Thursday 2 May 2013

Living with the insane..! (Vital tips for the life-partner of mentally sick..)




Mentally sick persons need sympathy, love and care. Ever thought of his/ her life- partner? Probably, the least discussed issue!

The worst ever moment in life would be that when you realize your spouse is seriously insane.

You will cry, in silence, the most helpless way. Once you come out of all those initial responses such as blaming the God, cursing yourself, suspecting the diagnosis etc., your question to the Psychiatrist would be: “Is it curable?”. You are lucky, if the answer is affirmative, but many are not so fortunate.

Cure depends on many factors such as the nature of the disease, the patient’s adherence to medicines, the partner’s support, and in many cases, the sincere support from the patient’s own family. As a matter of fact, the stigma still exists. So, you may get the next shock when your spouse’s family declares that he/ she is perfectly alright! Be prepared for an array of allegations to follow. Except a few, his/ her relatives may come forward to victimize you, alleging even you are abnormal. Try to accumulate will power. You are further very prone towards insult, abuse and unfair scrutiny at many levels, by the so called ‘normal’ people you trusted a lot. Interestingly, some of your spouse’s siblings also may be undiagnosed cases of the same or similar disease, who would lead the war on you! At some stage, you may too need some anti-depressants, or else, be a philosopher!

Well, mental illness is never a disease just for the poor or the under-privileged. Even a genius or an educationalist can be a psychiatric patient. But in practice, if your sick partner is highly educated, it’s very tough for you to convince others about his/ her sickness.

The awareness of mental disorders among the common public is shockingly poor. In their view, those who wander along the streets nude or in dirty clothes laughing, crying or shouting are the only insane. When you say your well-dressed, educated spouse is mentally sick, obviously his/her relatives will disapprove. They blame you and may generate gossips which will go well along with the concepts of emotional tele-serials. Thus “the silent killer” wins over you!

What makes the difference in the impact of a mental disease from a bodily disease? If one suffers from a somatic (that of the body) disease, because of the pain or other symptoms he would go to a doctor by his own. In a serious mental illness the patient may not seek medical help, because the suffering is not for himself but for the others! He/ she may never admit the disease.

Often, mental disorder is misunderstood just as a marital conflict. Families negotiate to sort out the matter, but in vain. Both of you may be asked to sit with a spiritual guru or to attend a retreat. Slowly the issue attains the form of a dispute between the families.

Proper diagnosis and treatment is essential. Otherwise, the patient will be a “live wire” in your life. Expect a shock any moment. Many of the patients are good story-tellers. More the IQ, the more believable are the stories. If he/ she has a good command over the language, the presentation would be very sophisticated and systematic. Guys, if your insane wife goes to the police station and narrates a well-knitted story of domestic violence, no doubt you are behind the bars, thanks to section 498-A of IPC; no witness required; non-bailable. (Though designed for the safety of women, this section happens to be one of the most misused against men in divorce cases.)

Now, it’s time to learn some medical terms, your psychiatrist may mention.

Delusion: Absolutely false but, a firm psychotic belief, despite strong evidence against it. (Present in Schizophrenia, Psychotic depression etc.)

Paranoia: A mental condition in which the person shows extreme distrust and suspicion towards others, as a result of creating ridiculous worries and baseless anxiety in own mind.

Affect: Feeling or emotion, especially as manifested by facial expression or body language. In mentally ill, often the affect appear abnormal/ inappropriate.

Personality Disorder: A type of mental illness in which the person has a rigid and unhealthy pattern of thinking and behaving, no matter what the situation. This leads to significant problems and limitations in relationships, social encounters, work and school.

Tips for your life, if your partner is mentally sick:

-          Inform your parents/ best friend, once you notice highly abnormal and irrational behavior in your partner in a consistent manner.

-          Put your maximum effort to take your spouse to a psychiatrist or at least a psychologist. Of course, it’s never an easy task. Pour your love in abundance to convince him/ her. Readily agree to “the terms and conditions”.

-          Once the diagnosis is made, never delay to inform your spouse’s parents/ relatives, preferably not in a complaining/ blaming manner. (If you give any hint to them before the diagnosis, the psychiatric consultation itself will not happen!)

-          Follow the doctor’s advice, even if you don’t understand the logic. The patient who never takes the drug regularly may need admission in the hospital. Be prepared, although it would one of the most painful decisions. Love your spouse, but never the disease.

-          If your spouse gets admitted, you get a chance to visit once-a-week. On the first visit, gather all your will power, patience and tolerance to face abuse and curse. Don’t lose your heart. Just neglect the staring eyes around. By this time you are habituated with the hurt of insult and blame. Just don’t bother. It’s your mission to save more than one life. Later, you will find noticeable changes of improvement on further visits.

-          Insight is the major and inevitable sign of improvement. Patients responding well to the treatment slowly realize the truth that they have a mental disorder. They identify their mistakes and the agony created to others. Such patients stick on to their medication, attend regular follow-up and may lead a near-normal life. Others create hell further and land up in hospital for a re-admission.

-          Remember, sometimes your spouse’s relatives continue to be so hostile and unnecessarily interfere in many ways. They know the truth but keep on defending their treacherous stand. Reason is simple: They don’t want the liability anymore. Let the patient commit suicide, they don’t bother. But they are keen to see that you are held responsible. So, always take legal precautions. Keep the treatment records safe.

-          Once you are sure enough that the disease is incurable and, if his/ her relatives are hostile, then file for a divorce at the earliest.

-          Children? Oh God…! They are the most unfortunate, especially if the mother is insane. Let them grow up in a boarding school. It is better and safer than living with an insane parent. Or else, you are contributing new patients to the society.

-          Throughout the course of living together with an insane, be aware of every possibility of yourself falling into depression. Your frustration may often generate anger and negative thoughts of self-killing. Keep in touch with a good psychologist. Don’t quit, as there is life still..!

-          Keep your social contacts as intact as possible. Neglect gossips, since you know the truth. Utilize your creativity and keep yourself busy. Try relaxation techniques. Remember, you are NOT alone.

-          Don’t expose the issue to the public unless inevitable. Don’t be too optimistic expecting practical help. Instead, you may be misguided or exploited, because now-a-days tragedies are often being celebrated! Depend only on trustworthy friends and reliable relatives.

Finally, anyone here, having a good heart watch your friends and beloved ones. If someone shows a sudden withdrawal from the social circle without any relevant reason, probably there’s something fishy. Care for him/ her. He/ she may be the victim of a mental disorder, or a more unfortunate caretaker!
(Plz share with ur beloved ones)