The symptoms you describe definitely indicate that his medications are not working. You say he sees an MD. A psychiatrist or a family doc? Has he seen his doctor recently? Does the MD know how severe his daily symptoms are? At this point he is completely non-functional and a psychiatrist needs to see him and understand that. It's time for a new approach.
I don't want to be contradictory, but your husband's moods
ARE completely out of his control at this point. I know it is incredibly frustrating to watch your husband seem to self-destruct and leave you holding the bag, but I can assure you as someone who has suffered through it, he would likely do ANYTHING if it would make it go away. It feels that bad. The problem is, the depression sucks away any energy you might have to be in control of your life, or any belief you might have to feel like you could change it. You honestly feel like it will be like this forever and ever and it will never change no matter what you do. The depression just eats your soul away, convinces you you're worthless. And it cycles. So you accept it. What he's suffering from is a serious malfunction of his brain receptors and chemical imbalances, and frankly, he IS going to have to find a medication which works to make it better. Quitting smoking isn't going to do it. If you decide to stay
, what your husband could use is some help getting this mood stabilized so he can get back on track. He needs is someone to be his advocate, someone to go to the doctor with him and tell the doctor what is really going on. Depression makes it really hard to express what you're really thinking and feeling. Your memory goes. If the doctor isn't willing to change medications or reconsider treatment even though the current treatment clearly isn't working, you need to find a new doctor. It is your husband's responsibility to take charge of his treatment, accept the help, take his medications, and continually work towards getting better. You say he's taking his pills and going to his appointments, so clearly he knows he has a problem. He needs a break.
You are absolutely right that the smoking, diet and exercise are probably not helping, but when you are already that depressed, being bombarded with a list of things you are doing wrong is completely counter-productive. It just reinforces the idea that he's worthless and he is already being debilitated by that. He won't be able to address those issues until his mood is stabilized. Once he's stabilized he can be more proactive about
maintaining his wellness. There are ways to be aware of our triggers and try to head episodes off at the pass, but in order to learn about
those triggers you have to be pretty healthy in the first place.
Could you tell us what medications he's on and how long he's been taking them? Also can you tell us what his manias are like and when he was last manic?
SerafenaCo-Moderator, Bipolar ForumAsk me about my Bipolar Disorder!
Post Edited (serafena) : 10/8/2007 1:34:38 PM (GMT-6)