Having a relationship, friendship or other form of prolonged contact with a person with any kind of emotional, personality or psychiatric disorder or addiction can sometimes be distressing, challenging, upsetting, confusing and even difficult for the healthy person. The healthy person may find that they have many conflicting and confusing views about their loved one, colleague or friend, and that two opposing ideas and view points can co-exist - ie resentment and love. They may feel a deep sense of guilt for having these feelings, and they may also repress their own sense of anger and frustration, causing underlying feelings of resentment that they may over compensate for or deny altogether.
This can be an isolating experience for the healthy person, and they may find that others who are not in their situation simply don't understand, or that they offer unasked for and misguided advice. Because of this sense of isolation, and because of a sense of misplaced "duty" or guilt, the non disordered person may find that they are spending more and more time in the company of the other person, and that their viewpoints, opinions and attitudes begin to affect them,and even infect them. They lose a sense of who they are as people, of what is healthy and "normal" and they may even find as a result of this that they begin to act in ways that are counter productive towards the health and wellbeing of the disordered person, becoming enablers and co dependents,trapped in a cycle of unhealthiness. The isolation can then begin to feed upon itself, and this can result in depression, emotional distress and psychological and psychiatric damage to the non disordered person.
It is very important to develop healthy boundaries and to create a sense of distinction and separation from the disordered person. This isn't always easy to do because of the insiduous nature of the dysunction. A healthy person may begin to lose sight of their own sense of objectivity, and may even come to depend upon the relationship in an unhealthy manner. Sometimes the disordered person may cling onto the healthy person because of their issues with dependency and neediness. In order to maintain healthy boundaries, it's important that the healthy person encourages a sense of autonomy in the disordered person, and that they spend time away from the disordered person, even if it's only in another room, doing things that they enjoy and that help to define them as people. Meditation, therapy, any form of creative expression can all help a person to define themselves, and these types of activities may also be beneficial for the disordered person - so long as they are undertaken separately.
It may be necessary to be firm and assertive, and if necessary to learn assertive techniques. As the healthy person begins to assert themselves, and separate themselves in a healthy manner, the disordered person may panic due to their own insecurities and fear of loss, and this may result in acting out behaviour, or appearing to relapse. As long as the person has adequate psychiatric and psychological care, with access to the emergency services if necessary, the other person's responses are NOT the responsibility of the carer. Firm reminders that they are still loved and that they are not going to be abandoned may be all that is needed. Somehow, they have to learn to take responsibility for their own responses, whether or not they are ill. Of course, in a true relapse, or in the case of suicidal ideation or behaviour, the carer should always seek the help of the emergency services, and threats of suicide should always be taken seriously and dealt with by a professional. It is NOT the job of a carer or significant other to try to talk another person out of suicide. This is going over and above their call of duty, can be dangerous for the suicidal person and it can be damaging to a carer or significant other to have to take on that kind of responsbility. They should ALWAYS refer their loved one to the professionals if they're suicidal
It's important that the carer/sig other has support. This can come from friends, relatives, agencies, social services, the psychiatric services, their own therapists, support forums, support groups, etc, and a Google search can help a person to find resources in their area. There is ALWAYS someone in a similar position, or who has been in that position, and knowing this can help a person to feel less alone. However, the WRONG type of support isn't helpful. This can come in the form of misleading information, ill informed advice, outsiders who take away a carers/ significant other's sense of competency and autonomy. A person should never be afraid to accept the support they're comfortable with and politely reject the kind of support that isn't
helpful.
A person involved with anyone who has a disorder may find that they go through a grieving process, similar to the process outlined here
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In effect, they HAVE been bereaved. They have "lost" the person their loved one might have been had it not been for the illness. They may have lost some of their own freedom and had to make huge compromises etc. The list is endless. A therapist can help a person to come to terms with this very natural process, and to find a healthy way forward.
Sometimes the healthy person may feel victimized by the disorered person who may say hurtful things, appear to manipulate, gaslight etc. If these feelings are very severe, and are affecting the person's sense of emotional safety and self esteem they should not be made to feel that they "Should" remain in the relationship, and they are not duty bound to do so. Nor should anyone remain in an environment where they are phsycially unsafe, and the police should always be called
if the person becomes violent. Having a mental illness does NOT excuse a person from acting in ways that are harmful to others, and if they are so ill that they're not deemed to be responsible for what they do or say, then they should be in hospital anyway. If the healthy person ever feels that they're so frustrated that they themselves might become violent or abusive, it's essential that they seek professional help and remove themselves from the situation.
I hope that people who identify with any of the issues I have talked about here can add to this thread, and that people can encourage and support each other.