Bi polar 1 son refuses treatment
My son spent ten days at Genrose in June 2022 following a severe two week Mania ( he was missing for over two weeks - gave away everything he owned and racked up $12,000 in debt before ending up homeless on his way to disappear into Mexico … he is usually calm, always nice - but doesnt want to work since my husband died six years ago, keeps quitting … (32 years old) and he has stopped medication and therapy - BOTH within three days of being released from Genrose. Just quit his job AGAIN - but if I talk to him ( which never goes well as he either has no problem or I am “ trying to make him feel guilty”) he could quite possibly flee again. It’s all so hard on my heart, my pocketbook and my other four children. What do I do ? Does anyone have any ideas ? Have you been in a comparable situation? Prior to my husbands passing he was a successful college graduate, athlete and worked for 3 years abroad. He came home to help… and it has t been the same since. ( twice hospitalized at Genrose - first time for bipolar -depression, suicidal - this time for Mania with delusions ). If you met him - you’d never guess. He tries so hard to control it all (white knuckle meditation) and does so well most of the time. But it’s no way for him to live and I wish for him to be independent and thriving. Would so appreciate any insight. THANKS!
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I agree. I thought this past time of calling me from under a bridge would be his rock bottom. He went thru Mayo and was put on lithium- but was off it within a week. He is kind in the house and working full time now, and his swings are virtually unnoticeable ( but I see them, he really keeps them under control ). I promised his siblings that should he disappear again that I won’t rescue him. And for now I guess having him home allows him to save up for some sort of future ( he’s 32) on his own. It all gets so complicated because he’s so sweet and kind ( usually, although when he’s stressed his replies get short and he goes to his room …. So he won’t yell, etc…) and since my husband has died - having extras in the house seems right. His brother is also home since just graduating college. My question is …. How do I inspire ( or demand or encourage) him to fly. To go off and create his own life. After all , I won’t be around forever.
Sometimes the hardest thing to do is nothing at all. Or at least it will feel that way. My own parents as I see it now, were enabling my illness and addiction. Until I felt the pain of my choices, there was no stimulus to change. You can only fix yourself. Healthy boundaries are essential. I hope you are talking to someone.
Exercise (why a manual labor job seems to help, probably) and a good diet is very important in bipolar disorder and addiction as well. I am not as good about the exercise as I could be. But in working as a nurse (gero-psych), I want to do NOTHING when I am off work. I enjoy yard work which is a great workout. My medications cause weight gain and carb cravings, and the new med I am taking is giving me the munchies, so I filled my fridge with fresh fruit. I gave myself no other choice than healthy snacks!
I so appreciate your insight. 💙
Hello, Catmomma
Our family has a similar experience.
My son is in denial of his bipolar condition. He was continually noncompliant with his prescriptions ordered. His psychotic episodes became more intense. After numerous hospitalization he left home. Family members offered him security and warmth at hotels. He declined and opted to live in the Arizona mountains. He almost froze to death.
Unknown to his dad and I he was involved with drugs and alcohol. Upon returning home from Arizona a judge ordered his guardianship to me. To keep him “safe”.
Due to his “poor judgement”
He would need to attend medical and psychiatric appointments. After much encouragement his psychiatrists convinced him to take the prescription Abilify via injection (every 30 days).
He was jobless due to his paranoia since 2012. Only recently got a job.
The job is helping him.
He still cannot identify his episodes. Voices are still there. But is dealing with them at this point.
We joined NOMI and to this day belong to parent groups with whom have had experienced these hardships.
He lives with us. Under the agreement he has to attend therapy groups, AA. and remain sober. Doesn’t believe he needs therapy groups but attends.
His life is better but doesn’t believe in his bipolar condition.
“Setbacks can happen”.
We took a severe setback. Last summer he experienced a cannabis induced psychosis. He hit “rock bottom”because of the withdrawal causing a hospitalization.
We started over and are back on track. Boundaries have been set.
He’s observing your commitment to the program too as well.
Support groups help in healing.
God Bless you.
Hopeful1953,
You have had more than your fair share of challenges. Your story is similar to mine, same diagnosis with similar behavior issues - but your story is much more intense. Which is humbling for me to read… for as long as my son refuses treatment, I know his story could eventually be much more similar. Like you I have my son at home to maintain his situation and reduce his stress, which keeps his bipolar at bay - more or less , I love him. But sometimes it becomes blurry between helping and enabling. Any clarity you can share ?
Thanks again for sharing.
1953,
I'm glad your son is doing so much better. Talking to someone who understands, who's been there, whether dealing with mental illness or addiction (or both) can feel like a lifeline. I've been in a mixed state most recently, which can sneak up on you. For me, I was still going to work, so there was the misperception that "everything is fine." People who have been there can call you out on it. Or be there to catch you when you fall.
And I can't imagine what it must be like to be on the side of family.
I am in some ways glad my parents did not abandon ship. I also know myself well enough to know that requiring me to do something like that may just have pushed me further away from where I needed to be. In my own case, I think I needed to get there on my own. Thankfully, my family probably realized that years ago. Unhealthy as the family dynamic may be. Parents usually know what's best.
No easy answers.
Cat momma,
Indeed, I believe ( feel) my son will get there on his own with time and space. And I’m willing to give him that space - especially as he is not disrespectful and holds a part time job, but everyone around me… they want me to push. To counseling and onto meds or out the door. But how will it help him to be out the door ( as that is what would happen) when I see him doing better ? So complex. I appreciate you sharing your experience. (:
What can a parent do when their child is 18 and rejects any treatments and medications?
Until your adult son (by law) decides he needs treatment he will seek it. Unless he becomes an immediate threat to his own health or others your hands may be tied. Unfortunately this is our reality and your sons that we can no longer force mental health treatment on our children, even if they need it. Sorry