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You CAN help who you fall in love with.

Date: February 6, 2014
Author: julietjeske
Categories: Divorce, Relationships, Uncategorized
Comments: 3 Replies

Recently a friend found out her boyfriend of less than three months, has a serious drug problem.  He doesn’t think he’s an addict and has refused to get treatment. Despite her misgivings about his substance abuse problem she quipped.

“You can’t help who you fall in love with”

So does love trump all common sense?  Does a strong romantic bond throw all logic out the window?  Do people fall in love after only three months?

Similarly a certain film director who had what most would consider a highly inappropriate affair defended his actions by saying, The heart wants what it wants. There’s no logic to those things. You meet someone and you fall in love and that’s that.  I’m sure he might feel differently if his now wife fell in love with his best friend, but I digress.

Does love trump all?  Is it ethical to use love as an excuse for causing such havoc in the lives of others?  When does common sense, logic and self-control come into the picture?  Is a person allowed to do anything they want in the name of love and not be accountable for their actions?

Love doesn’t always come when we want it, and there are many situations that get morally ambiguous.  Two people may fall in love while both are married to other partners.  Some couples might repeatedly reconcile despite epic fights and constant battles.  And we all know relationships that make absolutely no logical sense, yet endure despite glaring incompatibilities.  Love is this mystical force that can make people do all sorts of irrational things.  Our myths and fairy tales center around characters who literally slay dragons and wake the dead in the name of true love.

But will love conquer all?   Let’s go back to my friend’s example.  She is in her thirties, has never been married but has had long-term relationships.  She doesn’t live with her new boyfriend. They don’t have children together and they have only been dating for three months. His drug of choice is a highly dangerous one that could easily kill him in an overdose.  As a divorced person, I can’t help but scream “Dear God Woman run with all the force that you have in you, don’t look back, get out, RUN!” at the top of my lungs with full force.  Instead of “love” I see the most tragic a love triangles a co-dependent, a drug addict and drugs. Although she won’t admit it openly, she probably thinks she can “save” or at least change him. I would give her much more leeway if she was a younger woman with less life experience, but she really should know better. Three months is hardly a lifetime and she should get out before she gets into too deep.

Then there is the case of the film director.  He was 56 years old when he started an affair with the daughter of his then partner.  Could he not have done the more responsible thing and resisted temptation?  Were there not adoring 19-year-old sycophants eager to jump his bones, who were not related to his children?   People use love to excuse all sorts of selfish behavior – a man cheats on his wife while she is sick with cancer, a teacher seduces her student, a woman sleeps with the husband of a pregnant friend, and on and on. When does free will step in?  Are we powerless to emotions of the heart?  Also when we are on the wrong side of these affairs it’s next to impossible to empathize with our partner’s betrayal.

Then there are the serial disaster daters.  People who will literally destroy their lives for one lover after another.  They don’t just have one abusive, addicted, or cruel ex, they have several who all seem to have the same horrible personality.  Is it love every time or co-dependency?  Is it narcissism. masochism or insanity?

All of us have been in situations were we are strongly attracted to people who were not available.  Do we throw caution to the wind every time to the whim of love? I’ve found myself strongly desiring men I knew were a bad idea and I had enough self-control to not avoid temptation.  I’ve also made mistakes and become enraptured with someone despite the warning signs and suffered major consequences.  And who hasn’t been hung up on a former lover we know is bad for us.   Love has caused me to do things against my own self-interest, well-being or mental health.  I’m obviously not the most rational person – I married a clown.

Is love is a type of magic fairy dust that falls from the heavens, covers us in sparkles and makes us lose sound judgment and our basic sense of self-preservation?  Should we really use the most powerful human emotion as an excuse to absolve ourselves of any pain we cause others? Romantic love is a powerful and wonderful force, but we are not slaves to it.

My divorce has made me a realist.  I’ve seen the empty void on the other side of a romantic relationship gone wrong.   Of course we would all love to have a love so strong that our partners would risk everything for us but sustained love rarely works that way.  A good foundation is built on trust, communication and real life experience.  Love doesn’t always happen in nice and tidy ways, we can avoid major heartache and pain if we let the rational side of our brains take over. My friend could give herself space from her drug addicted boyfriend, the movie director could have at least broken up with his partner before sleeping with her daughter, or he could have slept with someone else. We can’t always save ourselves when we are deep in the throes of love, but we can at least try to avoid a moving train when we see it coming. 

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Why Enabling Depression is Impossible.

Date: February 18, 2012
Author: julietjeske
Categories: Addiction, Depression, Uncategorized
Comments: 31 Replies
Depression

Depression (Photo credit: Wikipedia)

Someone searched for the following phrase on my blog, and it caused my blood to go cold.

How to stop enabling depression

The amount of misunderstanding in that one simple statement is enormous.   I just wrote a blog about addiction, and now I am back on depression.  So here we go.  Depression and addiction are often present at the same time in the same person. I am a rare example in that I’ve suffered from depression but I don’t abuse substances.  I wasn’t self-medicating my illness with alcohol or drugs.  A lot of depressed people think along the following lines:

“I am miserable and I need relief oh look there is a bottle of whiskey or there is a line of coke, that will make me feel better.”

They do the drugs, it makes them feel better for a short period of time, the euphoria wears off they use again.   The cycle gets worse until the cannot feel joy without the drugs.  That is the pattern of addiction, not depression.

An addict chooses to pick up a drink or use drugs. It is an active choice on their end to engage in this behavior.  A depressed person who is not an addict is not choosing that personal hell.  They have biological illness that is out of their control. Both diseases have genetic components and they’re both major medical problems.

Of course some emotionally manipulative people will use the label of depression to refuse to take responsibility for their hurtful actions or self-destructive ways. Not every person or situation falls neatly into any category, especially with mental illness.   During my depression I had many well meaning friends who blamed me for my illness.  I had text book depression:

  • Wild mood swings
  • Loss of appetite
  • Panic attacks – some so severe they would last for hours
  • Suicidal thoughts
  • Inability to sleep for any length of time – waking after just a few hours
  • Difficulties with concentration and focus
  • Complete loss of libido
  • Lack of joy

I was a mess.  However, I wasn’t in control of these symptoms.   I couldn’t simply turn on happy thoughts and stop it.  I knew whatever was going on in my brain was a physical problem because I had never had symptoms like that before, and the physical effects were so overwhelming.  Like everyone I had periods of feeling sad, but the panic attacks and inability to focus were acute and new to me.  My sleep patterns were all about two or three hours long and then I would be bolt upright.  It didn’t matter how much coffee I drank or didn’t drink or how many Melatonin pills or over the counter sleeping medication I took.  My body didn’t want to sleep more than three hours, that was a physical side effect and it’s considered text-book depression.  What I needed was medication, therapy and time to heal – not tough love.

There are also a lot of misconceptions about depression.  Some people seem to think that a depressed person

  • Is really just lazy
  • Isn’t motivated
  • Has a bad habits – such as sleeping too much, or dwelling on negative thoughts
  • Is just pessimistic or has a bad attitude.

Because it isn’t always obvious to tell a truly depressed person from an emotionally manipulative one, depression is a tricky illness.  After all mental illness isn’t something that’s visible to the naked eye, and the tests for it are largely inconclusive.   So someone who wants to give up and not take responsibility for anything they do could just label themselves depressed and wallow in their misery. It’s not always easy to know who is really suffering from a medical condition and who isn’t.

But at the same time a sufferer can learn to mask their illness.  I have known people with depression who held demanding jobs while raising children. Others who have outwardly seemed perfectly healthy yet when left alone descended into fits of despair.  I was extremely sick and yet I never missed a day of work.  Over time I learned I could hide my symptoms to appear functioning in some situations.   A busy schedule wouldn’t have changed my illness, it probably would have just prolonged my recovery.

To “enable” an alcoholic you must make it OK for them to drink, not point out to them that drinking is the real source of their problem, and allow them to treat you horribly in the process.   Most addicts emotionally attack those closest to them the entire time they are disintegrating.  When you stop enabling the addict you usually have to cut them off, stop talking to them and make them know that you think their addictive behavior is self-destructive.  The addict’s main purpose in life is getting the substance and using.  They will do nearly anything to keep alcohol or drugs their top priority including betraying friends, robbing from them, putting them in jeopardy and causing them harm.

By comparison a depressed person who is not using, is not going to act out in the same way.  Where is the source of depression coming from?  It could be a death, divorce, loss of job, medical bills, work related stress, tension in a marriage or just simple biology as in someone with bi-polar disorder or chronic depression. Should a friend confront a depressed person about giving up their disease?  Get in their face tell them they are causing their own pain, label them depressed and stop talking to them?  I would think that would be the absolute opposite of what you might want to do to a person who is probably suicidal.  Bi-polar disorder especially is clearly a biological illness that requires medication.  Thinking you can talk a person out of bi-polar disorder with happy thoughts or positive thinking is downright dangerous.  It would be about the same as thinking you could talk a person out of schizophrenia or any other type of psychosis.  Also a person with depression is not going to actively attack those around them in the same was as an addict.  For instance, a depressed person usually just shuts down.  They aren’t going to steal your computer to pay for their cocaine habit.

Addicts go to rehab, and usually some type of 12-step program to try to stop using. Depressed people get on anti-depressants, anti-anxiety medication and usually go into some type of therapy.  The difference is the addict is also willfully part of their own destruction.  Even though addiction is a disease and there are biological and genetic components to it, the addict is still an active participant in their demise.  No one is forcing them to use, they choose to pick up the bottle, down the pills, or shoot up.  The depressed person is not choosing to not get out of bed, to not eat, to not find joy in pretty much anything.  A depressed person should not be “cut off” or confronted for causing their own illness.

There is a fine line between being to the point of needing medical intervention and just a change in attitude.  But in general cutting off a person who is suffering from the real medical illness of depression in order to “help” them would bring about the opposite effect.   The depressed person would feel that much more isolated, unloved and alone. A depressed person needs compassion not “tough love”.  An addict will just continue using so when you cut them off they will return to their drug of choice, until of course they seek help.  Again since most addicts also suffer from an underlying depression the distinctions between these two illnesses get murky.

I’ve heard countless stories from readers of this blog about depressed relatives and loved ones who isolate themselves.  They verbally demean and attack anyone who tries to help them, and push away any hope they have for a recovery.   Again even in these situations, there is not much anyone can do for the depressed person.  A relative or loved one’s behavior is not going to change their mental illness.   If you’re in this situation, you’re NOT the cause of that person’s mental illness.  If they’re tearing you down, and constantly hurting you, the best thing for you to do is to disengage.   Try to get that person help, but not at the expense of your own emotional and mental well-being.  That’s not the same thing as enabling an addict.  People who give an alcoholic booze, or make it easier for the alcoholic to drink are enabling the addict.  A loved one or relative is NOT encouraging or making another person’s mental illness worse unless they’re either abusing that person or preventing them from getting medical help.

Unfortunately when I battled my disease I had a few friends who blamed me for being sick.  The people who helped me out the most, my friends who had also suffered from depression.  Instead of judging me they listened.  They knew I needed help and tried to get it for me.  I got books, recommendations on therapists, and patience.

I was not choosing to have panic attacks, run away anxiety, lack of sleep, loss of appetite, wild mood swings, black thoughts, suicidal tendencies or the inability to feel joy.  What happened to me was reactive depression due to a sudden and extreme trauma.  I was also suffering from bouts of Post Traumatic Stress Disorder.  I got better thanks to an anti-depressant, therapy and time.  What also helped in my recovery  was my active choice to not engage in self-destructive behavior such as drinking, or doing drugs.

Cognitive behavioral therapy (CBT) is one form of therapy that does help re-train a depressed person’s brain into a more positive outlook.  In his book “Feeling Good“, David D. Burns, MD touts the benefits of CBT but at the same time goes on extensively about the pros and cons of anti-depressants and anti-anxiety drugs.  He also does not tout CBT as an overnight cure as recovering from a serious depression takes time for anyone.   Some severely depressed patients respond positively to electroconvulsive therapy, which is fairly radical treatment directly on the brain, not exactly a 12-step program.  As scary as this treatment seems, ECT is quite effective in some patients.

With about 30 seconds of research I found this highly misguided group.

http://www.depressionanonymous.org/

From what I could tell the website hadn’t been updated in five years and they were no longer holding meetings. The entire concept of Depression Anonymous seemed to stem from one book, by one woman.   It certainly didn’t seem like the huge and organized group that is Alcoholics Anonymous or Narcotics Anonymous.  And I know there are people who criticize both AA and NA for being ineffective as the success rate is low, but I have known many people who have greatly benefited from AA, NA and other 12-step programs, so I am not sure what to think.

I wish deep in my heart that people would stop misunderstanding what is probably one of the largest medical health problems of the past century, and will continue to be a problem in the decades to come.  I had no clue until I went through it myself, but my depression was so much more overpowering than any extended weekend of self-pity.  What I suffered from and what millions of others suffer from all over the world is a real medical condition that if left untreated can lead to intense suffering, and for some suicide.

I am eternally grateful to my many friends, relatives and loved ones that had the patience to see me through my bout with this horrible disease instead of deciding to stop “enabling” me and cut me off only to have me spiral downward.  What helped me the most was not rude interventions with scolding, tough love and lectures but when my friends sat me down and begged me to get medical help.  The friends that cut through the static in my head the most were friends who had struggled with depression themselves.   Had people decided to stop “enabling” my behavior and cut me off I might not be here right now to type this blog.

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When you finally stop enabling and tell your friend to sober up.

Date: February 12, 2012
Author: julietjeske
Categories: Addiction, Depression, Uncategorized
Comments: 8 Replies
A Kranz (wreath) of Kölsch beer.

Image via Wikipedia

I wrote this months ago about a former friend.  I decided to not publish it because I worried that this former friend might see this and freak out.  At this point I doubt she reads my blog or cares what I have to say.  I don’t drink alcohol often, usually only a few times a year on special occasions.  I don’t drink because my extended family has not had the best history with addiction or alcohol use.  I have seen far too many dark examples of what happens when people let substances take over their lives, so I chose to not make substances a part of my life.  It is not easy, as most adult social situations center around alcohol and it is assumed by some that anyone who doesn’t partake is unusual, uptight  or anti-social.   With the recent passing of Whitney Houston (probably drug related) it made me want to publish this.  The rich and famous have handlers who will enable them all they way to the grave.  When an addict has so much money and people hired to please their every whim, it takes an extremely long time before they reach their rock bottom and get help.   It is why so many celebrities die from the disease, no one is there to stop them before they fall.

I don’t know who will read this but my depression entry gets tons of traffic so maybe an alcoholic seeking recovery or someone dealing with an alcoholic will stumble on this and it will help.  To protect this person’s identity I won’t reveal her name but for privacy purposes of this blog I refer to this friend as simply D.

I met D at a horrible time in my life, dealing with a rough divorce and an extremely painful depression  that followed it.  Throughout my recovery our friendship grew and I thought of D as one of my closest friends.  We started to work together and that is when the problems started.   On more than one occasion something I did seemed to upset D and she would completely react towards me in an irrational way.  Everything became blown out of proportion and several angry phone calls or emails would follow, but then D would eventually apologize or at least partly apologize.  It was exhausting.   D also admitted to me that she had a drinking problem, or that she thought she had a drinking problem.  She confided to me that she would drink alone by herself until the point of being intoxicated nearly every night.  She also thought her spouse also was an alcoholic.   She strung me and another sober friend along for weeks with promises of getting help and going to Alcoholics Anonymous. She never went to a meeting, she never sought help of any kind other than to call both of us repeatedly.

Then she finally decided to quit drinking for thirty days.  She did this without therapy, going to an AA meeting or rehab.   About a week shy of her goal she called me to tell me she was about to relapse.  I was actually on the phone with her as she walked into a bar and started drinking again.  I didn’t know what to tell her, as I am not an addict and I had no idea what to say to her that might stop her from drinking.  But it was heartbreaking on my end.  It was late at night and she was several miles from me, I don’t know if she expected me to jump in a cab and try to physically stop her, but I couldn’t afford to blow money on a cab, especially since I didn’t think it would do any good.

After her relapse she never again brought up her drinking problem.  Our relationship definitely changed after that as I felt I didn’t know how to bring up that topic, because I definitely thought she still had a problem.  Months later she lashed out at me while she was visibly intoxicated.   After much back and forth between the two of us I finally brought up that her drinking might have something to do with these erratic mood swings and her self-destructive behavior.   She had told me on multiple occasions that she had problems with feelings of paranoia especially when drunk.  So I didn’t think much of bringing up both to her because I had hit my breaking point.  Her reaction of course was to deny everything and then to attack me for every flaw she could find.  Somehow after telling me for months that she_thought_she had a drinking problem, then showing up drunk and becoming emotional I wasn’t supposed to even dare bring up the obvious.   I was supposed to suddenly develop amnesia about all the times previous she had gone on in detail about her problems with booze.

I am far from perfect, I have horrible demons in my past and bad habits and I make mistakes all the time when dealing with interpersonal communication.  I know this, but I don’t feel bad telling an alcoholic that they are an alcoholic and they need help.  I don’t regret losing a friend over this.  Because otherwise I would have slowly drifted away from her.  Eventually eroding my ties to her and she would never know why.   I would be yet another friend who cut her off without confronting her about her very real and serious problem.  She attacked me for being self-involved, yet I was the one who picked up the phone time after time with her breaking down on the other end about her addiction.

To any addict the whole world seems self-involved, because anyone who knows an addict knows that they view themselves as the center of the universe.  No one understands their pain except for them, no one is as tortured, as despondent, as complicated and as misunderstood.  When in reality the addict is like every other addict, sick, scared and in need of help.  And if she sought professional help she would find out that simple truth, that addicts are more alike than they are different and that they are all battling a difficult disease.   If left untreated they will take down everyone within their path until they get that help.   I chose to take a step back and get out of her way.  I am not going to get pulled down into her personal hell because she feels like taking spectators with her.  She can only cry out for help so many times and then slap me in the face for trying before I just give up.

If you have an addict in your life who is repeatedly begging for help but not changing their behavior.  Make the difficult choice and stop enabling them otherwise you will only get blamed for their mistakes and tragedies the alcohol has caused.  No one is perfect and everyone deals with their own hang-ups and flawed ways of dealing and coping.  But addiction is a real disease and sometimes the best thing you can do for a friend in crisis is to confront them with their problem.  I probably permanently destroyed my friendship with D, but I would have felt worse placating her and pretending to not see what was right in front of my face.   If had just smoothed things over and ignored her real crisis I wouldn’t have been much of a friend to her anyway.  I am fairly certain that she is still drinking to the point of intoxication nightly and that she will eventually destroy herself if she doesn’t get help.   My heart is still a little broken from the experience but I don’t regret my attempt at an intervention.

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