Pills to Poetry: The Burden of Non-Compliance

The conversation between my wife and I when I don’t want to comply with medication or sleep. A bipolar dilemma. A caregiver’s burden.

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~The Burden That No One Sees ~

“It’s late.” She’s barely awake, squinting.
“I’m not tired”, I tell her, and continue working.
“That’s the point”, she says under her breath.
“What’s the point?” I’m lost.
“With your condition…” she’s exhausted. I’m making it worse.
“Seriously I’m fine.” I insist.
“Take your meds.” She isn’t giving up.
“I’m not tired”, I say.
“You have a big day tomorrow.” She’s more patient than I deserve.
“I know. But I’m wide awake.” I continue working.
“That’s the problem.” Her face is pretty, even half asleep.
“What’s the problem?” I’m lost still.
“You’re getting manic.” Her tone is serious.
“Not manic. I’m just really busy. It’s a project…”
“It’s 2am”, she informs me.
“Okay. In thirty minutes I will.”
“No. Take them now.”
“Fuck. Okay. Fine.”
The bedroom door closes behind her as I pour a handful of perfect little pharmasanity shapes from the burnt orange, child-proof bottle. I choke them down with a large swig of beer. She hates when I do that but does not complain because at least I’m taking the goddamned medication.

pills heartt

After a week or so of these types of conversations, she usually ends up putting me on a bedtime schedule with a tight ritual involving complying with meds. Because I love my wife and trust her, I often go with it. Well, okay, I put up a fight half the time, which occasionally puts her in the position to give me ultimatums. This is love. This is bipolar disorder. This is a bipolar marriage. And I still fucking hate taking pills.

Knock, Knock. Who’s There? Oh It’s You, Seroquel. 

I said I’d keep everyone posted on my recent decision to come off of Seroquel. (As you recall, I was dealing with weight gain side effects.)

Well I’ve been completely off for 2 weeks (after weaning down for 2 weeks) and it’s been a struggle. My moods are all over the place, I’m certainly not sleeping, and it’s put a strain on my family. My wife has endured additional stress and we have been fighting more. I feel badly about it, and of course I also wish she could be more supportive of my decision. But when it comes down to it, our long-time agreement has been in order for this marriage to work, I must stay on meds. 

When it comes down to it, I am excited about losing 5lbs. The scale hasn’t budged in so long, and this gave me hope. But I’ve weighed out my situation (no pun intended..) and have decided to go back on the Seroquel. I gave it a try, but I can’t help that my illness requires certain medications. I admit I feel defeated. But I also know this is just me being responsible. 

Thanks for listening to my saga. I know many of you have experienced Seroquel side effects and I thank you for sharing your experiences with me. Best of wellness to all of you. 

  

For Better or For Worse…or For Bipolar

So you said “I do” to a sweet face with bipolar. Congratulations. By now you’ve probably seen a few mood swings, maybe a manic episode, and quite possibly some depression. Or maybe not. Your experience depends on many factors: how long you’ve been together, how long your significant other has been diagnosed, if he or she is medicated, your own stability, and to what severity his or her bipolar is.
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Here is a brief bipolar marriage primer.

I’m writing this today because it has been one of those days where my wife and I couldn’t seem to get along. From the second we woke up, until she just went to bed, we were at each other’s throats. Having been diagnosed 13 years, I know what has happened in my past relationships. It’s easy to be afraid or uncertain when loving someone with bipolar. Known for risky behavior, infidelity, mood swings, self harm, mania, and severe depression, it can be a lot to become involved with. Not to mention, divorce rates are significantly higher in bipolar marriages. So, after some meditation and reflecting, here are a few tips for living in a bipolar marriage, or in a relationship with a person with bipolar disorder:

  1. Let your bp spouse BREATHE! Seriously, the more we feel smothered, or like we can’t safely release, the tension only builds and we could explode or lash out.
  2. Remember that you LOVE your spouse. It is safe to say that your bipolar spouse is very passionate. This passion will come through in his/her worst moments. But you love this passion, because it also comes out in their best moments.
  3.  Be FIRM in medication arguments. I am constantly trying to get off of my meds. Constantly. And I act like a child over it. But my wife is made of stone on the issue. She has made it non-negotiable since we both know how topsy turvy our life will get if I quit meds.
  4. Ask her/him what she/he NEEDS. It’s likely they are angry because they need something. They will most likely not express this while yelling at you. The yelling is usually being triggered by something else that he or she may not even realize is the core problem. This is where you step back for a moment, take a breath, and ask her.him what they need to alleviate the situation. Odds are they’ll tell you. Their #10 will go down about 5 notches. Peace will ensue.
  5. Pay attention to TRIGGERS. These are whatever things set your spouse off. And I’m not saying cater to their every whim, but if you can do so reasonably, try to avoid said triggers.

Those are just quick, go-to points for coping. I write about relationships and marriage pretty often, so check out some other posts on how my wife and I keep holding on!