Bipolar Disorder and Marital Conflict

Bipolar Disorder (BPD) is a brain abnormality that is characterized by extremely wide mood swings.  It has been formally called manic-depression. In a typical Bipolar Disorder, there can be extremely high, and profoundly low moods that cycle back and forth. Bipolar Disorder also involves dramatic changes in sleep patterns, abrupt shifts in thoughts and feelings, sudden changes in levels of energy, and maladaptive coping behaviors, particular to each high (manic) or low (depressive) episode.

If you’ve met a couple struggling with Bipolar Disorder…well, then you’ve met one couple struggling with Bipolar Disorder. Each couple’s history and experience are uniquely their own. Bi-Polar Disorder and Marital conflict can be frustrating, annoying, confusing and overwhelming.

bipolar disorder

The Spousal Struggle

Spouses of BPD sufferers struggle to cope with their partner’s manic or hypomanic (hypomanic is still a form of mania but to a lesser degree) episodes. BPD sufferers can sometimes be very attractive during mania. They can be amusing, high energy, exciting and fun to be with. And when the depressive episode takes over, they become dramatically different;  Quiet, closed off, and deeply depressed. Spouse tend to feel a sense of emotional whiplash. What just happened?

Undiagnosed Dipolar Disorder, like undiagnosed Adult ADD, may be a unique and singular wellspring of trouble and tension in your marriage. Often an individual doesn’t even know that they suffer from Bipolar Disorder. People can go years and even decades without a diagnosis or treatment. It might require your relentless persistence to convince your partner to get a Bipolar Disorder assessment.

bipolar disorder

If your partner is overwhelmed by intense sadness, followed by a period of great animation and excitement, they may have undiagnosed bipolar disorder. Here are some of the more common symptoms of bipolar disorder:

  • Racing thoughts with an exaggerated physicality, and very rapid speech.
  • Inability to focus or concentrate, distracted.
  • Grandiose ideas, irrational optimism or inflated self-image.
  • Abrupt mood shifts into irritability and high agitation.
  • Impulsive financial decisions, and reckless, dangerous behavior.
  • Weak or non-existent process for making important decisions.
  • Wild spending binges. Irrational generosity.
  • Unsafe driving. Road rage.
  • Sexual acting out, hypersexuality.
  • Delusional, beliefs that may sometimes appear to be psychotic, or profoundly disconnected from reality.
  • Auditory and/or visual hallucinations.

Childhood Clues of Bi-Polar Disorder

Another way to determine if a person has bipolar disorder is to consider his or her childhood states and traits. Ask your partner to comment on their adolescence and young adulthood. Were any of these behaviors a regular feature of their youth?

  • Ongoing academic struggles
  • Problems with following rules at school resulting in suspension or expulsion.
  • Willful destruction of property.
  • Poor or non-existent friendship network. Socially isolated.
  • Regular alcohol or drug use.
  • Arguments with parents and authority figures.
  • Inability to finish assignments or complete homework.
  • Dangerous and aggressive driving.
  • Defiant posture towards friends and family.
  • A difficulty with the give and take of having a simple conversation.
  • Manipulative and controlling behaviors
  • Suicidal thinking or actual suicide attempts.

It is possible to live with bipolar disorder that remains undiagnosed and untreated for decades.  That was certainly the case with actress Patty Duke. While struggling with Bipolar is not a barrier to high achievement, it may cause needless suffering for both the afflicted and their families. Winston Churchill was bipolar. It has been speculated that Frank Sinatra was bipolar all his life, and was never treated.

”Being an 18-karat manic-depressive, and having lived a life of violent emotional contradictions, I have an overacute capacity for sadness as well as elation…Whatever else has been said about me personally is unimportant. When I sing, I believe, I’m honest.”  Frank Sinatra

Mia Farrow took issue with Frank on that point. Although they remained lifelong friends, even after their brief marriage ended, she described Frank as a 24 -karat manic-depressive.

The aberrant moods and behaviors of some public figures might now be understood in a different light. Bipolar Disorder left untreated in young adulthood often leaves a trail of poor interpersonal coping skills, a tendency toward withdrawal, and reliance on a very small group of friends or family members. Even these close relationships can become more problematic, as some people with bipolar seek to manipulate and strong-arm their support system to modulate their own anxiety.

bipolar

Problem Areas for Bipolar and Marital Conflict.

Drugs, Alcohol, and Sexual Acting Out

It’s almost anecdotal that undiagnosed people with bipolar appear to be constantly self-medicating. Alcohol abuse in early adulthood is a typical attempt to modulate the roller-coaster ride of mood swings. A recent study claimed that 37% of subjects who were bipolar engaged in sexual compulsivity. Diagnostically, the presence of hypersexuality is an indication of a possible bipolar diagnosis.

It is possible to have multiple overlapping mental health struggles. This is called having co-morbidities. You could, for example, have a sex addiction, aggravated by bipolar disorder, Developmental Trauma, or both.

Epic Financial Folly

I once went into a flower shop and complimented the owner on his new Mercedes parked right out front. He looked at me with a manic glee.

“YOU LIKE IT RIGHT???? I BET YOU LOVE IT AS MUCH AS I DO!!!!! ISN’T SHE A BEAUTY!!!!!

He dangled the keys in front of my face.

YOU LOOK LIKE A NICE GUY… A GREAAT GUY!!!! WHY DON’T YOU TAKE IT HOME FOR A SPIN AND GOOF ON YOUR WIFE. TELL HER YOU JUST BOUGHT IT!… BELIEVE YOU ME THAT REACTION WOULD BE PRICELESS!!!! THAT REMINDS ME OF THE TIME……………

Needless to say, I got out of there fast. It was first and last time I visited that particular flower shop.

How do we figure out who controls the Money? The credit cards? Even the car keys? Couples struggling to avoid bipolar and marital conflict often must have contingency plans for manic episodes like this.

bipolar

Temper Temper!

People who suffer from bipolar are sometimes notoriously irritable, fussy and verbally abusive. Couples need to have a way of processing these incidents to avoid building up resentments. This is another area where the non-bipolar partner can dialogue about how this unpleasant banter can be managed, repaired, and processed. Temper tantrums can be a powerful source of resentment and stress for the managing partner.

If I were KING of the FORESSSSSSST!

Your bipolar spouse is swimming in a toxic neurochemical soup. Their self-importance and grandiosity may be, at times, epic. Yes, it’s profoundly annoying… but it is not them. Their behavior is beyond their control.

Bipolar is a Psychiatric Condition.. Not a Personal Failing.

The most important task is to learn about Bipolar Disorder. But just because you’re up to speed, doesn’t mean that you know how it’s going to play out in your marriage. With appropriate psycho-education, you will understand the range of symptoms and behaviors. But the map is not the territory.

Knowledge isn’t Always Power.

Psycho-education is incredibly valuable, but it can only describe the wide constellation of possible symptoms. In each case, your experience should guide what matters most to you. Yout therapeutic journey to successfully manage Bipolar Disorder as a couple will be uniquely your own. And as far as treatment is concerned… your mileage with any drug or treatment regime may vary.

Ignorance Isn’t Always Bliss.

Part of the condition of being bipolar involves something called anosognosia. This comes from the Greek, and means “without disease knowledge.” Now here is the frustrating and tricky part where bipolar and marital conflict is concerned. The partner can’t get why their bipolar spouse tends to deny the very existence of a diagnosis that, in other mood states, they would admit readily. It’s looks like defensiveness, stubbornness, arrogance…fill in the blank.

But in reality, while this anosognosia can have many different components, a brain deficit in the pre-frontal cortex is often a large factor. They can’t help not knowing in that moment what they already know.

On the other hand, some people in treatment for Bipolar Disorder gratefully welcome the structure and incremental gains in their quality of life. Bipolar Disorder is an intimidating medical condition because it dictates the very contours and terrain of your life.

Managing Bipolar Disorder is a spousal team effort. While some people respond miraculously well to certain medications and treatment regimes, like everything else with bipolar… your mileage will vary.

bipolar

Partners May Profoundly Disagree on Exactly How to Manage Their Bipolar.

Managing bipolar is exactly the sort of “unsolvable problem” that John Gottman describes as afflicting most couples. It is a dance of “give and take” around negotiable issues, and a heart-to-heart dialogue concerning each partners’ non-negotiable “gotta have” issues. It’s common for some “managing partners” to want to “take over” treatment as a way of managing their own stress. Managing bipolar is a never-ending conversation. It is, in the truest sense, a perpetual problem.

Medication Could Be Extremely Unpredictable

Got a med regime that works? Great!

But make sure you’ve got a good “plan B” and a “plan C” for when it doesn’t.

Living with bipolar may require and endless tweaking of medication to avoid twerking your mood swings in your partner’s face. It might involve a seemingly endless process of adjustments. But taking meds faithfully is the “holy of holies.” Couples who are struggling to manage bipolar need sacred agreements to faithfully abide by their current treatment regime.

Two couples can have completely different agreements around helping or not helping with medication. There is no “right” way. Don’t enter into an agreement that leaves you stressed or resentful.

Avoid the Temptation to Become a 24/7 Psychiatric Nurse.

Try not to let BPD be the centerpiece of your marriage. You don’t want to become more of a nurse than a spouse. Take care of yourself, read relax, indulge your hobbies. Preserve your mental and emotional capacities for yourself and others. Your marriage is not only about managing bipolar disorder. If you find BPD is hogging your resources, find a way to seek balance. Avoid burning out.

Resources to Learn More about Bipolar Disorder

Depression and Bipolar Support Alliance:   http://www.dbsalliance.org/site/PageServer?pagename=home

Bipolar Support:   http://www.bipolarsupport.org/

Good Therapy’s Top Ten Websites for Bipolar Support:

http://www.goodtherapy.org/blog/best-of-2013-goodtherapyorgs-top-10-websites-for-bipolar-1129137

 

 

 

 

About the Author Daniel Dashnaw

Daniel is a Marriage and Family Therapist. He currently sees couples at Couples Therapy Inc. using EFT, Gottman Method, and the Developmental Model.

Leave a Comment: