Mental Health A Rough Week/ Rant (Bipolar-from a family member)

That's good news! Like you said, one day at a time. Do you know if your brother is taking his meds at your uncle's place? That could possibly be the difference.
He has not been taking any medication. This morning he is bouncing off the walls but he's being nice at least. He has all these home improvement projects he wants to do on the house. He wants to lay concrete all the way around the lattice that surrounds the base of our deck in the backyard. He wants to do poetry and hip hop shows at a local coffee shop/bar and this is a really small southern town with no music or art scene to speak of. He just can't seem to help himself from rambling non-stop about just about anything. I'm pretty uncomfortable around him sometimes and last night I stayed at my girlfriends because frankly, he was just getting so annoying. He just can't shut up sometimes and every now and then I need a quiet environment so I removed myself and came back over this morning. I'm really grateful things have calmed down so much, I'd take this current mildly annoying version of him over the violently insane version of him I was exposed to in the last couple of weeks any day. Thank you all for your continued support and advice. I really appreciate you all.
 
So nice to hear that your brother is doing better. How old is he again or if you didn't say do you think he might have a chance of growing out of it a bit eventually ? Either way it sounds much more peaceful now. <3:):cool:
He is 28 years old. Idk about growing out of this kind of illness but I'm not holding my breath waiting for it to happen. It is a lot more peaceful now which is of course the end goal. Thanks for your support.
 
Update: God Damnet. Every day is so different. Yesterday he had a very violent rant and mid rant he decided to punch me, in the chest, right over my heart actually, and he punched me pretty hard too. I can't take this shit. I refuse to live in a house where I am physically intimidated on a daily basis. His mood swings are unpredictable and out of control. Last night apparently several friends of his contacted him out of concern and expressed that he needs help. Yesterday I expressed emphatically to him that he is violent, that he is out of control, that he is ill, he scares me, and that he needs help, but that I still love him and want to support him. This morning he was very angry. He has been calling me non-stop (I started a class today for substitute teacher certification in NC) and he called me several times while in class. He has also been calling my girlfriend and my mother and leaving horrible messages on my phone.
 
Update: God Damnet. Every day is so different. Yesterday he had a very violent rant and mid rant he decided to punch me, in the chest, right over my heart actually, and he punched me pretty hard too. I can't take this shit. I refuse to live in a house where I am physically intimidated on a daily basis. His mood swings are unpredictable and out of control. Last night apparently several friends of his contacted him out of concern and expressed that he needs help. Yesterday I expressed emphatically to him that he is violent, that he is out of control, that he is ill, he scares me, and that he needs help, but that I still love him and want to support him. This morning he was very angry. He has been calling me non-stop (I started a class today for substitute teacher certification in NC) and he called me several times while in class. He has also been calling my girlfriend and my mother and leaving horrible messages on my phone.
That sucks. Did he leave any bruises when he punched you in the chest? This would have been a good time for police intervention because he assaulted you. If you do have bruises, I would take pictures to document it. Maybe call a non-emergency line (here it is 311) or the police department directly rather than 911 and ask if there is anything they can do since the problem has escalated to physical violence. Of course it would have been better to do this yesterday but if you still have a bruise, it may not be too late. Also, make sure everyone saves the phone messages and those can also be shared with police as well.
 
I was diagnosed with bipolar 2 in 2017 and I was medication non compliant until I had a full blown manic episode instead of hypomania in 2019-2020. I did a bunch of out of character stuff, include having massive blow ups at 3 of my closest friends.

Once they knew I was manic and getting meds they forgave me after we had a conversation about what happened, which I always felt a bit weird about because I felt like I got an excuse for terrible behaviour (well, 1 of them it was his fault) because of having bipolar.

But they said it was my condition, not me.

Remember, this is not who your brother is.

One of the most common symptoms of bipolar and schizophrenia is agnosia, where sufferers don't believe they have the condition they are diagnosed with and they won't medicate adhere. It's so hard to treat. That's why some people require court ordered anti psychotic treatment.
 
That sucks. Did he leave any bruises when he punched you in the chest? This would have been a good time for police intervention because he assaulted you. If you do have bruises, I would take pictures to document it. Maybe call a non-emergency line (here it is 311) or the police department directly rather than 911 and ask if there is anything they can do since the problem has escalated to physical violence. Of course it would have been better to do this yesterday but if you still have a bruise, it may not be too late. Also, make sure everyone saves the phone messages and those can also be shared with police as well.
After seeing Eligiu's post, I meant to add that police intervention would hopefully result in him being involuntarily admitted to the psych ward. Not taken to jail.

I had the cops called on me once for trespassing and after speaking with me for a minute, they took me to the hospital instead of jail.
 
Update: Two days ago I woke up at my girlfriends house and My brother had posted a 35 minute video on Instagram talking about how he was "leaving" the abusive household that he has forced to stay in and going to fulfill his destiny. About an hour later I pulled into my driveway and his car was gone. He took a 1978 Electric Fender guitar that belonged to my dead father that my father taught me to play on. He took hardly any clothes. And he left. Where to we weren't sure at first. A couple hours later I messaged a good friend of his who lives in Charlotte North Carolina and gave him my phone number and my mothers phone number. He called about ten minutes later while my brother was in the shower completely panicked and not knowing what to do. Eventually he told my brother that he can't just freeload on his couch and drive him crazy. My brother went and checked into a Motel 6 in Charlotte which we know because he forgot to remove my mother's ability to monitor his finances so we are able to monitor his spending and ascertain basically what he is doing. The good knews is that my mom is seeing a therapist who gave her some appropriate medication. There's a little more to the story that I'll add later. But right now my brother's on the other side of the state and at least my home is peaceful for the moment.
 
My brother is back at the house again. I basically never stay at my mom's house anymore and I kinda feel like a freeloader for staying at my girlfriend's house every night, but I treat her well and she treats me well and we hardly ever bicker and she insists that if she needs some space she will tell me. My car broke down and has been in the shop for a week as of today and the shop claims that CovID and the flu have knocked most of their staff out and that they have no one who can look at my car at the moment but that when they know what's wrong with it they will call me..... and the funny thing is they're actually the most reputable shop in town. Anyway... there's that. Yesterday my brother had my girlfriend cut his hair again....after like 2 hours of coloring and braiding he looked in the mirror and exclaimed "Why the fuck do I look like Alfalfa?" which was actually fucking hilarious even though it was extremely rude. He then had me and my girlfriend take pictures of him for the cover of his soon to be released "rap album". When I came by my house this morning he was waving around an antique pellet gun he recently bought at an antique store that looks EXACTLY like a real pistol. He was openly discussing his "obsessions" with various young women, and in general being crazy as always. He has recently acknowledged and tried to apologize for what he has been putting everyone through but insists that he has something called "Complex Post Traumatic Stress Disorder" that has come from years of trauma and abuse sustained from a combination of the death of my father and the subsequent years of abuse that he claims he suffered at the hands of my mother and I. I feel like at least he is admitting that something is wrong. I don't really care what he wants to call his illness as long as he gets treatment for it. I'm really tired and I need to take better care of myself frankly.... Life has been kinda hard, but I'm hanging on. -Trey
 
That sucks about your car. I'm glad your girlfriend is supportive. Do you work at all or have any source of income? Maybe you could help your girlfriend with rent or groceries or something.

That does sound suspicious that he claims to have cPTSD from abuse that you and your mom did not do. Not that he doesn't have cPTSD if your father's death affected him that badly. But such is our current mental health system, that much of what gets us a diagnosis is self-reported. It leaves the door open for someone to be less than honest. I wonder if he got that diagnosis straight from a psychiatrist or if he actually had testing done by a clinical psychologist. The latter would be better I think because they may have ways of determining if someone is lying based on the test questions and how the test is implemented.

Have you considered attending any NAMI groups yourself or with your mother? It may be helpful.
 
That sucks about your car. I'm glad your girlfriend is supportive. Do you work at all or have any source of income? Maybe you could help your girlfriend with rent or groceries or something.

That does sound suspicious that he claims to have cPTSD from abuse that you and your mom did not do. Not that he doesn't have cPTSD if your father's death affected him that badly. But such is our current mental health system, that much of what gets us a diagnosis is self-reported. It leaves the door open for someone to be less than honest. I wonder if he got that diagnosis straight from a psychiatrist or if he actually had testing done by a clinical psychologist. The latter would be better I think because they may have ways of determining if someone is lying based on the test questions and how the test is implemented.

Have you considered attending any NAMI groups yourself or with your mother? It may be helpful.

I have seen someone legitimately claim they got cPTSD from a 'traumatic' functional capacity assessment. FCAs are used by the disability funding services in Australia to assess a person's overall functioning at a personalised level. Eg, when I got my first funding package I was given an amount generated for someone with level 2/3 ASD (before I was reassessed) which was 'standard' in my situation, so no informal support. Generally, you only receive a small therapy budget, mine was around $6000. Sounds like heaps but when providers charge $200 a session, it isn't much. What they want you to do is use the part of funding for support workers which mine was around $55,000 (again, sounds like a lot but a week of support cost $1000 or more) to tide you over while you get an FCA so they can see where you *actually* lie with your impairments. Because people can be barely level 1 and almost not needing a diagnosis, borderline level 1 level 2, borderline level 2 level 3 (like I was with social skills which was bumped up) and then on the upper end of level 3. I would consider myself on the lower end of level 3, rather than the upper if each level had its own levels I'd be level 1 in level 3 vs a client I have who would be level 3 in level 3. My FCA also took into account my other diagnoses, and painted a picture of my overall functioning. They then use that to make the funding package more accurate to a person's needs, increasing or reducing it as needed.

These assessments are not remotely traumatic. They're actually boring as hell. I fell asleep near the end of mine as I didn't take my stimulants because I wanted them to see me at my worst and that was recorded in the assessment. He also claimed the cPTSD resulted from a traumatic 'Vineland 3' assessment which also, I've seen the questions.

'can you count to 10'

'can the person answer the question of how old they are'

'can the person recognise numbers and letters'

The FCA asks questions about self care and things. Mobility as well.

'can you button your own shirt'

'can you toilet independently'

'can you maintain a nutritional diet'

'can you operate a phone'

'what would you do in case of an emergency'

They also test functional short term memory.

So yeah. Not traumatic at all. He also claimed his wife got cPTSD from his assessments and they got traumatic flashbacks.

I tried to help him with his funding becsuse he is actually underfunded but he doesn't understand how the funding works and how it only funds disabilities, not medical condition. Heaps of his issues are medical. But he has this bizarre belief that the NDIS is an evil organisation which assigns people points based on the school they attended, their family, their religion... And he said he was being persecuted for not being Christian becsuse all the contracted organisations that do the planning meeting at Christian. I pointed out they might be, but their employees certainly aren't, they're pencil pushes who come work the job for 4 months before getting burnt out and quitting because they know nothing about disability and their previous job was admin or some shit. I pointed out that the NDIS doesn't know anything about my school, family, or religious beliefs. And when he made the point that they give more funding to people who they deem worthy to society I counter pointed with the fact that I have a client who has childhood disintegrative disorder (now called autism) which is basically childhood dementia where kids develop typically until aroung 7-8 where they suddenly experience a psychotic prodrome and in the space of a month, lose all functional skills they previously learnt, with speech being last so they often ask their parents what is happening to them. My client regressed at 7, and at 25 he has $600,000 funding a year and it gets rolled over every year with no fights because the NDIS know if they cut his funding and it gets to the Administrative Appeals Tribunal it'll be given straight back. He has weekly speech therapy which is unheard of, because with CDD therapy doesn't build capacity, it prevents further deterioration. He will never improve. He will never get better, he will remain as he is, for the remainder of his life. Unable to do anything but shower and use the toilet without being prompted (except when he sometimes takes the saucepan out before I tell him to, which is a big win). Clearly, if this conspiracy about a person being funded based on their value to society, well... Things would not be great for my mate here.

But me on the other hand? I wasn't level 3 from birth, I was level 1/2 and got burnout. Therefore, I can build capacity. And I have a law degree. The NDIS want to have people build capacity, so their funding needs decrease or they exit the scheme completely. Wouldn't it be such a lovely success story if the level 3 autistic guy managed to get back to being level 1/2 and was admitted as a lawyer, all thanks to the generous help of the NDIS?

But my funding is fucked. It isn't terrible by any means by it's a decent amount below what it should be if they followed their own guidelines.

If my client and I were funded based on our value to society I would have been given more and him far less.

But that isn't what happened. He got funded based on substantial proof of lifelong deterioration impairment because his mother keeps records of everything.

I got okay funding. But not enough to build my capacity because I got shit planner after shit planner.

A friend I know with level 2 ASD got $40,000 more than me per year. She got a great planner.

Another friend with level 3 ASD got $20,000 a year for his first. Awful planner.

I asked this guy to provide evidence for his claim that they were funding people based on what he was saying, and explained that my belief was that the NDIS is a system with many flaws, and funding packages come down to essentially luck of getting a good planner and delegate who signs off on the final plan. The contracted planners don't understand the legislation they're applying and they say no to things they shouldn't say no to. I got custom orthotics funded in my first plan, but then got denied podiatry. In my plan review I asked how I was meant to get a new pair in two years if podiatry wasn't included but orthotics were. Suddenly podiatry was included. I asked for two things my planner said I would not have a chance of getting. The delegate disagreed and approved them. It's luck, that's it.

He then told me that the conversation was triggering him and he couldn't talk about it anymore.

Honestly, I feel sometimes like cPTSD is an in fashion diagnosis. You can't get cptsd from an assessment. Part of the diagnostic criteria is that the trauma must be inescapable, that is the issue. That's what makes it complex.

He could have walked out of the room.

My cPTSD has ramped up recently because of an incident that occurred a few weeks ago which I downplayed then later realised the full ramifications of, and it's a problem. Hearing someone say they got cPTSD from an assessment designed to figure out your functioning where he could have ended it at any time, and somehow his wife got it too infuriates me. I don't understand who would diagnose that.

I didn't even accept my cPTSD diagnosis for ages. I requested to check if I had a child protection file because I said if I didn't, I lied about everything and therefore BOOM no more cPTSD.

People who have it, tend to not want it. And tend not to immediately accept the diagnosis.
 
Hey @Treyderaid, how are things going?
Hey thanks for reaching out. So my brother is still refusing to take medication. However, his manic state has finally ended. A couple weeks ago it was almost like it just....stopped. He has become quiet, reserved, a little depressed even. I hate to see him unhappy, but I do think its good that he is facing the consequences of his outbursts and taking responsibility for the most part. Yesterday we went to the skatepark and he filmed me getting a couple really difficult tricks and we had a good time. I love my brother very much. I'm concerned that he needs to go ahead and start taking some medication now while things have calmed down so that we can avoid another Manic episode. I'm not sure if my family could handle it all over again. He is still very insistant that he is not bipolar and that he has "Complex PTSD". Idk what the truth is and I don't really care as long as he's getting appropriate treatment. I hope everyone else is well. -Trey
 
Damn man, I'm bipolar 1 and reading your story brought tears to my eyes. It's refreshing seeing a perspective from a family member.
 
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