by ornithine » Sun Sep 15, 2013 10:38 pm
Firstly, it is not your fault. My wife had to put up with me doing similar things when I was acutely ill. So the next thing is to see it for what it is - an illness. It does not matter whether or not you are faithful - the issue is what his mind does with the possibility that you are that exists in every relationship. So, once again, it is not your fault at any level. It is very hard on the sufferer of the disorder, but also on their loved ones as you are finding out the hard way.
Firstly, get him to see a good clinical psychologist who can try some cognitive behavioural therapy. The advice I received was that the spouse's reassurance never works, but makes matters worse: if there was reassurance then it meant the spouse took the allegation seriously. Other things that worked for me were that the 'checking' behaviour had to stop. There was a seemingly irrisistable urge to 'check' in many different ways, but if I resisted, then the urge passes. Get help for yourself too. from your doctor and a clinical psychologist, who should be able to help you through this to wherever it leads you.
Get him to see a psychiatrist, too.
I recovered from the jealousy, mostly. But then the illness found other outlets - such as persecutory beliefs. So therapy is unlikely to be the answer on its own.
I took anti-psychotics for a while, but they did not really work.
For me, this only resolved once when I took B-group supplements - Blackmore's executive stress. I suspect the supplements work in me because I have a metabolic disorder that responds to the way the supplements inhibit ornithine degarboxylase and get rid of excess ammonia. But severe vitamin deficiency alone can cause these type of symptoms e.g. pellagric psychosis. If you intend to try any form of supplement treatment, discuss it first with his doctor to ensure it is safe for him. Supplements are drugs like any other and have side effects and risks, and they are less well researched than many drugs.
Also, ensure his doctors investigates the possible causes of the disorder by carrying out appropriate tests which should be performed, subject to the doctor's advice, before he trys any supplements or drugs. To my mind, these tests should include but not be limited to in order of importance to my mind:
1. Serum amino acids;
2. B vitamins, but particularly vitamins B6 and B3 and B12;
3. Urine amino acids;
4. Metabolic screen;
5. Heavy metals screen;
6. FBC.
Your doctor may say that the serum amino acids are not likely to establish a treatable cause of the disorder. However, there is a lot of evidence that abnormal amino acid biomarkers may turn out to be crucial biomarkers of underlying metabolic disorders that cause psychiatric and neuro-degenerative disorders. There is a lot of good quality research that says that these disorders often present with patterns of serum amino acid abnormalities. When doctors understand what the abnormal patterns mean, the disorders become metabolic and are no longer regarded as psychiatric. There are likely to be multiple different metabolic disorder that cause psychiatric conditions. My abnormalities were repeat low serum amino acid ornithine and low serum amino acid serine, with high B3 intermediary and high B6. My doctors regarded these as being in effect meaningless results because they did not understand them, but after researching my abnormal results and my disorder (I do not recommend patients do this and do say that if they do this they should do so under the direct supervision of their doctor and only if their doctor does not advise against it), I established that my disorder may find expression in up-regulation of a cortisol up-regulated pathway that probably leads from proline to ornithine decarboxylase to polyamines. This up-regulation explains these and other abnormal results that I have and is currently being investigated by my doctors, so I could yet be wrong about this. Your partner probably does not have my disorder, but his disorder may be caused by a metabolic derangement and he may or may not have different abnormal biomarkers. If he does have abnormal biomarkers such as amino acids then they are probably not currently understood, but it is better to know what they are so that when they are understood by doctors better targetted treatment can be provided. If drugs or supplements work, they are more likely to be targetting ameliorating symptoms than the cause, until the underlying cause of the disorder is better understood, so treatment can be targetted at the cause.
I am mostly hapilly married with a young son, so whilst I am looking at life differently these days, there is hope it can turn out well.
Best wishes