Family & Friends of Bipolar Support Group
This community is dedicated to parents, siblings, grandparents, other relatives and friends of someone who is Bipolar. The purpose of this community is to help families and friends develop greater patience and understanding, as well as maintain a positive, caring relationships with those diagnosed as Bipolar.
DontPanic42
My husband has either bipolar or schizoaffective disorder. They're both quite similar. I can generally be supportive because I have lived many years with major depressive disorder. However, he told me last night that's he in a mixed state. He wishes he it would switch to either one or the other. And I have no idea what that is like.
My preference would be to ask him what it's like and learn what he feels like, but when he gets a certain way (like he is right now), he become very defensive whenever I ask how he is doing. It's gotten better since we were first dating. I used to ask him how he was doing when we would first see each other, and he would get so defensive and completely avoid the question because past experience had taught him that people only ask how you're doing because they want to use it against you. I remember a terrible fight when I was "crying at him" (he said), and I finally told him that even if he couldn't believe that I really cared, I was still going to ask because I do care. And he chose to believe that I care.
Most of the time, he responds genuinely now. But I know that in this state he's in right now, he's either not going to tell me how he's really doing, or he's going to get angry because I'm "not giving him the space he needs to get himself better". I'm not afraid of him at all, but I feel so sad when he's not okay, and I want to do what I can to help him and not give him fodder for more delusions or paranoia.
So can anyone tell me what a mixed state is? What does it feel like? How can I help him?
My preference would be to ask him what it's like and learn what he feels like, but when he gets a certain way (like he is right now), he become very defensive whenever I ask how he is doing. It's gotten better since we were first dating. I used to ask him how he was doing when we would first see each other, and he would get so defensive and completely avoid the question because past experience had taught him that people only ask how you're doing because they want to use it against you. I remember a terrible fight when I was "crying at him" (he said), and I finally told him that even if he couldn't believe that I really cared, I was still going to ask because I do care. And he chose to believe that I care.
Most of the time, he responds genuinely now. But I know that in this state he's in right now, he's either not going to tell me how he's really doing, or he's going to get angry because I'm "not giving him the space he needs to get himself better". I'm not afraid of him at all, but I feel so sad when he's not okay, and I want to do what I can to help him and not give him fodder for more delusions or paranoia.
So can anyone tell me what a mixed state is? What does it feel like? How can I help him?
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I think it's more or less impossible to explain to anyone that has not experienced it.
You might get close if you took large amounts of amphetamines then added LSD and had a bad trip. Or maybe PCP "Angel Dust".
If he is in true mixed state he needs medical intervention or possibly hospitalization - he may be a danger to others (more by accident) or himself.
So on the whole with mixed state everything is upsetting, annoying, everyone moves too slow, your delusions are bad, you are impulsive, you over estimate your abilities, you feel like killing yourself and you have the energy to do so.
see also
http://en.wikipedia.org/wiki/Mixed_state_%28psychiatry%29
So on to the next part of my question. How can I help? He refuses to be on meds because he feels it changes who he is. Do I just need to hang in here with him until this state passes?
I cannot fathom how anyone can go through it and not want to do anything to avoid that situation re-occuring. With 20% "sucessful" suicide mortality in people with bipolar he risks so much.
And ..if it is true mixed state and as you specifically mention paranoia and delusions so I'm thinking yes - it's believed that the attacks become worse and more frequent with time.
If he's schizoaffective which combines bipolar episodes but with symptoms of delusions, paranoia between episodes I don't think the story is much different.
I'm a CL from the bipolar board and I particularly worry for the safety of the schizoaffective men
You probably don't want to hear that but it's important you get how serious this is.
It's a mixture as fish has said of the high and the low ... Whenever I start to get hypo manic it turns within a very short amount of time to bad news
I feel horrible...I'm paranoid... I've had auditory hallucinations and can barely move.... I've felt nothing short of terror and yet still understood that this was illness and not real
So the mania for me wasn't as debilitating as it is for some but I can't function in this state whatsoever
I've been put on Perphenazine 4 mg twice a day to bring me back down and it's worked well within a couple of weeks
I'm really not sure what I'm going to do. I know my husband has been depressed for several weeks now. He's functioning well most of the time, but there are certain things that keep coming up. We recently moved to another state, and we had to be apart for almost 4 months. It was really hard, and he keeps questioning whether he made the right decision, no matter how many times I tell him that I love him and I love it here and that all of the other related problems will work out in time.
I am afraid that if I ask him to seek help, that will make matters worse. I've asked him to get help in the past, and it turned into a really painful point between us until he finally got through the slump on his own. He tried meds for a couple of days, felt horrible, and stopped. I don't want that to happen again, not only because I hate conflict, but also because feeling like I am pressuring him or against him or whatever he might feel due to his illness would likely just make this hard time worse. He is always wonderful to me, but there are times when we experience strain (as does any married couple), and I don't want that strain to be his breaking point. He trusts me (most of the time). He doesn't really trust anyone else. I don't want to lose that. :(
I don't expect anyone to have an answer, but where is the point between loving him and supporting his decision and loving him and forcing him to get help? :(
He's not getting treatment??...No wonder he's unwell... It sounds like you spend your life walking on eggshells and that would just plain suck.. I couldn't do it for any amount of time..
Are you enabling him do you think??....Perhaps being forthright is what would help him even if it's not really what he wants to hear... He has an illness that isn't being treated and expects you to just 'deal with it' and not mention it to him..
I couldn't do that...I absolutely couldn't and I'm sorry you're going through this... It won't just magically go away... It won't disappear if we don't deal with it...
I'm putting up a link to try and help you... not offend you.... Big hug...xo
http://www.psychologytoday.com/blog/the-anatomy-addiction/201207/are-you-empowering-or-enabling
Experience. I've known more shizo-affective members on DS that have either had major suicide ideation or have actually committed suicide.
The women sewith schizo-affective disorder seemed to be more stable.
Admittedly it's a small sample of the population but nevertheless it's my impression.