
OP here. Thanks for the thorough and amazing advice. (If you don't already have a shingle hanging from your door, get one!) Here is an update. I essentially did a combination of 2, 4 and 5, and the upshot is that he has agreed to go back to his psychiatrist to restart meds. Not the same as acknowledging the damage his failures of self-care have done to our marriage and our family, but I believe an understanding that the time for languishing is done, and that I will really leave if things don't change. So in that way, his reaction when we finally started speaking again was similar to how you describe your ex-- "can it really be that bad?" I'm not a big fan of his psychiatrist, but returning to professional care is a start and I fully intend to follow-up with this guy per your excellent suggestion. The thought had occurred to me (I swear I am not as milquetoast as I may sound) but I was concerned about the extent to which my outreach would be accepted/appropriate given HIPAA. The best practices you mention make perfect sense and show me at least another way to think about my role. I have no doubt that he is mis-stating (and not fully appreciating in the first place) his moods and state of mind, and thus not able to self-advocate for the best treatment regimen. I don't know what will happen, but in the short term, being clearer about 2, and then pushing the envelope with 4 really opened the floodgates for us, probably by helping me refine my own thinking and being better prepared to talk with him. Regardless of what happens between us, I feel much more comfortable with the present state of things--silent treatment is more or less a crisis situation--and his pursuing treatment will be better for all of us whether we stay married or not. Thanks, PP. I am really grateful for how clearly and honestly you put things. |
13:56 here. Glad the logjam broke! But tread lightly; a lot of things have to go right to get out of the woods. Going back to the pdoc is just the first step. (Not to rain on the parade).
W/ pdoc, you might actually ask your hubby if you can attend his first session back w/ the pdoc for a few minutes at the beginning of the session. Introduce yourself, be super calm and polite, and just say that you came because you were really concerned. Give hubby props for returning to the pdoc and ask if you could just stay a minute or two to add a few things about red flags you've seen. Stick to unemotional facts like sleeping a lot, irritable, missing work, always being sick, etc. This gives the pdoc an opening to ask you questions if he gets the feeling he's not getting the straight scoop from hubby. Also a good doc will use this opportunity to ask something like, "oh I'm sure your husband would want you to get in touch with me if you were worried, right husband?" In that way, pdoc solves HIPPA problem by getting patient's consent (either by explicit patient response or implicitly by lack of patient objection). Another approach is to call the pdoc the day before your husband's appointment and leave a voicemail with a few unemotionally stated concerns let him know if he can let your husband know you called and an "if you have questions you can call me at #". Pdoc may call (good sign), may call and say he can't talk to you (bad sign) or just not call at all (neutral). Of course, only you can feel out how trying such a move will go over with husband. Also, still highly recommend getting help for yourself -- spousal depression support group, NAMI 12 week Family to Family course, reading up on depression, and/or your own therapist to help you cope (must be one highly experienced in treating depression!) yea! good luck. Depression is a treatable disease. |
Yes, with your help, the silent treatment logjam broke, which allows us to have the discussions about what the heck comes next. I definitely know we're not out of the woods. Husband essentially ran back into the psychiatrist today (first available, apparently) so I missed the chance for the "first appointment back". I am going to follow-up and see what I can do to be explicit in my contact with the doc to make sure everyone is above board on the HIPAA front--the last thing I want to do is undermine his faith in his doc if he feels like I'm a conspiring in the process. I also signed up for individual counseling, with the family therapist (PhD) who has worked with us as a couple in the past and knows our dynamics. I will need to do this no matter what happens--because anything could happen. I also plan to ask this therapist about whether the kids should be included in some way--they are old enough and smart enough to have questions about all that is going on. I don't know if it's too late for us, but I feel like each of us getting help puts us in the right direction for whatever happens. Thank you so much for helping a complete stranger. I will be sending lots of positive energy your way through my various channels and hope the good karma gets to you in spades. |
13:56 has given you some excellent advice OP. |
OP, so glad you are moving on getting help and that you have gotten DH moving in the right directions as well. Wishing your family all the best of luck. |
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This is one of the most moving threads ever. Good luck, OP and to the PP who gave such rich advice, you were very generous and thoughtful to reach out like that. |