful that he would manage his illness and get back to a psych doc, adjust the meds, and get into therapy which at one point he said he needed to do.  Near the end he asked me to manage his illness for him, to make sure he ordered his meds, put them in the correct containers, call the doctors and make the appointments, and make sure that he attended those appointments.

 

That's a lot to ask of me, the new girlfriend, and that's when our long discussions began, somewhat an attempt at possible negotiations, and two days later we ended it.  

 

Planning ahead was neigh impossible as any event or activity was dependent upon his mood at the time.  I found I could accept that.  I was happy to get on with my activities and have him join in when he could.  Too much activity was stressful for him, and by "too much" I mean his sedentary lifestyle suited him best.  I, on the other hand, have two jobs in a career I love and at first his being at home all the time worked and kept his stress level down.  But then he would want to be with me and I would either stay with him or him with me and that always became a problem.  I could stay for a day or two and then have to get to work.  Then he would want me to come by after work and stay again.  This would then stress him out. 

 

He just kept wanting to "try" with no real thought given to constructive compromises. He claimed bad memory, inability to gauge time or durations ie days would go by and he would barely notice that days had gone by.  It fell to me to gauge his moods and amount of time we would be together.  I found I was also pretty okay with that, too.

 

He would get a thought in his head, usually a paranoia about me, and he would turn on me accusing me of mistreating him or using him.  He told me that was his illness, was not based in reality, that it would last a week or two and then he would completely forget about it.  Which is why it would happen again and again.  He told me to handle it by ignoring it and just wait for it to pass.  I thought that maybe I could accept that, too.

 

He didn't express his good feelings about me except in words and only when asked.  There was a definite lack of physical affection on his part to which he suggested I ask for it, say it's important, and ask as many times as it would take for him to realize he needed to do this for me.

 

When I took a step back and took a good look at all of it....I didn't see much going on there for me.  I accept no companion in my hobbies, interests, or social life.  I accept being in charge of the level of activity we have when it's just the two of us.  I had already accepted a measure of managing his illness by then as I had already been putting his medications in the dispensers for him.  I accept his outbursts of paranoia about me as they happen, ignore them and him until they pass.  Examples of that and his stress are; road rage with me in the car, showing up to help me move into my apartment and sitting in the car raging, finding him gone from my place when I'd run an errand and he had asked to wait for me - he left because he thought I'd gone to meet another man. 

 

What I got from being with him was someone to talk with every day if I chose and some companionship within all the caveats I've stated above.

 

In short, most of the good feelings and hopes for more I got from him in the beginning were fading away under the pressures and demands.  I decided to ask myself if I saw potential down the road, right then, or ever.  I could only see a big maybe, and nothing concrete good to grasp on to on the way to seeing if we could work as a couple. 

 

I like him, he likes me, and in eight months we got no further than that.  I also saw  more for me to do in the future, like take over managing his illness for him.  I could understand that IF we had any foundation as a couple.  We didn't and if things were to progress as they were I didn't see any hope for that, either.  So we've split.

 

Thank you everyone for sharing your comments and thoughts with me.  This is a great resource for the illness, and I wish everyone better results than he and I had.

 

 

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By patient007— Last Modified: 10/26/11, First Published: 11/30/08