Now that I work entirely in the field of mental health and addiction recovery, I find that I come into contact with the families and loved ones of those affected by mental health conditions/addictions as much, if not more, as the people experiencing the conditions themselves. I remember reading or hearing some statistic that a person's active alcoholism adversely affects 5 people in the alcoholic's life. So, if we just take a guess about that, we could see that a person who is experiencing active alcoholism might be affecting their parents, their children, their employer, their spouse or partner, and perhaps a close friend. If we expand our imagination a little further, we might see how the alcoholic, especially toward the end of their alcoholic journey, might affect others, such as health care professionals, emergency responders, and law enforcement personnel. And I write about alcoholism because it is that with which I'm most familiar. In actuality, any mental health condition can have a major impact not only on the person experiencing it first-hand, but on others in that person's life.
The point is that mental health conditions, including alcoholism and addiction, make everyone sick to some point. Who can watch someone we care for continue to behave in self-destructive ways and not be affected by that behavior ourselves? Even if there's a tangible reason for the behavior, such as a soldier or emergency responder experiencing PTSD (post-traumatic stress disorder), it still hurts to see someone going through that. And very often, what hurts more is that the person experiencing the mental health condition is not always aware that their behavior hurts others.
I can share from my own experience that I was under the delusion that my maladaptive behavior affected only me. My conditions, alcoholism and major depressive order, caused me to isolate and be unconscious much of the time. Additionally, since I no longer cared about me, it was impossible for me to care about others in any real way. My experience is that alcoholism and depression are both very self-centered, self-consuming conditions. It seemed impossible to think of anything but my own misery and how to end it. (Fortunately, in recovery, I have regained the ability to care about others in my life. In fact, the thought that a relapse on my part would be hurtful to some in my life is part of what keeps me in recovery).
Over the past two years, and especially the past year, I have had a lot of contact with family members and friends of those experiencing mental health conditions. When asked for advice, my advice is always, "Save yourself first!" Of course, I usually say it in a much nicer way, but that's the general theme.
The issue that often comes up when someone hears this is the thought that, "Hey, I'm not the sick one. I haven't spent the last two weeks unable to get out of bed, or I don't use drugs/alcohol, or I still make it to work every day. They're the one with the problem! Tell me how to fix them!" Here's the real deal without mincing any words - Nobody can fix anybody but themselves. This is especially hard to grasp if the loved one in question is your child. "After all," you cry, "didn't I fix their scrapes when they fell growing up? Didn't I hold them when their tummy hurt and make it all better? Didn't I dry their tears when they were sad?" Yes, yes you did, and perhaps this is one of the drawbacks of being human - the person with whom we are so intimately connected is still an individual who has his/her own experiences to go through in their lifetime. After a certain time, no matter how much we might want to, we cannot control the events in another person's life.
"Ok, fine, maybe I can buy that. Their issues are their issues. Why do I need to save myself? I don't have their issues." And this may be true. However, any time we spend time, energy, and emotion on something we can't change or control, we make ourselves a little bit sick. Resistance or denial to what is makes anybody sick to some extent. The reason for this is that the loved one most often sees the effects of the condition, but rarely can see the cause. And, because mental health conditions tend to wipe out self-awareness, the person suffering may be unable to see the cause.
An example. Many, many people think alcoholics have drinking problems. It is well known that to a certain percentage of the population, alcohol is poison - they don't react well. But to this person, alcohol is not the problem, alcohol is the solution. If alcoholism were purely a physical allergy, one would treat it like one treats allergies to say, peanuts. Stay away from peanuts! And that's what most folks think about alcoholism/addiction - the person only gets sick or in trouble when they use the substance, so there'd be no more sickness/trouble if they wouldn't use the substance.
Correct - kind of. But alcoholism/addiction is not simply a physical allergy to a substance. The nature of addiction is that something in the brain is either organically different or has changed over time, making the person who has the addiction unable to act in their best interest concerning substance use. There is something going on in the mind of the alcoholic/addict that feels bad, and the brain tells the person that there is a substance that will fix it. This urge can be so overpowering to the person experiencing it that s/he will succumb to it even when the expected consequence of using is death.
Sometimes the loved one thinks they did something to cause the addiction or the mental health condition. This is not true at all. Mental health conditions are brain disorders. They often have environmental triggers; however, a person must be predisposed to the disorder in order to get it. Take two soldiers who fought in the same battle and survived. One goes on to fight some more, the other becomes incapacitated by PTSD. Is the one who survived both physically and mentally stronger or better than the other? Was he raised better? No. The one who survived mentally does not have the predisposition to PTSD. The one who did not survive does. The trauma was just the precipitating event - it brought to light what was already happening in the brain.
So what's a family member or loved one to do? Basically, it is this:
1. get an understanding (education) what your loved one is really going through;
2. accept that you cannot change or cure them yourself;
3. accept that your living in this situation has not been healthy for you;
4. find out how to change your self so that you can remain sane and gain some peace of mind while fostering an environment that will invite the person with the condition to seek help. In other words, learn how to be supportive, both to yourself and the other person.
And how can one do this? These are the resources I know of that can be helpful in these situations (if you are reading this but aren't local to my area, seek out similar organizations in your locale):*
Al-Anon Family Groups (family/loved ones of alcoholics)
NAMI Basics (education)
NAMI Family to Family (education)
NAMI Support Groups
Again, the best advice for a loved one of someone with a mental health or substance abuse condition is to become the healthiest and most educated you can be so that you can be of support without sacrificing your own mental/emotional/physical health.
Namaste,
Ken
*Disclaimer: Even though I work for NAMI, I write this for myself. Additionally, there is more support out there than what I've got listed, but the above links will get you on the road.
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