Archive for the ‘ My wife’s posts ’ Category

Such a shame

This post – http://www.milligramsblog.com/2009/11/23/the-best-street-sweeper/
- plus a few remarks you’ve made about your colleagues at work and
feeling embarrassed in public tell me that your paranoia is more
pronounced than it was in October.

(Oh, if only you and the doc hadn’t decreased the Abilify dosage.)

When the meds aren’t working right you gradually lose touch with the
distinction between events that you do cause and those you do not
(“ideas of reference”). Two months ago, this faded entirely for the
first time ever. At your worst, you were almost unable to go outside
at all, for fear the people in the street were thinking negative
things about you.

Our mantra: ideas of reference. The truth is that almost no one in NYC
pays much attention to anyone but themselves. There’s too much noise,
too many people. They really don’t care who you are, what your job
is, or how you look. It doesn’t even register. There is no one who
passed us in the street today who is now thinking about you, or even
remembers your face. At work, it’s true there’s a pecking order but
your perception of your place in it varies a lot, depending on how the
BP is affecting you that way. So your understanding is often
distorted.

Your fears of not being a great writer, and worries about the pecking
order at work, and also those moments of self-consciousness on the
street are all rooted in the persistent BP feeling of shame. That
emotion and the thoughts that spring from it are entirely due to your
illness; you’re not the center of the world, but neither are you an
embarrassment. You’re equal. You’re my Mr. X, living out his life as
best he knows how. Do that.

Push the shame aside. Trust me. It’s not rooted in reality. You can
discount it.

I thought that post was a very important first step away from the
shame emotion and the patterns associated with it. So, yes, you’re a
shrub. But the point is that every writer starts this way. The
acclaim, the storied title of “great writer,” etc. – these accolades
don’t necessarily fall to the people who have earned them. It’s
better to look for the satisfaction in being the best shrub you can be
– the route to happiness is this way, darling. Please keep going.

Halos are for sissies

Today I thought I might tackle a big topic. The stuff the spouses of
people with any illness – mental or otherwise – are often afraid to
admit to themselves, never mind to anyone else.

As spouse of a sick person, people often expect you to be saintly,
accepting, loving, patient. But I have often been sad, angry,
frustrated, self-pitying, sorry, guilty, confused, furious, and
terrified. All at once. Sometimes for months, maybe years, on end.
Oh, also: overburdened, resentful, exhausted, and fearful of the
future.

His bipolar diagnosis, and the episodes, and everything else, took me
completely by surprise after we got married. I just thought he was a
little depressed, since my husband is amazingly great at pretending to
be OK. And, it turned out, just as frightened as I was.

At first I couldn’t talk to anyone about this. I was too terrified
and angry about this enormously hard thing that had happened to us.
But I’m ridiculously bad at concealing emotions – I’m frequently told
that my face reflects my every flickering thought. (I almost never
lie, for this reason.) So he would see what I was feeling, and
misinterpret it in his bipolar haze, and this plus everything else
severely strained our relationship.

Who to talk to about these negative emotions? At first, and for a long
time, no one at all. Lots of stewing and brewing. After a while:

- Can’t worry my family with this stuff. These days I do give them a
brief overview, but if I go into too much detail I’m worried that my
elderly parents will start treating my husband like he’s insane or a
toddler. Maybe talking to him in VERY LOUD VOICES. Plus, they’re
frantic worriers, and what good would more worrying do my 85-year-old
father, who has terrible back problems, cancer, arthritis, and
glaucoma? None. Also, they’re very religious, and as I’ve learned,
in their case that means negative emotions toward (especially the
male) spouse are taboo. They would prefer me to be saintly.

- No point in telling his family, who are a lot younger, but don’t
want to hear it. I was really disappointed by this, but when I try to
talk to them they cut the conversation off. I think that above all,
they don’t want to accept that their son is ill. Easier to tell
themselves that I’m making it all up. And that if there’s any grain
of truth to what I’m saying, of course exaggerated beyond all
reckoning, then it’s my problem and not theirs. (I’m pretty angry
with them, in case you’re wondering. They’ve been horrible.) They’ve
made it very, very clear that they would prefer me to be saintly.

- None of this can be shared with friends for fear his employers might
hear of it. We live in New York, so we’re professionally connected to
most of our friends.

Who does that leave? Old friends. I’ve lost touch with most of my
college friend because they live in another country. His old friends?
They’re very fond of my husband, so they would definitely prefer me to
be saintly. Just not the right people to tell.

So we’re both seeing therapists. Obviously, he needs to see one, and
I needed an outlet.

Over the past year, I’ve been doing my best to describe my experience
to him, acknowledging all of the above. Because he senses, of course,
how this affects me and what I’m feeling. Better to discuss than let
it brew and continue the misunderstandings.

How do you tell the person you love, who’s unstable and unwell, that
sometimes he’s a huge burden that drives you to tears? By very, very
carefully avoiding blame and accusations, and doing it little by
little. It turned out that this was a really good move, because
that’s how we started working out the compromises and solutions that
both of us can live with.

I’ve seen advice from professional counselors advising spouses to wait
for a stable period to bring this stuff up, but I think that’s really
stupid. “Oh, you’re well, honey. I’m so glad. Now here are all the
negative things I’ve been feeling for the past X months.” What a
great friendship that would be. My attempts at waiting for the right
moment didn’t help us at all.

It looks like the only way we can manage this is by watching for and
recognizing the moments when he can’t work out what’s real and what’s
distorted by bipolar disorder; at those times he has to depend on me
to help him sort it out, which seems to be really helpful. But he has
to be able to trust me for that, and vice versa, so very little can be
hidden between us.

Sainthood is not an option.

Guest blogger, my wife, part 2

Today he woke up in semi-agitated state. It wasn’t bad, but he was
impatient, a bit grumpy, and easily frustrated. His mind is elsewhere,
electricity buzzing through his circuits, and simple household jobs
become projects requiring coaching and extra patience from me.

We had an episode today over hanging a mirror that would have been
hilarious if only we hadn’t been living it. First, it was the world’s
most complicated mirror to hang, with little hooks spaced unevenly in
inaccessible spots on the back. In addition, no lines in our
apartment are plumb, so it was really hard to figure out what
“straight” meant, in the circumstances – straight as compared to what?
And I’m naturally clumsy.

I think it would have been a lot easier if his medication were
working, but it hasn’t been since he cut 5 mg from his Abilify dosage,
so he didn’t have the patience to sit calmly and figure it out.
There’s a crookedly-hung utensil rack on the wall in our kitchen that
reminds me every day that I didn’t handle him well that time. I walked
away and let him figure things out for himself, not wanting to deal
with his temper, but that’s not an option. I have to help.

So we made at least five attempts, dealing not only with the
mathematical problems of measurements but also the obstacle of his
bipolar-induced impatience, which both of us fought in different ways.
We succeeded. There’s now a bunch of holes in the plaster that are
concealed behind the mirror, which is hung higher than we’d like
because we’d pretty much wrecked the wall. But it’s more or less
straight, and the project is done.

Throughout this, like usual when he’s fighting this particular aspect
of bipolar disorder, I had to try to remain calm and optimistic. I
can’t get frustrated because I have to help him fight against the
downward spiral that bipolar disorder would otherwise drag him down
to. In his worst days, back before the medication, before we knew
what was going on, and before I had figured out what my role was in
this battle, this alone could have set him off, perhaps on a two- or
three-day introspective black mood about how nothing was going right
in his life. Now that tendency is not as pronounced, but the thought
pattern is still there if he slips.

So sometimes I hear myself saying the weirdest freaking things. I’m
honestly a bit shocked to hear myself saying, “It’s all gonna be OK,
don’t worry,” and “Tomorrow’s another day,” and “When life hands you
lemons …” Or, worse yet, singing upbeat songs to him: “Everything’s
gonna be alright now, everything’s gonna be all right!” Goofing
around, trying to pull him out of the blackness.

Because, when we first met, I thought that I was the moody,
introspective artist and he was the super stable one, but now I no
longer have that luxury, except when he’s really, really well, which
has only been two months out of the past … well, a very long time. It
turns out that I’m naturally optimistic, and comparatively resilient;
whatever I thought about myself in my 20s was flat-out wrong.

Life does very strange things to you, doesn’t it?

Guest blogger, my wife

Today, by accident, when I was browsing through the apps on his phone
to find good ones to try out, I finally came across his blog. He’d
told me about it but had refused to let me read it. I read the whole
thing, and now he looks sort of embarrassed and proud at the same
time, and says that I was snooping.

I wasn’t, but whatever.

So he’s not exactly revealing much about himself here, clearly. (Umm,
paranoia, anyone?) I was thinking that if we posted his thoughts and
mine on the same entry each day, people might get a better idea of
what life is like once the bipolar diagnosis and demons enter a
couple’s life together.

Right from the outset, I’m going to say that our life together hasn’t
been easy. He is going to feel guilty the moment he reads that, and
start blaming himself for the worries and difficulties we’ve been
through, but he shouldn’t. I’ve come to terms with it, which is
something I’ll talk about another day. The person who is sick always
feels guilty about needing the help and attention, but I know he’d do
the same for me.

What he should know is that I read all the entries and some of them,
where he revealed a bit about himself, reminded me of why I love him
so much.