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Bipolar Disorder/bipolar daughter/tough love?

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Question
Our daugher is living separate from us but we are supporting her. She has been trying for 5 years to earn an associates degree and dropped out one semester before finishing. She is on medication. She just can't seem to finish anything.She is also letting her unemployed abusive boyfriend live with her. In other words, we are supporting both of them.  My husband and I are seeing a counselor to try to help us deal with this. She suggests a tough love approach and cutting her off so she has to live with the consequences. How does tough love work with bi-polar illness? I mean, does it help or hurt?  She'll be out on the street and won't be able to buy her meds. That is my main worry. I can see where tough love would help just a lazy irresponsible kid but how do we deal with the mental illness part of this? Are we just 'enabling' her? More like enabling her boyfriend. Don't know how to separate the two. Any advice?

Answer
I'd only consider the tough love approach if your daughter was abusing drugs or alcohol. Tough love isn't really intended to motivate lazy and irresponsible individuals, and is an option of last resort. Having bipolar disorder can cause difficulties in completing tasks and staying on track to achieve goals regardless of whether or not the person is taking medication; meds only reduce the symptoms experienced, they're not an instant or total fix, and there's no way to cure bipolar.

However, you shouldn't have to support her unemployed abusive boyfriend either.  Before trying the tough love route, you should sit down with her and give her a choice:

a.) She can continue to receive your financial support but you will not be supporting him, so if she wants your help then he needs to find somewhere else to live and support himself.  

or

b.) she can continue to live with him, but you won't be paying her living expenses any more.  You don't have to give her cash to make sure that she has her meds - you can pay for them in person yourself to make sure that she doesn't decide to spend the money otherwise when you expected it to be used for her meds specifically.

There are a lot of ways that you can assist your daughter without giving her cash; gift cards that can't be redeemed for their cash value, paying for items yourself and then taking them to her.  And if she decides to continue living with the boyfriend and you want to make sure that she stays on her meds - I'd only pay for that and nothing else.

Have you asked her about why she decided to drop out when she had only a semester left before she would have finished her associates degree?  It is quite possible that her boyfriend has created a home environment a lot like a prison - he could be acting out so that she can't study or do homework, or making things so difficult that she is reluctant to leave the house for class because she doesn't know what he will be like when she gets home.  One of the main reasons that someone being abused has a difficult time leaving and staying away from their abuser is because that person has dismantled their emotional support system so that they will be entirely dependent on them and easily manipulated to see everyone else as problems rather than seeing the abuser as the problem they are. It will be hard, but you can't walk away entirely from your daughter - financial support and emotional support aren't the same thing though.  You can give one without the other, and she is going to need people that love her and who will be supportive, even protective, if she is ever going to be able to leave this guy. You don't want to push her towards a set action because unless she's the one who decides she should do things like get a restraining order, etc - he could use that as 'proof' that he's the only one who has her best interests at heart and everyone else is just trying to break them up.  Your counselor may mean well, but tough love is a drastic step - unless she knows something that you haven't shared with me, I don't see it as being a good idea.  Your daughter should see a counselor on her own, and not the same one that you and your husband go to.  Arrange for a time where you can talk with her on her own so that the boyfriend can't do anything that may manipulate her to his benefit and discuss the choice that she needs to make and see where that takes things.  You may be surprised in a positive manner by her response.

Let me know if there's anything else I can help you with.

Bipolar Disorder

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Jennifer

Expertise

I am available to answer questions of a general nature about bipolar disorder, provide online resources that address bipolar disorder in a more in-depth manner and sources to serve as a starting point for those looking for substantial information on the illness from a healthcare professional approach. I am not a doctor or a psychiatrist, my background is based in personal experience and extensive reading in my own process of understanding my diagnosis. I can also take questions that deal with the social issues surrounding bipolar disorder such as relationships; coping for family, friends, and the patient; marriage, choosing to start a family and related. Answers to questions of a legal nature will provide general information but anyone with a serious legal problem should consult an attorney licensed to practice in their jurisdiction.

Experience

I was diagnosed with Bipolar Disorder type II in 2000; as a SSI beneficiary, have experience and knowledge of the limitations and processes involved with the program; I understand the moods, the feelings, the worries, the doubts, and a lot more that there's not enough room to express - from the personal experiences of being bipolar. I have first-hand experience with the challenges of returning to college following hospitalizations and various combinations of medications that were tried before my doctor and I finally arrived at the most effective medication program for my treatment. My family and I have learned so much about each other in the process of dealing with the highs and lows that followed my diagnosis. I've had relationships with someone who also is bipolar and someone that is not - romantic relationships are no easier on either side! I feel that many of the ideas and beliefs that people have regarding bipolar disorder and those who have the condition promote the continuation of social stigmas associated with mental illness in general, and after learning from others with bipolar disorder, hope to guide others who may be trying to navigate the government health care system,& share information on other possible means of obtaining assistance with the cost of medications and/or mental health services and limited financial assistance programs for meeting basic living expenses for qualified individuals, dealing with problems from or with family & loved ones, co-occurring substance abuse problems, medications and side-effects (and when it feels like nothing will work, or why it's not helping the situation to ask whether or not a patient has taken their 'meds' when they seem hostile or moody to those around them).

Education/Credentials
I have a B.A. in Liberal Arts and will earn my J.D. upon completion of the Spring 2011 term after which I will be preparing to take the multi-state bar exam.

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