Q. Help With Bipolar Adult Daughter: My beautiful daughter has bipolar disorder. She is vegan and hesitant to use artificial medication to manage her symptoms. Typically she is able to find the tools to cope but when she goes into an angry paranoid state, her mania makes it hard to be around for a couple of weeks at a time. She is underemployed, angry at our capitalist society, and feels I am trying to control her by helping her in ways she doesn’t ask, and not helping her in the ways she needs. She has a hard time dealing with the red tape involved with mental health services. When she isn’t in this state, she is a thoughtful, loving, and kind person with extreme compassion for people. What can I do to cope with the intermittent vitriol and not make her feel as if I am overbearing—while at the same time letting her know she can’t treat me like crap when she’s manic? I want her to know I always love her, even when she is hard to be around.
A: Sadly, her condition helps lead to her erroneous conclusion that medication will poison her. Obviously, she needs a sensitive practitioner who will not just manage her medication, but will do true therapy—not just a 15-minute check-in and a new prescription—to help her be as highly functioning as possible. She is cycling through destructive bouts of mania and depression (bipolar disorder was once called manic-depression, after all). If she were stabilized on medication, you would see much more of the thoughtful, loving person, and less of the paranoid one. The dilemma is that she’s an adult, and the laws about people with mental illness are designed to protect their civil rights—a wholly worthy goal—but they go so far that sometimes, tragically, people who desperately need help don’t get it because it is so difficult to compel treatment. If she is not a danger to herself or others, there is not that much you can do. Except that when you’re daughter is in her a more rational state you have to gently discuss with her how the two of you can work together to find her a practitioner she feels in sync with who can help her buffer the highs and lows.
Commitment can be for inpatient or outpatient treatment. But it is court-ordered treatment. Here are the state laws for the standards to commit people -
You can't just "commit" people anymore. And, you cannot commit an another adult who doesn't agree to be committed.
Yes, you can.
Yes you can. If they are a danger you can.
And underemployment has nothing to do with a bipolar person "choosing" their mood. It's a chemical imbalance. They don't control it. This woman refuses traditional medication. Without it her prognosis is dim.
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“You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise!” ― Maya Angelou
Being a nasty bitch is not a medical indication for psychiatric commitment. Otherwise, there would be a whole hell of a lot of people locked away!
She is diagnosed bipolar. Her behavior is a result of her condition and she is NOT taking medication. She needs to be committed and get medication.
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“You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise!” ― Maya Angelou
Also that is pretty rude to call her a "mean nasty bitch", try having a little compassion for someone with a severe mental disorder who can't always control her emotions and outbursts.
-- Edited by VetteGirl on Monday 2nd of February 2015 11:35:36 PM
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Was it a bad day?
Or was it a bad five minutes that you milked all day?
Being a nasty bitch is not a medical indication for psychiatric commitment. Otherwise, there would be a whole hell of a lot of people locked away!
Seriously? Her moods and outbursts are a direct result of her mental illness. That makes her sick - not a bitch. Do you call developmentally delayed people retards, too?
WTF is wrong with this board, lately?
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LawyerLady
I can explain it to you, but I can't understand it for you.
She's an ADULT. She has the responsibility to take her medication. That isn't mom's responsibility. The same if you are diabetic or hypertensive or anything else. YOU have the responsibility to take care of YOU.
Though, I don't understand how dragging her off and committing her is somehow going to help the situation? I think it would be better to enlist the help of a therapist who can get her to understand that she needs to take her medication on a regular basis. Until she gains insight to do this, then committing her over and over isn't going to help.
Not sure why I am being labeled "mean" when you are the one who apparently think that Bipolar people NEED to be committed in the first place. Wow. Most bipolars I know are not violent or self harming, so who is the one setting up the mental illness stereotype? Wow.
Here are the laws on Involuntary commitment in my State:
Involuntary Commitment (aka “a 302”)
An involuntary commitment is an application for emergency evaluation and treatment for persons who are "dangerous" to themselves or others due to a mental illness. Dangerousness is determined based on the following criteria:
•Danger to self shall be shown by establishing that within the previous 30 days: ◦the person would be unable without the care, supervision and assistance of others to satisfy his/her need for nourishment, personal or medical care, shelter or self protection or safety and that death or serious physical debilitation would occur within 30 days unless treatment was provided;
◦the person has attempted suicide or the person has made threats to commit suicide and committed acts in furtherance of the threats; or
◦the person has mutilated himself/herself or the person has made threats to mutilate and committed acts in furtherance of the threats.
•Danger to others shall be shown by establishing that within the previous 30 days the person has inflicted or attempted to inflict serious bodily harm on another or has threatened serious bodily harm and has committed acts in furtherance of the threat to commit harm to another.
Because this commitment is involuntary it may require the assistance of family, crisis professionals, police, ambulance and any other person involved in the crisis.
In every 302, a petitioner is required to sign the 302 and appear at a hearing, if necessary. A petitioner must have first-hand knowledge of the dangerous conduct and be willing to go to an emergency room or the Office of Behavioral Health (OBH), located at One Smithfield Street, to sign the 302 form.
The petitioner may be required to testify at a hearing regarding the dangerous conduct that he or she witnessed. A police officer or a doctor has the authority to initiate a 302 without prior authorization from the OBH delegate. The OBH delegate can be reached by calling 412-350-4457.
Once a 302 is authorized, the individual will be taken to an emergency room by the police or ambulance for an evaluation by a physician to determine if they need to be admitted for involuntary psychiatric inpatient treatment. If the individual is admitted they may be kept no longer than 120 hours unless a petition for a 303, Extended Emergency Involuntary Treatment, is filed by the hospital.
My son's girlfriend's mother has Bipolar. And, she does make some poor choices. But, she isn't violent or self harming in any way nor do I know many Bipolars who are.
we shouldn't be advocating that someone must be forced to take any medication, regardless of condition. The exception would be for those who are dangerous without it.
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Sometimes you're the windshield, and sometimes you're the bug.
we shouldn't be advocating that someone must be forced to take any medication, regardless of condition. The exception would be for those who are dangerous without it.
Even if it's the illness itself that makes a person refuse medication?
Well, that's the grey area flan. Where do we FORCE adults to do things against their will? Is that what you are advocating?
No, but it's not that simple.
I'd like to hear Vette's views on the issue.
flan
I didn't say it was. I didn't say it was as simple as just saying "commit her". I think that notion that Bipolar adults "need" committed seems an overreaction.
Well, that's the grey area flan. Where do we FORCE adults to do things against their will? Is that what you are advocating?
A person with an untreated mental illness cannot make rational decisions. This is her MOTHER, not some random stranger - and she could have her declared incompetant and become her guardian. Once she is her guardian - she can put her in a facility and require her to get help.
Kind of like Britney Spears' father did - and she was an adult, too. Actually - she is STILL under that guardianship.
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LawyerLady
I can explain it to you, but I can't understand it for you.
OK, fine. Let's ask those with Bipolar. Do you want those around you to be able to declare you "incompetent" and easily have you committed when you are struggling a bit with your illness?
OK, fine. Let's ask those with Bipolar. Do you want those around you to be able to declare you "incompetent" and easily have you committed when you are struggling a bit with your illness?
Struggling a bit? She won't take medication and goes manic for weeks at a time. I don't think you understand what that is like.
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LawyerLady
I can explain it to you, but I can't understand it for you.
I didn't say I did. But, I wouldn't be calling the Paddy Wagon the instant it happens. I have struggled with my own issues of depression and it something I had to work through. So, no, I don't claim to understand Bipolar but I think commitment is for extreme circumstances, not the first Go To reaction.
And, you can't just declare someone "incompetent". Just because she is Mom doesn't mean her saying "oh she's incompetent" means the entire medical system will go along with her declaration. She would have to be legally declared incompetent and no mom does not get to make decisions for her if she isn't, even if it is for her own good.
I didn't say I did. But, I wouldn't be calling the Paddy Wagon the instant it happens. I have struggled with my own issues of depression and it something I had to work through. So, no, I don't claim to understand Bipolar but I think commitment is for extreme circumstances, not the first Go To reaction.
Well, first of all - this is an "instant" issue, it's been going on for a while. And commitment isn't about a life-time thing - it's about getting her the help she needs. There is out-patient commitment where she is court-ordered to see a doctor and attend therapy. There is a guardianship and/or conservatorship over her person to make sure she gets the care she needs so that she can't financially ruin herself while in a manic state.
No - taking control of an adult shouldn't be taken lightly - but mentally ill people who refuse treatment NEED guardianship and care.
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LawyerLady
I can explain it to you, but I can't understand it for you.
I don't disagree. But, I have known people who have had great difficulty getting someone treatment who clearly needed it.
Getting a guardianship can be a very difficult and expensive process - most don't know how to do it, or can't do it. Or, they are afraid of alienating the person by seeking the guardianship. If you are taking over financial matters, too, you have to be able to get a bond.
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LawyerLady
I can explain it to you, but I can't understand it for you.
I have a problem with assuming that mental health issues makes you a "crazy" where you are violent and dangerous and need to be committed. I don't think we should be too quick to take away the rights of adults and easily declare them incompetent, EVEN if they SHOULD be taking their medication. Do we want to hold them down and force medication down their throats? I dont' know. I don't have all the answers. But, we continually create stigma in this country by using the "mental illness" as our knee jerk reaction to every act of horror or violence that happens here.
I have a problem with assuming that mental health issues makes you a "crazy" where you are violent and dangerous and need to be committed. I don't think we should be too quick to take away the rights of adults and easily declare them incompetent, EVEN if they SHOULD be taking their medication. Do we want to hold them down and force medication down their throats? I dont' know. I don't have all the answers. But, we continually create stigma in this country by using the "mental illness" as our knee jerk reaction to every act of horror or violence that happens here.
Well, all of this would take the certified opinion of a doctor. Usually, two - the patients own, and then a court-appointed one.
But, there is no way in hell I'd sit back and do nothing while my mentally ill child continued through manic depressive cycles and refused to get help or take medication. No flippin' way.
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LawyerLady
I can explain it to you, but I can't understand it for you.
I didn't say it was "do nothing" or "have her declared incompetent". There are other options between.
You really think this mother hasn't tried them? The girl will not take medication. She will not seek therapy. Would you prefer some non-legal recourse? Maybe she should just cut her out of her life. Or hey, who cares, just continue to put up with it. What is YOUR brilliant solution?
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LawyerLady
I can explain it to you, but I can't understand it for you.
Well, Gaga, you did with pretty much your first posts on this thread. But instead of just sitting there criticizing what other people say, why don't you try actually providing some ideas and solutions. You say there are in between measures - what are they?
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LawyerLady
I can explain it to you, but I can't understand it for you.
Though, I don't understand how dragging her off and committing her is somehow going to help the situation? I think it would be better to enlist the help of a therapist who can get her to understand that she needs to take her medication on a regular basis. Until she gains insight to do this, then committing her over and over isn't going to help. Not sure why I am being labeled "mean" when you are the one who apparently think that Bipolar people NEED to be committed in the first place. Wow. Most bipolars I know are not violent or self harming, so who is the one setting up the mental illness stereotype? Wow.
Though, I don't understand how dragging her off and committing her is somehow going to help the situation? I think it would be better to enlist the help of a therapist who can get her to understand that she needs to take her medication on a regular basis. Until she gains insight to do this, then committing her over and over isn't going to help. Not sure why I am being labeled "mean" when you are the one who apparently think that Bipolar people NEED to be committed in the first place. Wow. Most bipolars I know are not violent or self harming, so who is the one setting up the mental illness stereotype? Wow.
This
And how are you going to make her go to therapy?
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LawyerLady
I can explain it to you, but I can't understand it for you.