Dear Sister, please take your lithium.

Dear Debbie:

Yes, we, your family, know you are bipolar. We know you’re not taking your medication anymore, and we know you’re in denial and claim you are no longer affected. No, that homeopathic medicine the quack is selling you doesn’t do squat, as is obvious from your appearance today, in a hyperactive, manic state, screaming at people, spouting obscenities, and generally throwing a fit. Perhaps you could arrange to crash and enter the depressive phase by the time thanksgiving dinner starts? It would be much less stressful for the rest of us.

We know you’ve worked hard to erase unpleasant memories from your broken mind. However, we still remember them. In particular, I remember a few thanksgivings ago, when you had a completely unprovoked psychotic episode, and threatened to slash your arm with the carving knife and then call the police and tell them I did it. Perhaps you did not know that after this incident, I consulted an attorney and attempted to get a restraining order against you, requiring you to stay 500 feet away from me. Alas, the attorney said that I had no physical evidence, no independent witnesses to your behavior. Perhaps you have not noticed that ever since that time, I have never been alone in a room with you. My attorney advised me to never be in the same room with you unless there was another witness present, and that if you followed me alone into a room, I should leave the room, and if necessary, the house.
We also remember your 5 suicide attempts, the repeated, forcible incarcerations in a mental institution, your messy divorce, and your failed business that ended up draining my father’s life savings before you finally went bankrupt. We remember when you called the police on our neighbor when you were visiting, insisting that he was peeping in the window at you (he was out of town at the time). We remember the time you tried to kill me because I wouldn’t let you change the TV channel. We remember your manic episode when you swiped Mom’s Neiman-Marcus card and bought $2000 worth of christmas cookies, then gave them to HER. What a nice Christmas present, you didn’t have to spend a dime of your own money, it only took Mom 2 years to pay it all off! And I have only scratched the surface of all the insane things you did, and still continue to do.
Yes Debbie, we remember, and we still observe it happening, even if you don’t. Apparently we know more about bipolar disorder than you do. We all read the books, particularly one series of essays by a PhD Psychologist who is herself afflicted with bipolar disorder. She says that she doesn’t like the side-effects of lithium, for the same reason you refuse to take it, it makes you sluggish and you get fat, but that you have to take it anyway. Too bad you’re such a vain person (even though you’re pretty damn homely and have no rational reason for vanity). The PhD asserts that there are only two paths for a bipolar person: either you take lithium every day for the rest of your life, or you commit suicide. She says there is no way out, it is an absolute certainty that every single manic-depressive person will, without medication, kill themselves. So if you’re not going to take your lithium anymore, would you please hurry up and kill yourself? At least then, your ex-husband would get custody of your child, and since you are the least fit parent on the face of this earth, that can only be a good thing. Yes Debbie, we remember when we phoned you one night and your little 5 year old child answered the phone and said you did something bad and won’t wake up. You should have known you can’t commit suicide with a bottle of Prozac and a bottle of wine. If you’re going to try to kill yourself again, please have the courtesy to at LEAST not do it in front of your child again. She is already traumatized enough just from living around you, let alone witnessing your repeated suicide attempts. Since you are eventually going to kill yourself and inflict greivous mental damage on your child, perhaps you could arrange to do it somewhere besides right in front of the child?
Sorry if it seems harsh that I wish you would kill yourself. But that’s not really what I, and all the other members of our family really wish. What we REALLY wish is that you had never been born. But alas, this cannot happen. If only it could, all the unending horror that you’ve inflicted on us over the years would not have taken place. Yes, Dear Sister, the world would be a better place without you in it. Our house is a better place without you in it. So after Thanksgiving dinner, you are cordially invited to FUCK OFF and go back home, IMMEDIATELY. Go do whatever it is you do with your life, just do it AWAY from us. Far FAR away.

ouch.

I hope that not everyone thinks that way of me… (it sounds pretty similar to the way I can act when I miss my medication–which sends me almost instantly into “the depths”)

Maybe she should try different medication? I started off on lithium but only took it for a year. I was taking it with Paxil, then I went to Paxil only and did just fine. Now I’m on Celexa, which I think is better than Paxil (and if I miss a day I don’t have the insta-psychosis thing, it’s more gradual)

This was not intended as a sneer at bipolar victims in general, Opal, just at my horrid sister. She’s been insane on a level far beyond manic depression, ever since she was a small child. I cannot concieve of anyone on earth being as horrid as she is, you could not possibly be as bad as her…

Alas, she refuses to take ANY medication, she is convinced she is not affected by any mental disorder. She will remain convinced of her sanity right up until the next time she gets institutionalized again.

I know from personal experience what bipolar is like, had to have the wife hospitalized a couple of years ago because of it. We have a small child also, and she wouldn’t act responsibly around her either.

Fortunately, the S.O. does take her lithium, she has a good doctor who has tweaked her dosage and given her other medications to help with the side effects. Finding a good enough doctor in and of itself can be a real struggle.

My thoughts and prayers go to you this season, and to that child. I hope the situation gets resolved for everyone’s sake, and gets resolved without causing other problems.

And Opal, your knowledge and awareness of your difficulties is what separates you from Chas.E’s sis. Just keep after it, okay? Hope the celexa keeps working for you.

b.

Thanks for that, I should have said it that way. Funny though, I thought my sister got past that denial stage about 3 institutionalizations ago. But here we are again, back at square one.

Alas, there is almost zero chance of having a good holiday. But I appreciate the sentiments. If we just manage to get through the holiday without bloodshed, I will consider it a success. But the dread I feel for my poor little niece will remain.

They have to take it for their own reasons, of their own (unpressured) volition, in light of their own independent conclusion that they’d rather be on lithium than off it.

(I have friends in the movement who are bipolar but choose to remain unmedicated. Some of them aren’t much fun to be around, but that’s also true of some of the medicated ones :wink: The important thing is that they accept the consequences of their actions, and don’t try to have it both ways, e.g., “You can’t have me arrested for that, I did it because I’m SICK”)

Ultimately it is their brains and their biochemistry and they have the unalienable human (and in most places in the US, legal) right to make this rather basic choice. My friends tell me that lithium “flattens” what they feel to the point that no horrible consequence of a possible manic episode outweighs the lure of actually feeling something with some degree of intensity once again.

You certainly have the right to say “I don’t want to have anything to do with you, you tried to have me locked up as an assailant”, though, and you may find that you have to. Sorry your Thanksgiving is being marred by this.

And the damage they do to their children? Is that their right too? Refusal to comply with their therapeutic regimen (when said refusal impacts minor children) should be grounds for termination of all parental rights. I have seen too many things too horrible to mention here happen to children of psychotic parents.

Qadgop, MD

Attempting suicide in front of a child is probably grounds for changing custody in every state of the union. Chas, please look into getting that poor child into a better environment.

The allegedly “differently minded” should have the same rights, and be subject to the same restrictions, pertaining to how they treat their children. If one hurts one’s children, protective services should step in, and in many cases one should lose one’s custody.

Whether one does or does not take the advice of a medical professional regarding what one does or does not put into one’s own body is not, in and of itself, relevant here.

I just consulted my girlfriend, who has MS and Hashimoto’s Thyroiditis, her opinion of the notion that citizens should not have the right to choose not to take medications prescribed for them. She said “Good God, I’d be dead by now if I took everthing that has been prescribed for me!”

In the case of psychiatric medications and prescriptions, I say this is is more applicable, not less. The potential invasiveness of the medication is more personal, the etiological understanding of the medical professionals is more questionable, and the social opportunities for using such an apparatus for the benefit of others rather than the benefit of the patient are frightening.

In case everybody is curious, after my sister had her fit last night, she grabbed a tallboy beer from the fridge, popped it open, ran out to her car, and burned rubber out of the driveway, beer in hand. She was not heard from until midday today. I figured she wrapped her car around a phone pole somewhere (or maybe it was only wishful thinking). Suddenly she shows up for thanksgiving dinner with a special uninvited guest: her ATTORNEY. The attorney mostly sat silently in the corner of a room, watching me like a hawk while pretending to read a book. I don’t know what lies she told her attorney last night, but she must have screamed for hours because she is very hoarse and can barely speak today. Hooray for small mercies!
I told my mom, I felt underrepresented at the table, I want my attorney present too, before I was prepared to begin the First Circuit Court of Thanksgiving Dinner.

But worst of all, dinner was over 2 hours ago and she’s STILL HERE!

Anyway, thanks for your support, everyone, and at least you guys know that no matter how crappy Thanksgiving was, with the traditional family conflicts of the season, there was someone out there who had a worse holiday than you did. Oh… I should make some other quickie responses.

Billy, yeah, she had some of the finest doctors in the world, courtesy of our local university. That’s why she moved 2000 miles away from here, so she could find some quack that would tell her what she wanted to hear. Now she claims she never was bipolar, it was just overwork and hypoglycemia. She got this tactic by conning a nurse on the psych ward into telling her how to fake her way through a psych exam. Since then, we’ve been unable to keep her locked up, she just fakes her way back out. Oooh is she devious. What I don’t understand is how she managed to get custody, since the hearing was about 1 month after she conned her way out of the looney bin. Why didn’t her ex-husband contest it harder?

Yes DPW, I desperately desire to get my little niece out of that environment, hopefully back to her father. But I have been thwarted by my mother, who believes that a child belongs with the mother, no matter what. At least we’ve been able to get more visitation for the father, who lives in a different city, so he gets months of custody at a time. I hope he’s able to undo some of the damage, and give her a safe place.

AHunter3, you may have a valid point, but at the same time, I keep hearing the voice of the judge from the first mental competency hearing, saying the words “a danger to oneself and others.” And this is so clearly the case. Her right to not medicate herself ends at a certain point, just as your right to swing your fists ends where my nose begins. I’m not talking about someone “differently minded,” I’m talking about someone “broken-minded.” She can become violent or suicidal at any moment. She has the right to choose not to take medication, but that should have made her completely ineligible for custody of a child.

That changes everything. (And sorry about your miserable Thanksgiving, Chas E :frowning: )

A mental competency hearing is due process; a person can be diagnosed bipolar, schizophrenic, paranoic, hebephrenic, etc., until the shrink is blue in the face, but still retains the right to decide for him- or herself whether or not to take the pills…UNTIL AND UNLESS a competency hearing determines that she or he lacks capacity to decide. A competency hearing is a setting in which the alleged incompetent has full access to representation by an attorney and standards of evidence protect even schizzies and manics from unfair inferences.

I agree completely that if she has been judged incompetent, the court should be able to determine what medications she needs to take (including, but not limited to, lithium, Vitamin C, heart pills, etc), the same as if she were in the latter stages of Alzheimer’s. And her kids should have a responsible adult in charge of them, which a legally incompetent person, by definition, is not.

I am completely and totally in favor of competency hearings, and it is the bypassing of them, and the substitution of psychiatric diagnostic opinion (and mental hygiene commitment hearings, which are yet another animal) for them, that I oppose.

I apologize if I have added to your grief or frustration today.

Far from it. Even if you had, I am just numb from dealing with Miss Psycho-Sis, it wouldn’t matter.

Well Chas, if you are in California, I’d be happy to sit in next year and stare down her attorney for you. We could posture and make faces. I charge $250 per hour and dinner would have to be included. I would say a lot “as your attorney, I must advise your to…” use gravey, not eat cranberry sauce, no a la mode, etc.

I would have to agree with that…I’ve spent an amount of time on lithium, and I hated it. I suppose it’s because I’m hypercritical of my thoughts, actions, and reactions…I knew that I wasn’t feeling, and that bothered me. Then again, I was a minor, and the it kept me from kicking a(nother) bloody hole in the wall.

This time, I’m not on Lithium, after having insisted that they try something else. God, I hope no one I know reads this place.

yeah, I can see it now…

Her: Could you please pass the salt?

(DP, sitting at my immediate left, leans forward and whispers in my ear, with a grave look on his face)

Me: I’ve been advised not to answer that question.

You have my deepest sympathies, Chas. Someone needs to wise your mother up as to just how fucked over your neice will be from watching her mommy melt down over and over again. Near term decisions may well affect the survival of this little girl. My heart goes out to you.

This is why I like the idea of implantable pumps giving medications. Imagine: A little pump with a little resivoir of lithium or prozac or whatever, giving the drug on a dosage schedule (or maybe continuously) automatically. No missed doses, no irrational refusal, no life-or-death hostage situations that could have been prevented with 50 mg of a damn drug. Simple office procedure under local anasthetic (think minor dental work) to refill/replace the resivoir, simple schedule of infrequent office appointments to adjust dosages/drugs, and freedom 90% of the time while the pump does its thing and the person does theirs.

Diabetics already use it for insulin. Why can’t the insane use it for their meds?

Charming.

Or we could just bring back lobotomies.

Chas.E, you need to look after yourself, and it sounds like you need to stay away from your toxic sister to do that. Visit the rest of your family as much as you like, but don’t come to the family gatherings where you know she will be present. It looks like she has a special hatred for you, and as cunning as she appears to be, I don’t think it will end well for you. Protect yourself, and stay away from her. What a rotten family situation; you have my whole-hearted sympathy for the lack of good choices you have here.

If you dont hear anything good for the rest of the day, let me just comment you on some excellent wordplay.
Sorry to hear about the Sis. Have you tried talking to her ex about going for custody?