I met Lauren, an attractive
middle-aged woman with warm, deep blue eyes, for a perfect
cappuccino at Didier Dumas' in Nyack the other day. She had called
to tell me about the support groups at the Mental Health Association
in Valley Cottage, for people with bipolar disorder and for their
friends and family. I asked her to tell me how she got involved,
and here is what she said:
She met Josh, her second husband,
after being introduced through a dating service. They talked on the
phone and he seemed very interesting, very well-mannered. She had
divorced at a fairly young age, and raised her now-grown children as
a single mom. Josh had raised four children, all Ivy League grads,
now with families of their own. He was divorced after a 27 year
marriage, and he continued to work in the highly specialized medical
field in which he had been quite successful. Lauren and Josh began
dating, and soon Lauren learned that Josh's career had been marked
by a series of repetitive conflicts with colleagues; that he needed
a lot of attention; that he could at times be inappropriate and
demonstrate poor judgment. Lauren continued to date him because in
spite of the "issues," he was also sincere, kind, loving, generous,
adventurous, and fun.
Lauren and Josh were married
for about a year, when Josh's strange behaviors escalated. Lauren
needed to tend to her ailing elderly father, and as she became less
available, Josh became increasingly resentful. He made big messes
in the house and didn't clean up; he'd be banging around working on
projects in the middle of the night; he'd easily get angry to the
point of screaming. It escalated to the point where Josh seemed
completely out of control. Lauren laid down the law and got him to
see a psychiatrist; the psychiatrist arranged for an inpatient
hospital stay. Bipolar disorder, which should have been diagnosed
when Josh was in his 20's, was at long last identified, and
medications were prescribed. Josh started acting like himself
again.
Getting the medications right
took about six months. Lauren stood by Josh even though she was
wounded, feeling self-protective as Josh recovered. At the same
time, she learned everything she could about bipolar disorders, she
became a walking encyclopedia on the subject. She learned about the
mood swings, from manic highs to dark, depressive lows. The highs
involve distorted and dangerous thinking, and self-destructive
behavior - extreme irritability and anxiety are common; as are
grandiose, euphoric states. The depressions are dark, deep,
agonizing. These moods can be mixed, they can alternate, they can
be separated by relatively normal periods. Lauren had seen it all
with Josh.
Lauren made it clear she wouldn't be
Josh's nurse or his mother - he would have to be responsible for his
medications, for monitoring his behavior, for staying in therapy.
And he would need to take responsibility for his impact on her and
on the others around them.
Josh and Lauren (not their real names) attend both the Bipolar Group
and the group for Friends and Family of people with Bipolar
disorder, at the Mental Health Association of Rockland in Valley
Cottage.
For information on the Bipolar group that meets on Tuesday nights
please call Leslie Davis at (845)
638-2576; for the
Friends and Family group please call Donna Davidson at (845)
613-7086.
As I left Lauren and told her I would
tell her story in this column, she couldn't help becoming tearful.
"I'm so grateful," she told me. "People need to know about this
illness, how to treat it, how to get support." Lauren, thank you
for having the generosity and the courage to share your story; I
know it will be greatly appreciated.
(For support information
outside of Rockland County, New York, see The Depression and
Bipolar Support Alliance website at
http://www.dbsalliance.org)
© Daniel Shaw 2008